2022 ICD-10-CM Code Q78.0
Osteogenesis imperfecta
Code Classification
Q78.0 is a billable diagnosis code used to specify a medical diagnosis of osteogenesis imperfecta. The code Q78.0 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code Q78.0 might also be used to specify conditions or terms like abnormal blue sclerae, congenital anomaly of sclera, congenital anomaly of sclera, dentinogenesis imperfecta, doughnut lesion of calvaria and bone fragility syndrome , ehlers-danlos and osteogenesis imperfecta syndrome, etc. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code Q78.0:
Inclusion Terms
Inclusion TermsThese terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Fragilitas ossium
- Osteopsathyrosis
Entries in the Index to Diseases and Injuries with references to Q78.0
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code Q78.0 are found in the index:
- - Blue
- - sclera - Q13.5
- - with fragility of bone and deafness - Q78.0
- - sclera - Q13.5
- - Brittle
- - bones disease - Q78.0
- - Deafness (acquired) (complete) (hereditary) (partial) - H91.9
- - with blue sclera and fragility of bone - Q78.0
- - congenital - H90.5
- - with blue sclera and fragility of bone - Q78.0
- - Disease, diseased - See Also: Syndrome;
- - Eddowes' (brittle bones and blue sclera) - Q78.0
- - Lobstein's (brittle bones and blue sclera) - Q78.0
- - Vrolik's (osteogenesis imperfecta) - Q78.0
- - Eddowes (-Spurway) syndrome - Q78.0
- - Fragilitas
- - ossium (with blue sclerae) (hereditary) - Q78.0
- - Lobstein (-Ekman) disease or syndrome - Q78.0
- - Osteitis - See Also: Osteomyelitis;
- - fragilitans - Q78.0
- - Osteogenesis imperfecta - Q78.0
- - Osteopsathyrosis (idiopathica) - Q78.0
- - 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 (-de Kleyn) syndrome - Q78.0
- - Vrolik's disease - Q78.0
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Abnormal blue sclerae
- Congenital anomaly of sclera
- Congenital anomaly of sclera
- Dentinogenesis imperfecta
- Doughnut lesion of calvaria and bone fragility syndrome
- Ehlers-Danlos and osteogenesis imperfecta syndrome
- Grange syndrome
- Hereditary dysplasia of blood vessel
- High bone mass osteogenesis imperfecta
- Osteogenesis imperfecta
- Osteogenesis imperfecta type 5
- Osteogenesis imperfecta type I
- Osteogenesis imperfecta type IIA
- Osteogenesis imperfecta type IIB
- Osteogenesis imperfecta type III
- Osteogenesis imperfecta with blue sclerae AND dentinogenesis imperfecta
- Osteogenesis imperfecta with blue sclerae AND normal teeth
- Osteogenesis imperfecta with normal sclerae, dominant form
- Osteogenesis imperfecta, dominant perinatal lethal
- Osteogenesis imperfecta, perinatal lethal
- Osteogenesis imperfecta, perinatal lethal
- Osteogenesis imperfecta, recessive perinatal lethal
- Osteogenesis imperfecta, recessive perinatal lethal, with microcephaly AND cataracts
- Osteogenesis imperfecta, retinopathy, seizures, intellectual disability syndrome
- Osteogenesis imperfecta, type IV A
- Osteogenesis imperfecta, type IV B
- Osteoporosis with pseudoglioma
Clinical Information
- OSTEOGENESIS IMPERFECTA-. 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.
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code Q78.0 is grouped in the following groups for version MS-DRG V39.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2021 through 09/30/2022.
MS-DRG | MS-DRG Title | MCD | Relative Weight |
---|---|---|---|
456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | 08 | 8.5981 |
457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | 08 | 6.502 |
458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | 08 | 5.0174 |
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)
Q78.0 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 Code | POA 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 Q78.0 to ICD-9 Code
- 756.51 - Osteogenesis imperfecta
Information for Patients
Osteogenesis Imperfecta
Osteogenesis imperfecta (OI) is a genetic disorder in which bones fracture (break) easily. Sometimes the fractures happen for no known reason. OI can also cause weak muscles, brittle teeth, a curved spine, and hearing loss. OI is caused by one of several genes that aren't working properly. When these genes don't work, it affects how you make collagen, a protein that helps make bones strong.
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 specific test for OI. Your doctor uses your medical and family history, physical exam, and imaging and lab tests to diagnose it. Your doctor may also test your collagen (from skin) or genes (from blood). 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
[Learn More in MedlinePlus]
Dentinogenesis imperfecta
Dentinogenesis imperfecta is a disorder of tooth development. This condition causes the teeth to be discolored (most often a blue-gray or yellow-brown color) and translucent. Teeth are also weaker than normal, making them prone to rapid wear, breakage, and loss. These problems can affect both primary (baby) teeth and permanent teeth.
Researchers have described three types of dentinogenesis imperfecta with similar dental abnormalities. Type I occurs in people who have osteogenesis imperfecta, a genetic condition in which bones are brittle and easily broken. Dentinogenesis imperfecta type II and type III usually occur in people without other inherited disorders. A few older individuals with type II have had progressive high-frequency hearing loss in addition to dental abnormalities, but it is not known whether this hearing loss is related to dentinogenesis imperfecta.
Some researchers believe that dentinogenesis imperfecta type II and type III, along with a condition called dentin dysplasia type II, are actually forms of a single disorder. The signs and symptoms of dentin dysplasia type II are very similar to those of dentinogenesis imperfecta. However, dentin dysplasia type II affects the primary teeth much more than the permanent teeth.
[Learn More in MedlinePlus]
Osteogenesis imperfecta
Osteogenesis imperfecta (OI) is a group of genetic disorders that mainly affect the bones. The term "osteogenesis imperfecta" means imperfect bone formation. People with this condition have bones that break (fracture) easily, often from mild trauma or with no apparent cause. Multiple fractures are common, and in severe cases, can occur even before birth. Milder cases may involve only a few fractures over a person's lifetime.
There are at least 19 recognized forms of osteogenesis imperfecta, designated type I through type XIX. Several types are distinguished by their signs and symptoms, although their characteristic features overlap. Increasingly, genetic causes are used to define rarer forms of osteogenesis imperfecta. Type I (also known as classic non-deforming osteogenesis imperfecta with blue sclerae) is the mildest form of osteogenesis imperfecta. Type II (also known as perinatally lethal osteogenesis imperfecta) is the most severe. Other types of this condition, including types III (progressively deforming osteogenesis imperfecta) and IV (common variable osteogenesis imperfecta with normal sclerae), have signs and symptoms that fall somewhere between these two extremes.
The milder forms of osteogenesis imperfecta, including type I, are characterized by bone fractures during childhood and adolescence that often result from minor trauma, such as falling while learning to walk. Fractures occur less frequently in adulthood. People with mild forms of the condition typically have a blue or grey tint to the part of the eye that is usually white (the sclera), and about half develop hearing loss in adulthood. Unlike more severely affected individuals, people with type I are usually of normal or near normal height.
Other types of osteogenesis imperfecta are more severe, causing frequent bone fractures that are present at birth and result from little or no trauma. Additional features of these types can include blue sclerae of the eyes, short stature, curvature of the spine (scoliosis), joint deformities (contractures), hearing loss, respiratory problems, and a disorder of tooth development called dentinogenesis imperfecta. Mobility can be reduced in affected individuals, and some may use a walker or wheelchair. The most severe forms of osteogenesis imperfecta, particularly type II, can include an abnormally small, fragile rib cage and underdeveloped lungs. Infants with these abnormalities may have life-threatening problems with breathing and can die shortly after birth.
[Learn More in MedlinePlus]
Related Codes
ICD Code | Description | Valid for Submission |
---|---|---|
Q78 | Other osteochondrodysplasias | NON-BILLABLE CODE |
Q78.1 | Polyostotic fibrous dysplasia | BILLABLE CODE |
Q78.2 | Osteopetrosis | BILLABLE CODE |
Q78.3 | Progressive diaphyseal dysplasia | BILLABLE CODE |
Q78.4 | Enchondromatosis | BILLABLE CODE |
Q78.5 | Metaphyseal dysplasia | BILLABLE CODE |
Q78.6 | Multiple congenital exostoses | BILLABLE CODE |
Q78.8 | Other specified osteochondrodysplasias | BILLABLE CODE |
Q78.9 | Osteochondrodysplasia, unspecified | BILLABLE CODE |
Code History
- 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 (First year ICD-10-CM implemented into the HIPAA code set)