2027 ICD-10-CM Diagnosis Code Q76.429Congenital lordosis, unspecified region

ICD-10-CM Codes›Q00-Q99›Q65-Q79›Q76

ICD-10-CM Q76.429
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

Q76.429 is a billable ICD-10-CM diagnosis code for congenital lordosis, unspecified 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 lordosis and scoliosis deformity of spine. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Musculoskeletal congenital conditions.

Code Identity

ICD-10-CM Code
Q76.429
Billable Status
Yes — Valid for Submission
Code Describes
Congenital lordosis, unspecified region
Short Description
Congenital lordosis, unspecified region
Same as the full description in the CMS dataset.
Parent Code
Congenital lordosis

Code Classification

ChapterQ00-Q99Congenital malformations, deformations and chromosomal abnormalities
SectionQ65-Q79Congenital malformations and deformations of the musculoskeletal system
CategoryQ76Congenital malformations of spine and bony thorax
This CodeQ76.429Congenital lordosis, unspecified region

Present on Admission (POA)Billing

Q76.429 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 lordosis and scoliosis deformity of spine
  • Congenital lordosis deformity of spine
  • Congenital lordosis deformity of spine due to congenital malformation of skeletal bone
  • Congenital scoliosis deformity of spine
  • Lordosis and scoliosis deformity of spine

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to Q76.429: 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.

From Q76 Congenital malformations of spine and bony thorax applies to 21 codes
  • congenital musculoskeletal deformities of spine and chest (Q67.5-Q67.8)

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.

From Chapter 17 (Q00-QA1) Congenital malformations, deformations and chromosomal abnormalities applies to 900 codes
  • inborn errors of metabolism (E70-E88)

Notes

General instructions on how these codes are used.

From Chapter 17 (Q00-QA1) Congenital malformations, deformations and chromosomal abnormalities applies to 900 codes
  • 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 Q76.429, its category, or a range that includes it.

Excludes1 5

These codes carry an Excludes1 note naming Q76.429: they are not reported together with it, unless the two conditions are unrelated.

  • M40 Kyphosis and lordosis
    congenital kyphosis and lordosis (Q76.4) names Q76.4, which includes this code
  • M43 Other deforming dorsopathies
    lumbarization and sacralization (Q76.4) names Q76.4, which includes this code
  • M43 Other deforming dorsopathies
    platyspondylisis (Q76.4) names Q76.4, which includes this code
  • M43.2 Fusion of spine
    congenital fusion of spine (Q76.4) names Q76.4, which includes this code
  • M43 Other deforming dorsopathies
    hemivertebra (Q76.3-Q76.4) names Q76.3-Q76.4, which includes this code

Excludes2 1

These codes carry an Excludes2 note naming Q76.429: 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
    congenital malformation of cervical spine (Q05.0, Q05.5, Q67.5, Q76.0-Q76.4) names Q76.0-Q76.4, which includes this code

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.

CCSR MAL008
Musculoskeletal congenital conditions
Default principal diagnosis: inpatient Yes · outpatient Yes

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 Q76.429 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
754.2 Cong postural deformity
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About Q76.429Overview

What is the ICD-10 code for congenital lordosis, unspecified region?

The ICD-10-CM code for congenital lordosis, unspecified region is Q76.429 (sometimes written as Q76429). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is Q76.429 (Congenital lordosis) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report congenital lordosis, unspecified region on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does Q76.429 group to?

When congenital lordosis, unspecified 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 Q76.429 a CC or MCC?

CMS lists Q76.429 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 Q76.429 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, unspecified 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.