Version 2024

2024 ICD-10-CM Diagnosis Code Q67.5

Congenital deformity of spine

ICD-10-CM:: Q67.5
Short Description:: Congenital deformity of spine
Is Billable?: Yes - Valid for Submission
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Code Classification

Congenital malformations, deformations and chromosomal abnormalities
(Q00-Q99)
- Congenital malformations and deformations of the musculoskeletal system
  (Q65-Q79)
  - Congenital ms deformities of head, face, spine and chest
    (Q67)

Q67.5 is a billable diagnosis code used to specify a medical diagnosis of congenital deformity of spine. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

1. Approximate Synonyms
2. Clinical Information
3. Tabular List of Diseases and Injuries
4. Index to Diseases and Injuries References
5. Diagnostic Related Groups - MS-DRG Mapping
6. Present on Admission (POA)
7. Convert to ICD-9 Code
8. Patient Education
9. Other Codes Used Similar Conditions
10. Code History

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

Acrodysplasia scoliosis
Bilateral congenital dislocation of hip
Camptodactyly and tall stature with scoliosis and hearing loss syndrome
Congenital deformity of spine
Congenital dislocation of left hip
Congenital dislocation of right hip
Congenital elevation of scapula
Congenital kyphoscoliosis
Congenital kyphoscoliosis
Congenital kyphoscoliosis
Congenital kyphosis
Congenital kyphosis
Congenital kyphosis
Congenital lordosis and scoliosis deformity of spine
Congenital lordosis deformity of spine
Congenital overgrowth of foot
Congenital postural scoliosis
Cutis laxa, autosomal recessive
Duane anomaly, myopathy, scoliosis syndrome
Duane's syndrome, type 3
Ehlers-Danlos syndrome kyphoscoliotic and deafness type
Ehlers-Danlos syndrome kyphoscoliotic type
Hip pathological dislocation
Hydrocephalus, costovertebral dysplasia, Sprengel anomaly syndrome
Lordosis and scoliosis deformity of spine
Macrodactyly of toe
MACS syndrome
Microcephalus with brachydactyly and kyphoscoliosis syndrome
Pathological dislocation of left hip
Postural scoliosis
Radioulnar synostosis with microcephaly and scoliosis syndrome
Seizures, scoliosis, macrocephaly syndrome
Steel syndrome
Tall stature, scoliosis, macrodactyly of great toe syndrome

Clinical Information

Congenital Postural Scoliosis-. abnormal sideways curvature of the spine that is present at birth.
Postural Scoliosis-. usually mild scoliosis that disappears when the person bends forward or sideways. the spine is structurally normal.
Congenital Kyphosis-. an abnormally increased curvature of the thoracic portion of the spine that is present at the time of birth.

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.

Inclusion Terms

Congenital postural scoliosis
Congenital scoliosis NOS

Type 1 Excludes

infantile idiopathic scoliosis M41.0
scoliosis due to congenital bony malformation Q76.3

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

- Curvature
- - spine (acquired) (angular) (idiopathic) (incorrect) (postural) - See: Dorsopathy, deforming;
  - - congenital - Q67.5

- Deformity - Q89.9
- - spinal - See: Dorsopathy, deforming;
  - - congenital - Q67.5
- - spine (acquired) - See Also: Dorsopathy, deforming;
  - - congenital - Q67.5

- Kyphoscoliosis, kyphoscoliotic (acquired) - See Also: Scoliosis; - M41.9
- - congenital - Q67.5

- Scoliosis (acquired) (postural) - M41.9
- - congenital - Q67.5
  - - postural - Q67.5

Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG	MS-DRG Title	MCD	Relative Weight
456	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC	08	8.4294
457	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC	08	6.0753
458	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC	08	4.531

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Present on Admission (POA)

Q67.5 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.

CMS POA Indicator Options and Definitions

POA Indicator	Reason for Code	CMS will pay the CC/MCC DRG?
Y	Diagnosis was present at time of inpatient admission.	YES
N	Diagnosis was not present at time of inpatient admission.	NO
U	Documentation insufficient to determine if the condition was present at the time of inpatient admission.	NO
W	Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.	YES
1	Unreported/Not used - Exempt from POA reporting.	NO

Convert to ICD-9-CM Code

Source ICD-10-CM Code		Target ICD-9-CM Code
Q67.5		754.2 - Cong postural deformity
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Code History

FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.