Coding and coverage · ICD-10-CM

Q76

Q76.3 Congenital scoliosis due to congenital bony malformation

BillableNo payment HCCChapter 17
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Instructional notes

Chapter 17

Excludes2Not included here: the patient may have both; report both when both are present.
  • inborn errors of metabolism (E70-E88)
Notes
  • Codes from this chapter are not for use on maternal records

Q76

Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.
  • congenital musculoskeletal deformities of spine and chest (Q67.5-Q67.8)

This code

Inclusion terms
  • Hemivertebra fusion or failure of segmentation with scoliosis

Chapter 17: Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders (Q00-QA1) · Q65-Q79 Congenital malformations and deformations of the musculoskeletal system (Q65-Q79)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.