2027 ICD-10-CM Diagnosis Code Q76.425Congenital lordosis, thoracolumbar region
ICD-10-CM Codes›Q00-Q99›Q65-Q79›Q76
- Billable — Valid for Submission
- CC — Complication or Comorbidity
- POA Exempt
- Chronic Condition
Q76.425 is a billable ICD-10-CM diagnosis code for congenital lordosis, thoracolumbar region. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 456 through 458, 564 through 566. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 7 closely related codes. The code is exempt from POA reporting. Coders also document this condition as congenital deformity of lumbosacral region. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Musculoskeletal congenital conditions.
Code Identity
Code Classification
Present on Admission (POA)Billing
Q76.425 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Congenital malformations and deformations of the musculoskeletal system (Q65-Q79).
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Congenital deformity of lumbosacral region
- Congenital hyperlordosis deformity of lumbar spine
- Congenital hyperlordosis deformity of thoracic and lumbar spine
- Congenital lordosis deformity of spine
- Hyperlordosis deformity of lumbar spine
- Hyperlordosis deformity of thoracic and lumbar spine
- Lordosis deformity of lumbar spine
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to Q76.425: its own notes plus those printed at Q76 and Chapter 17. A note printed at a category, block or chapter applies to every code under it.
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Notes
General instructions on how these codes are used.
- Codes from this chapter are not for use on maternal records
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name Q76.425, its category, or a range that includes it.
Excludes1 5
These codes carry an Excludes1 note naming Q76.425: they are not reported together with it, unless the two conditions are unrelated.
- M40 Kyphosis and lordosiscongenital kyphosis and lordosis (Q76.4) names Q76.4, which includes this code
- M43 Other deforming dorsopathieslumbarization and sacralization (Q76.4) names Q76.4, which includes this code
- M43 Other deforming dorsopathiesplatyspondylisis (Q76.4) names Q76.4, which includes this code
- M43.2 Fusion of spinecongenital fusion of spine (Q76.4) names Q76.4, which includes this code
- M43 Other deforming dorsopathies
Excludes2 1
These codes carry an Excludes2 note naming Q76.425: its condition is not part of those codes, and both may be reported when the patient has both.
- Block Q10-Q18 Congenital malformations of eye, ear, face and neck
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Birth Defects
A birth defect is a problem that happens while a baby is developing in the mother's body. Most birth defects happen during the first 3 months of pregnancy. One out of every 33 babies in the United States is born with a birth defect.
The full article covers:
- What are birth defects?
- What causes birth defects?
- Who is at risk of having a baby with birth defects?
- How are birth defects diagnosed?
- What are the treatments for birth defects?
- Can birth defects be prevented?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert Q76.425 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About Q76.425Overview
What is the ICD-10 code for congenital lordosis, thoracolumbar region?
The ICD-10-CM code for congenital lordosis, thoracolumbar region is Q76.425 (sometimes written as Q76425). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is Q76.425 (Congenital lordosis) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report congenital lordosis, thoracolumbar region on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does Q76.425 group to?
When congenital lordosis, thoracolumbar region is the principal diagnosis on an inpatient stay, it groups to MS-DRG 564, 456, 566, 457, 565, 458, with relative weights from 0.7374 to 7.6211 depending on complications. Higher weights mean higher Medicare reimbursement.
Is Q76.425 a CC or MCC?
CMS lists Q76.425 as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 7 closely related codes in its exclusion list.
Is Q76.425 exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for congenital lordosis, thoracolumbar region on inpatient claims. The code appears in the Congenital malformations and deformations of the musculoskeletal system (Q65-Q79) range of the CMS exempt list.
