Is Q76.0 a billable ICD-10-CM code?

Yes. Q76.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Q76.0 sit in the tabular list?

Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations and deformations of the musculoskeletal system (Q65-Q79).

What cannot be coded together with Q76.0?

Q76.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

Q76.0

Q76.0 — Spina bifida occulta

Billable / specific codeICD-10-CMPOA exempt

Q76.0 is a billable, specific ICD-10-CM code for spina bifida occulta. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

meningocele (spinal) (Q05.-)
spina bifida (aperta) (cystica) (Q05.-)

Other codes that can never be billed with Q76.0

These codes carry an Excludes1 note pointing at Q76.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Q76.0 alone.

M43Other deforming dorsopathies
Q05Spina bifida

Risk adjustment

Q76.0 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

Q76.0 is named in 6 Medicare coverage policies — 6 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A53057Billing and Coding: Home Health Occupational Therapy
A53058Billing and Coding: Home Health Physical Therapy
A53064Billing and Coding: Outpatient Occupational Therapy
A53065Billing and Coding: Outpatient Physical Therapy

How Q76.0 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to Q76.0.

Spina bifida›occulta

Related codes at this level

Codes that share Q76. If Q76.0 is not quite right, the correct code is usually one of these.

Questions about Q76.0

Is Q76.0 a billable ICD-10-CM code?: Yes. Q76.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Q76.0 sit in the tabular list?: Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations and deformations of the musculoskeletal system (Q65-Q79).
What cannot be coded together with Q76.0?: Q76.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.