2027 ICD-10-CM Diagnosis Code Q78.8Other specified osteochondrodysplasias

ICD-10-CM Codes›Q00-Q99›Q65-Q79›Q78

ICD-10-CM Q78.8
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

Q78.8 is a billable ICD-10-CM diagnosis code for other specified osteochondrodysplasias. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) 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
Q78.8
Billable Status
Yes — Valid for Submission
Code Describes
Other specified osteochondrodysplasias
Short Description
Other specified osteochondrodysplasias
Same as the full description in the CMS dataset.
Parent Code
Other osteochondrodysplasias

Code Classification

ChapterQ00-Q99Congenital malformations, deformations and chromosomal abnormalities
SectionQ65-Q79Congenital malformations and deformations of the musculoskeletal system
CategoryQ78Other osteochondrodysplasias
This CodeQ78.8Other specified osteochondrodysplasias

Present on Admission (POA)Billing

Q78.8 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.

  • Acrocapitofemoral dysplasia
  • Acrodysostosis
  • Acromesomelic dysplasia Hunter-Thompson type
  • Acromesomelic dysplasia Maroteaux type
  • Acroosteolysis
  • Acropectorovertebral dysplasia
  • Agenesis of fibula
  • Aluminum bone disease
  • Aluminum-related fracturing osteodystrophy
  • Angel-shaped phalangoepiphyseal dysplasia
  • Aplasia of fibula
  • Atelosteogenesis
  • Atelosteogenesis type 1
  • Atelosteogenesis type 2
  • Atelosteogenesis type 3
  • Autosomal dominant craniometaphyseal dysplasia
  • Autosomal dominant omodysplasia
  • Autosomal recessive craniometaphyseal dysplasia
  • Autosomal recessive omodysplasia
  • Beals auriculo-osteodysplasia syndrome
  • Benign osteogenic neoplasm of bone of limb
  • Bent bone dysplasia group
  • Blomstrand dysplasia
  • Boomerang dysplasia
  • Bowing of upper limb
  • Bruck syndrome
  • Carpal-tarsal osteolysis with nephropathy
  • Carpotarsal osteochondromatosis
  • Cerebral degeneration in childhood
  • Chitty Hall Baraitser syndrome
  • CHST3-related skeletal dysplasia
  • Cleidorhizomelic syndrome
  • Cole-Carpenter dysplasia
  • Colobomatous microphthalmia, rhizomelic dysplasia syndrome
  • Complex lethal osteochondrodysplasia
  • Congenital abnormal fusion of humerus
  • Congenital abnormal shape of humerus
  • Congenital abnormal shape of radius
  • Congenital absence of pectoral muscle
  • Congenital anomalies of elbow and upper arm
  • Congenital dysplasia of radius
  • Congenital exostosis
  • Congenital hypoplasia of bone of radius and/or ulna
  • Congenital hypoplasia of fibula
  • Congenital hypoplasia of tibia
  • Congenital hypoplasia of ulna
  • Congenital progressive bone marrow failure, B-cell immunodeficiency, skeletal dysplasia syndrome
  • Craniofrontonasal dysplasia with Poland anomaly syndrome
  • Craniometadiaphyseal dysplasia
  • Craniometadiaphyseal dysplasia wormian bone type
  • Craniometaphyseal dysplasia
  • Dacryocystitis and osteopoikilosis syndrome
  • Dappled diaphyseal dysplasia
  • Deafness, genital anomaly, metacarpal and metatarsal synostosis syndrome
  • Deformity of radius
  • Dermatofibrosis lenticularis disseminata
  • Desbuquois syndrome
  • Diaphanospondylodysostosis
  • Disorganized development of cartilaginous and fibrous components of the skeleton
  • Disproportionate short limb short stature
  • Disuse osteodystrophy
  • Dysosteosclerosis
  • Dysostosis
  • Dysplasia with defective mineralization
  • Dysplasia with increased bone density
  • Dysplasias with significant membranous bone involvement
  • Dysplastic cortical hyperostosis
  • Dysplastic cortical hyperostosis Al-Gazali type
  • Dysplastic cortical hyperostosis Kozlowski Tsuruta type
  • Early-onset calcifying leukoencephalopathy, skeletal dysplasia
  • Enchondromatosis
  • Endocrine-cerebro-osteodysplasia syndrome
  • Endosteal hyperostoses
  • Epilepsy, microcephaly, skeletal dysplasia syndrome
  • Epileptic encephalopathy
  • Epiphyseal dysplasia
  • Epiphyseal dysplasia, hearing loss, dysmorphism syndrome
  • Epiphyseal dysplasia, microcephalus, nystagmus syndrome
  • Familial osteodysplasia Anderson type
  • FGFR2-related bent bone dysplasia
  • Fibrochondrogenesis
  • Frontometaphyseal dysplasia
  • Frontonasal dysplasia sequence
  • Geleophysic dysplasia
  • Genochondromatosis
  • Genochondromatosis type 1
  • Genochondromatosis type 2
  • Giacci familial neurogenic acroosteolysis
  • Gnathodiaphyseal dysplasia
  • Grant syndrome
  • Hair discoloration
  • Hajdu-Cheney syndrome
  • Hepatic osteodystrophy
  • Hereditary acroosteolysis
  • Humeroulnar synostosis
  • Hyperphosphatasemia tarda
  • Idiopathic hypoparathyroidism
  • Idiopathic osteolysis
  • Immuno-osseous dysplasia
  • Infantile cortical hyperostosis
  • Isolated osteopoikilosis
  • Kenny syndrome
  • Kniest dysplasia
  • Kniest-Stickler dysplasia
  • Kyphomelic dysplasia
  • Larsen-like osseous dysplasia, short stature syndrome
  • Larsen-like syndrome B3GAT3 type
  • Lenz-Majewski hyperostosis syndrome
  • Leri's pleonosteosis syndrome
  • Lethal chondrodysplasia with fragmented bone
  • Lethal congenital disproportionate short limbed short stature
  • Lethal Kniest-like syndrome
  • Lethal occipital encephalocele, skeletal dysplasia syndrome
  • Lethal recessive chondrodysplasia
  • Leukoencephalopathy with metaphyseal chondrodysplasia syndrome
  • Longitudinal deficiency of foot
  • LRP5-related primary osteoporosis
  • Melhem Fahl syndrome
  • Melnick-Needles syndrome
  • Melorheostosis with osteopoikilosis
  • Mesomelic dysplasia
  • Mesomelic dysplasia Kantaputra type
  • Mesomelic dysplasia of upper limb
  • Mesomelic dysplasia Savarirayan type
  • Mesomelic dysplasia, digital anomalies, intellectual disability syndrome
  • Metachondromatosis
  • Metaphyseal anadysplasia
  • Metaphyseal chondrodysplasia Kaitila type
  • Metatropic dysplasia
  • Microcephalic osteodysplastic dysplasia Saul Wilson type
  • Microcephalic osteodysplastic primordial dwarfism type II
  • Microcephalic osteodysplastic primordial dwarfism types I and III
  • Mixed sclerosing bone dysplasia
  • Mixed sclerosing bone dystrophy with extra-skeletal manifestation
  • Multiple dislocations with dysplasia
  • Multiple epiphyseal dysplasia
  • Multiple epiphyseal dysplasia due to collagen 9 anomaly
  • Multiple epiphyseal dysplasia Lowry type
  • Multiple epiphyseal dysplasia type 1
  • Multiple epiphyseal dysplasia type 4
  • Multiple epiphyseal dysplasia type 5
  • Multiple epiphyseal dysplasia type 7
  • Multiple epiphyseal dysplasia with miniepiphyses
  • Multiple epiphyseal dysplasia with severe proximal femoral dysplasia
  • Multiple synostosis syndrome
  • Myelodysplastic syndrome with low blasts
  • NEK9-related lethal skeletal dysplasia
  • Neonatal osteosclerotic dysplasia
  • Occipital encephalocele
  • Omodysplasia
  • Osteochondrodysplasia with osteopetrosis
  • Osteocraniostenosis
  • Osteodysplastic dysplasia, type I
  • Osteodysplastic dysplasia, type II
  • Osteodysplastic primordial dwarfism
  • Osteofibrous dysplasia
  • Osteoglophonic dysplasia
  • Osteopathia striata
  • Osteopathia striata, pigmentary dermopathy, white forelock syndrome
  • Osteoplastic dysplasia
  • Osteopoikilosis
  • Osteosclerosis
  • Otopalatodigital syndrome spectrum disorder
  • Pacman dysplasia
  • Poland anomaly
  • Polycystic lipomembranous osteodysplasia with sclerosing leukoencephalopathy
  • Precocious osteodysplasty
  • Progressive microcephaly
  • Progressive pseudorheumatoid dysplasia
  • Pseudodiastrophic dysplasia
  • Pyknoachondrogenesis
  • Pyknodysostosis
  • QRICH1-related intellectual disability, chondrodysplasia syndrome
  • Raine dysplasia
  • Reardon Hall Slaney syndrome
  • Reinhardt Pfeiffer mesomelic dysplasia
  • Rhizomelic dysplasia Patterson Lowry type
  • Rhizomelic syndrome Urbach type
  • RHYNS syndrome
  • Rolland-Debuqois syndrome
  • Schimke immuno-osseous dysplasia
  • Sclerosteosis
  • Short stature, skeletal dysplasia, retinal degeneration, intellectual disability, sensorineural hearing loss syndrome
  • SHOX-related short stature
  • Skeletal dysplasia with epilepsy and short stature syndrome
  • Skeletal dysplasia, T-cell immunodeficiency, developmental delay syndrome
  • Smith McCort dysplasia
  • Spondylocarpotarsal synostosis syndrome
  • Spondylodysplasia, Luton type
  • Spondylodysplasia, San Diego type
  • Spondylodysplasia, Torrance type
  • Spondylodysplastic group
  • Spondyloenchondrodysplasia
  • Spondyloenchondrodysplasia with immune dysregulation
  • Spondyloepimetaphyseal dysplasia, Strudwick type
  • Spondyloepiphyseal dysplasia with congenital joint dislocations
  • Spondylometaphyseal dysplasia Schmidt type
  • Spondylometaphyseal dysplasia with cone-rod dystrophy syndrome
  • Spondylo-ocular syndrome
  • Stenosis of lacrimal canaliculi
  • Stuve-Wiedemann dysplasia
  • Syndromic nanophthalmos due to Kenny-Caffey syndrome
  • Terminal osseous dysplasia and pigmentary defect syndrome
  • Velofacioskeletal syndrome
  • Weismann Netter syndrome
  • White forelock
  • Whyte Hemingway carpal tarsal phalangeal osteolyses
  • X-linked calvarial hyperostosis
  • X-linked dominant chondrodysplasia Chassaing Lacombe type
  • X-linked osteoporosis with fractures
  • Yunis-Varon dysplasia

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to Q78.8: its own notes plus those printed at Q78 and Chapter 17. A note printed at a category, block or chapter applies to every code under it.

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • Osteopoikilosis

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 Q78 Other osteochondrodysplasias applies to 9 codes
  • congenital myotonic chondrodystrophy (G71.13)
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 Q78.8, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming Q78.8: they are not reported together with it, unless the two conditions are unrelated.

  • M85 Other disorders of bone density and structure
    osteopoikilosis (Q78.8)

Index to Diseases and InjuriesGuidance

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.
  • Osteopoikilosis

    an asymptomatic, autosomal dominant trait in which pea-sized sclerotic spots, prominent in the metaphyseal area, are accompanied by unique cutaneous lesions. these are yellowish papules or plaques with increased elastin content. (from cecil textbook of medicine, 19th ed, pp1434-35)
  • Synostosis

    a union between adjacent bones or parts of a single bone formed by osseous material, such as ossified connecting cartilage or fibrous tissue. (dorland, 27th ed)

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 Q78.8 to ICD-9-CMHistory

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

ICD-9-CM
756.53 Osteopoikilosis
Approximate The match is approximate rather than exact.
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 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About Q78.8Overview

What is the ICD-10 code for other specified osteochondrodysplasias?

The ICD-10-CM code for other specified osteochondrodysplasias is Q78.8 (sometimes written as Q788). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is Q78.8 (Other osteochondrodysplasias) a billable code?

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

What MS-DRG does Q78.8 group to?

When other specified osteochondrodysplasias is the principal diagnosis on an inpatient stay, it groups to MS-DRG 564, 566, 565, with relative weights from 0.7374 to 1.4909 depending on complications. Higher weights mean higher Medicare reimbursement.

Is Q78.8 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 other specified osteochondrodysplasias on inpatient claims. The code appears in the Congenital malformations and deformations of the musculoskeletal system (Q65-Q79) range of the CMS exempt list.

What is the ICD-9 equivalent of Q78.8?

Under the General Equivalence Mappings, other specified osteochondrodysplasias converts to ICD-9-CM 756.53 (osteopoikilosis) and 756.59 (osteodystrophy NEC). The mapping is approximate, so confirm the match fits the documentation.