2020 ICD-10-CM Diagnosis Code Q78.0

Osteogenesis imperfecta

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
  • Q78.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM Q78.0 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of Q78.0 - other international versions of ICD-10 Q78.0 may differ.
Applicable To
  • Fragilitas ossium
  • Osteopsathyrosis
The following code(s) above Q78.0 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 Q78.0:
  • 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
  • Q78
    ICD-10-CM Diagnosis Code Q78

    Other osteochondrodysplasias

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • congenital myotonic chondrodystrophy (G71.13)
    Other osteochondrodysplasias
Clinical Information
  • A group of usually autosomal dominant inherited disorders characterized by defective synthesis of collagen type i resulting in defective collagen formation. It is characterized by brittle and easily fractured bones.
  • Autosomal dominant collagen disease resulting from defective biosynthesis of collagen type i and characterized by brittle, osteoporotic, and easily fractured bones; may also present with blue sclerae, loose joints, and imperfect dentin formation.
  • Collagen diseases characterized by brittle, osteoporotic, and easily fractured bones. It may also present with blue sclerae, loose joints, and imperfect dentin formation. Most types are autosomal dominant and are associated with mutations in collagen type i.
  • Osteogenesis imperfecta (oi) is a genetic disorder in which bones break easily. Sometimes the bones break for no known reason. Oi can also cause weak muscles, brittle teeth, a curved spine and hearing loss. The cause is a gene defect that affects how you make collagen, a protein that helps make bones strong. Usually you inherit the faulty gene from a parent. Sometimes, it is due to a mutation, a random gene change.oi can range from mild to severe and symptoms vary from person to person. A person may have just a few or as many as several hundred fractures in a lifetime. There is no cure, but you can manage symptoms. Treatments include exercise, pain medicine, physical therapy, wheelchairs, braces and surgery. nih: national institute of arthritis and musculoskeletal and skin diseases
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.
  • Q78.0 is considered exempt from POA reporting.
ICD-10-CM Q78.0 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 456 Spinal fusion except cervical with spinal curvature or malignancy or infection or extensive fusions with mcc
  • 457 Spinal fusion except cervical with spinal curvature or malignancy or infection or extensive fusions with cc
  • 458 Spinal fusion except cervical with spinal curvature or malignancy or infection or extensive fusions without cc/mcc
  • 564 Other musculoskeletal system and connective tissue diagnoses with mcc
  • 565 Other musculoskeletal system and connective tissue diagnoses with cc
  • 566 Other musculoskeletal system and connective tissue diagnoses without cc/mcc

Convert Q78.0 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
Code annotations containing back-references to Q78.0:
  • Type 1 Excludes: M85
    ICD-10-CM Diagnosis Code M85

    Other disorders of bone density and structure

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • osteogenesis imperfecta (Q78.0)
    • osteopetrosis (Q78.2)
    • osteopoikilosis (Q78.8)
    • polyostotic fibrous dysplasia (Q78.1)

Diagnosis Index entries containing back-references to Q78.0:
  • Adair-Dighton syndrome Q78.0 (brittle bones and blue sclera, deafness)
  • Blue
    • sclera Q13.5
      ICD-10-CM Diagnosis Code Q13.5

      Blue sclera

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      • with fragility of bone and deafness Q78.0
  • Brittle
    • bones disease Q78.0
  • Deafness (acquired) (complete) (hereditary) (partial) H91.9-
    ICD-10-CM Diagnosis Code H91.9-

    Unspecified hearing loss

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Deafness NOS
    • High frequency deafness
    • Low frequency deafness
    • congenital H90.5
      ICD-10-CM Diagnosis Code H90.5

      Unspecified sensorineural hearing loss

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Central hearing loss NOS
      • Congenital deafness NOS
      • Neural hearing loss NOS
      • Perceptive hearing loss NOS
      • Sensorineural deafness NOS
      • Sensory hearing loss NOS
      Type 1 Excludes
      • abnormal auditory perception (H93.2-)
      • psychogenic deafness (F44.6)
      • with blue sclera and fragility of bone Q78.0
    • with blue sclera and fragility of bone Q78.0
  • Disease, diseased - see also Syndrome
    • Eddowes' Q78.0 (brittle bones and blue sclera)
    • Lobstein's Q78.0 (brittle bones and blue sclera)
    • Vrolik's Q78.0 (osteogenesis imperfecta)
  • Eddowes Q78.0 (-Spurway)
  • Ekman's syndrome Q78.0 (brittle bones and blue sclera)
  • Fragile, fragility
    • bone, congenital Q78.0 (with blue sclera)
  • Fragilitas
    • ossium Q78.0 (with blue sclerae) (hereditary)
  • Lobstein Q78.0 (-Ekman)
  • Osteitis - see also Osteomyelitis
    • fragilitans Q78.0
  • Osteogenesis imperfecta Q78.0
  • Osteopsathyrosis Q78.0 (idiopathica)
  • Spurway's syndrome Q78.0
  • Syndrome - see also Disease
    • Adair-Dighton Q78.0
    • blue sclera Q78.0
    • Dighton's Q78.0
    • Eddowes' Q78.0
    • Ekman's Q78.0
    • Spurway's Q78.0
    • van der Hoeve's Q78.0
  • Van der Hoeve Q78.0 (-de Kleyn)
  • Vrolik's disease Q78.0

ICD-10-CM Codes Adjacent To Q78.0
Q77.1 Thanatophoric short stature
Q77.2 Short rib syndrome
Q77.3 Chondrodysplasia punctata
Q77.4 Achondroplasia
Q77.5 Diastrophic dysplasia
Q77.6 Chondroectodermal dysplasia
Q77.7 Spondyloepiphyseal dysplasia
Q77.8 Other osteochondrodysplasia with defects of growth of tubular bones and spine
Q77.9 Osteochondrodysplasia with defects of growth of tubular bones and spine, unspecified
Q78 Other osteochondrodysplasias
Q78.0 Osteogenesis imperfecta
Q78.1 Polyostotic fibrous dysplasia
Q78.2 Osteopetrosis
Q78.3 Progressive diaphyseal dysplasia
Q78.4 Enchondromatosis
Q78.5 Metaphyseal dysplasia
Q78.6 Multiple congenital exostoses
Q78.8 Other specified osteochondrodysplasias
Q78.9 Osteochondrodysplasia, unspecified
Q79 Congenital malformations of musculoskeletal system, not elsewhere classified
Q79.0 Congenital diaphragmatic hernia

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