2020 ICD-10-CM Diagnosis Code Q76.49

Other congenital malformations of spine, not associated with scoliosis

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
  • Q76.49 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Oth congenital malform of spine, not associated w scoliosis
  • The 2020 edition of ICD-10-CM Q76.49 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of Q76.49 - other international versions of ICD-10 Q76.49 may differ.
Applicable To
  • Congenital absence of vertebra NOS
  • Congenital fusion of spine NOS
  • Congenital malformation of lumbosacral (joint) (region) NOS
  • Congenital malformation of spine NOS
  • Hemivertebra NOS
  • Malformation of spine NOS
  • Platyspondylisis NOS
  • Supernumerary vertebra NOS
The following code(s) above Q76.49 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to Q76.49:
  • Q00-Q99
    2020 ICD-10-CM Range Q00-Q99

    Congenital malformations, deformations and chromosomal abnormalities

    Note
    • Codes from this chapter are not for use on maternal records
    Type 2 Excludes
    • inborn errors of metabolism (E70-E88)
    Congenital malformations, deformations and chromosomal abnormalities
  • Q76
    ICD-10-CM Diagnosis Code Q76

    Congenital malformations of spine and bony thorax

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • congenital musculoskeletal deformities of spine and chest (Q67.5-Q67.8)
    Congenital malformations of spine and bony thorax
Approximate Synonyms
  • Agenesis of sacrum
  • Agenesis of vertebra
  • Aplasia odontoid
  • Atlanto-occipital fusion
  • Caudal agenesis
  • Cervical spine dysraphism
  • Congenital absence of vertebra
  • Congenital aplasia of odontoid process
  • Congenital dysraphism
  • Congenital fusion of spine
  • Congenital hemivertebra
  • Developmental anomaly of odontoid process of axis
  • Dysgenesis, odontoid
  • Dysraphism, congenital
  • Dysraphysm, cervical (neck) spine
  • Fusion of atlantooccipital spine
  • Fusion of spine, congenital
  • Hemivertebra, congenital
  • Incomplete development of lower spine (caudal)
  • Occipitoatlantoaxial spine ankylosis
  • Odontoid dysgenesis
  • Os odontoideum
  • Platyspondylia
  • Sacral agenesis
  • Spinal dysraphism
  • Structural developmental anomalies of neurenteric canal
  • Supernumerary vertebra
  • Transitional lumbosacral vertebra
Present On Admission
POA Help
"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.
  • Q76.49 is considered exempt from POA reporting.
ICD-10-CM Q76.49 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 551 Medical back problems with mcc
  • 552 Medical back problems without mcc

Convert Q76.49 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change

Diagnosis Index entries containing back-references to Q76.49:
  • Absence (of) (organ or part) (complete or partial)
    • coccyx, congenital Q76.49
    • sacrum, congenital Q76.49
    • spine, congenital Q76.49
    • vertebra, congenital Q76.49
  • Accessory (congenital)
    • vertebra Q76.49
  • Agenesis
    • coccyx Q76.49
    • sacrum Q76.49
    • spine Q76.49
    • vertebra Q76.49
  • Angulation
    • coccyx (acquired) M43.8
      - see also subcategory
      ICD-10-CM Diagnosis Code M43.8

      Other specified deforming dorsopathies

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      Type 2 Excludes
      • congenital NEC Q76.49
    • sacrum (acquired) M43.8
      - see also subcategory
      ICD-10-CM Diagnosis Code M43.8

      Other specified deforming dorsopathies

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      Type 2 Excludes
      • congenital NEC Q76.49
  • Anomaly, anomalous (congenital) (unspecified type) Q89.9
    ICD-10-CM Diagnosis Code Q89.9

    Congenital malformation, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    Applicable To
    • Congenital anomaly NOS
    • Congenital deformity NOS
  • Bifurcation (congenital)
    • vertebra Q76.49
  • Brevicollis Q76.49
  • Deformity Q89.9
    ICD-10-CM Diagnosis Code Q89.9

    Congenital malformation, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    Applicable To
    • Congenital anomaly NOS
    • Congenital deformity NOS
  • Dislocation (articular)
  • Distortion(s) (congenital)
  • Failure, failed
  • Fusion, fused (congenital)
    • lumbosacral (acquired) M43.27
      ICD-10-CM Diagnosis Code M43.27

      Fusion of spine, lumbosacral region

        2016 2017 2018 2019 2020 Billable/Specific Code
      • congenital Q76.49
    • spine (acquired) M43.20
      ICD-10-CM Diagnosis Code M43.20

      Fusion of spine, site unspecified

        2016 2017 2018 2019 2020 Billable/Specific Code
      • congenital Q76.49
  • Half vertebra Q76.49
  • Hemivertebra Q76.49
  • Hypoplasia, hypoplastic
    • coccyx Q76.49
    • sacrum Q76.49
    • spine Q76.49
    • vertebra Q76.49
  • Lumbarization, vertebra, congenital Q76.49
  • Maldevelopment - see also Anomaly
    • spine Q76.49
  • Malformation (congenital) - see also Anomaly
    • joint Q74.9
      ICD-10-CM Diagnosis Code Q74.9

      Unspecified congenital malformation of limb(s)

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital anomaly of limb(s) NOS
      • lumbosacral Q76.49
    • spine Q76.49
  • Platyspondylisis Q76.49
  • Sacralization Q76.49
  • Segmentation, incomplete (congenital) - see also Fusion
    • lumbosacral Q76.49 (joint) (vertebra)
  • Supernumerary (congenital)
    • vertebra Q76.49
  • Syndrome - see also Disease
    • straight back, congenital Q76.49

ICD-10-CM Codes Adjacent To Q76.49
Q76.413 …… cervicothoracic region
Q76.414 …… thoracic region
Q76.415 …… thoracolumbar region
Q76.419 …… unspecified region
Q76.42 Congenital lordosis
Q76.425 …… thoracolumbar region
Q76.426 …… lumbar region
Q76.427 …… lumbosacral region
Q76.428 …… sacral and sacrococcygeal region
Q76.429 …… unspecified region
Q76.49 Other congenital malformations of spine, not associated with scoliosis
Q76.5 Cervical rib
Q76.6 Other congenital malformations of ribs
Q76.7 Congenital malformation of sternum
Q76.8 Other congenital malformations of bony thorax
Q76.9 Congenital malformation of bony thorax, unspecified
Q77 Osteochondrodysplasia with defects of growth of tubular bones and spine
Q77.0 Achondrogenesis
Q77.1 Thanatophoric short stature
Q77.2 Short rib syndrome
Q77.3 Chondrodysplasia punctata

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.