2026 ICD-10-CM Diagnosis Code Q77.3Chondrodysplasia punctata

ICD-10-CM Codes›Q00-Q99›Q65-Q79›Q77

ICD-10-CM Q77.3
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

Q77.3 is a billable ICD-10-CM diagnosis code for chondrodysplasia punctata. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 564 through 566. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Musculoskeletal congenital conditions.

Code Identity

ICD-10-CM Code
Q77.3
Billable Status
Yes — Valid for Submission
Code Describes
Chondrodysplasia punctata
Short Description
Chondrodysplasia punctata
Same as the full description in the CMS dataset.
Parent Code
Q77
Osteochondrodysplasia with defects of growth of tubular bones and spine

Code Classification

ChapterQ00-Q99Congenital malformations, deformations and chromosomal abnormalities
SectionQ65-Q79Congenital malformations and deformations of the musculoskeletal system
CategoryQ77Osteochondrodysplasia with defects of growth of tubular bones and spine
This CodeQ77.3Chondrodysplasia punctata

Present on Admission (POA)Billing

Q77.3 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Brachytelephalangic chondrodysplasia punctata
  • Chondrodysplasia punctata
  • Chondrodysplasia punctata due to maternal autoimmune disease
  • Chondrodysplasia punctata Toriello type
  • Chondrodysplasia punctata, Conradi-Hünermann type
  • Chondrodysplasia punctata, MT type
  • Chondrodysplasia punctata, X-linked dominant type
  • Chondrodysplasia punctata, X-linked recessive type
  • Disorder of cholesterol metabolism
  • Disorder of cholesterol synthesis
  • Greenberg dysplasia
  • Hyperphosphatasia-osteoectasia syndrome
  • Lethal chondrodysplasia with fragmented bone

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Type 1 Excludes

  • Rhizomelic chondrodysplasia punctata E71.540

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Chondrodysplasia
      • calcificans congenita
    • Chondrodysplasia
      • punctata
    • Chondrodystrophy, chondrodystrophia(familial) (fetalis) (hypoplastic)
      • calcificans congenita
    • Chondrodystrophy, chondrodystrophia(familial) (fetalis) (hypoplastic)
      • punctata
    • Conradi(-Hunermann) disease

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

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

Clinical InformationClinical

  • Chondrodysplasia Punctata

    a heterogeneous group of bone dysplasias, the common character of which is stippling of the epiphyses in infancy. the group includes a severe autosomal recessive form (chondrodysplasia punctata, rhizomelic), an autosomal dominant form (conradi-hunermann syndrome), and a milder x-linked form. metabolic defects associated with impaired peroxisomes are present only in the rhizomelic form.

  • Chondrodysplasia Punctata, Rhizomelic

    an autosomal recessive form of chondrodysplasia punctata characterized by defective plasmalogen biosynthesis and impaired peroxisomes. patients have shortened proximal limbs and severely disturbed endochondral bone formation. the metabolic defects associated with the impaired peroxisomes are present only in the rhizomelic form of chondrodysplasia punctata. (from scriver et al, metabolic basis of inherited disease, 6th ed, p1497)

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 Q77.3 to ICD-9-CMHistory

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

ICD-9-CM
756.59 Osteodystrophy NEC
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 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About Q77.3Overview

Is Q77.3 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report chondrodysplasia punctata on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does Q77.3 group to?

When chondrodysplasia punctata is the principal diagnosis on an inpatient stay, it groups to MS-DRG 564, 565, 566, with relative weights from 0.7493 to 1.5436 depending on complications. Higher weights mean higher Medicare reimbursement.

Is Q77.3 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 chondrodysplasia punctata on inpatient claims.

What is the ICD-9 equivalent of Q77.3?

Under the General Equivalence Mappings, chondrodysplasia punctata converts to ICD-9-CM 756.59 (osteodystrophy NEC). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.