Congenital malformations of spine and bony thorax (Q76) ICD-10-CM
The Q76 code range covers congenital malformations of spine and bony thorax with 25 ICD-10-CM diagnosis codes. 21 of them are billable and valid for claim submission in fiscal year 2027, and the category headers group them but cannot themselves be billed.
Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Codes in the Q76 Range 25 codes · 21 billable
- Q76 Congenital malformations of spine and bony thoraxNon-billable
- Q76.0 Spina bifida occulta
- Q76.1 Klippel-Feil syndrome
- Q76.2 Congenital spondylolisthesis
- Q76.3 Congenital scoliosis due to congenital bony malformation
- Q76.4 Other congenital malformations of spine, not associated with scoliosisNon-billable
- Q76.41 Congenital kyphosisNon-billable
- Q76.411 Congenital kyphosis, occipito-atlanto-axial region
- Q76.412 Congenital kyphosis, cervical region
- Q76.413 Congenital kyphosis, cervicothoracic region
- Q76.414 Congenital kyphosis, thoracic region
- Q76.415 Congenital kyphosis, thoracolumbar region
- Q76.419 Congenital kyphosis, unspecified region
- Q76.42 Congenital lordosisNon-billable
- Q76.425 Congenital lordosis, thoracolumbar region
- Q76.426 Congenital lordosis, lumbar region
- Q76.427 Congenital lordosis, lumbosacral region
- Q76.428 Congenital lordosis, sacral and sacrococcygeal region
- Q76.429 Congenital lordosis, unspecified region
- Q76.49 Other congenital malformations of spine, not associated with scoliosis
- Q76.5 Cervical rib
- Q76.6 Other congenital malformations of ribs
- Q76.7 Congenital malformation of sternum
- Q76.8 Other congenital malformations of bony thorax
- Q76.9 Congenital malformation of bony thorax, unspecified
Clinical Terms in This Code Range
Definitions from the National Library of Medicine for conditions coded in the Q76 range.
Cervical Rib
Presence of rib formation in the cervical region.
Congenital Kyphosis
An abnormally increased curvature of the thoracic portion of the spine that is present at the time of birth.
Klippel-Feil Syndrome
A syndrome characterised by a low hairline and a shortened neck resulting from a reduced number of vertebrae or the fusion of multiple hemivertebrae into one osseous mass.
Spina Bifida Occulta
A common congenital midline defect of fusion of the vertebral arch without protrusion of the spinal cord or meninges. The lesion is also covered by skin. L5 and S1 are the most common vertebrae involved. The condition may be associated with an overlying area of hyperpigmented skin, a dermal sinus, or an abnormal patch of hair. The majority of individuals with this malformation are asymptomatic although there is an increased incidence of tethered cord syndrome and lumbar SPONDYLOSIS. (From Joynt, Clinical Neurology, 1992, Ch55, p34)
About the Q76 Code Range
These conditions involve the spine or the bones of the chest and are present at birth.
The spine codes separate named conditions from other malformations. Within the latter group, Q76.41 and Q76.42 each divide further by spinal region. The chest codes distinguish a cervical rib, a rib in the neck region, from other rib malformations, breastbone malformations, and other or unspecified malformations of the bony chest.
Questions About This Page
How many billable codes are in the Q76 range?
Of the 25 codes in this range, 21 are billable and valid for claim submission from October 1, 2026 through September 30, 2027. Category header codes group them but cannot be reported on claims.
What does the Q76 range classify?
The range classifies congenital malformations of spine and bony thorax. Each code links to its own reference page with billing status, MS-DRG grouping, coding notes, and clinical information.
Related References
Source: CMS FY 2027 ICD-10-CM Tabular List and order file, effective October 1, 2026 through September 30, 2027.
