Is Q76.4 a billable ICD-10-CM code?

No. Q76.4 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does Q76.4 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).

Q76.4

Q76.4 — Other congenital malformations of spine, not associated with scoliosis

Non-billable headerICD-10-CM

Q76.4 is a non-billable header ICD-10-CM code for other congenital malformations of spine, not associated with scoliosis. It cannot be billed on its own: choose one of the more specific child codes below.

Other codes that can never be billed with Q76.4

These codes carry an Excludes1 note pointing at Q76.4. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Q76.4 alone.

M40Kyphosis and lordosis
M43Other deforming dorsopathies
M43.2Fusion of spine

Risk adjustment

Q76.4 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.

Code to one of these instead Q76.4

3 child codes. Green means billable.

Related codes at this level

Codes that share Q76. If Q76.4 is not quite right, the correct code is usually one of these.

Questions about Q76.4

Is Q76.4 a billable ICD-10-CM code?: No. Q76.4 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does Q76.4 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).