ICD-10 Q76
Non-Billable HeaderCongenital malformations of spine and bony thorax
About ICD-10-CM Q76
ICD-10-CM code Q76 represents Congenital malformations of spine and bony thorax. This is a non-billable header code in the Congenital Malformations chapter (block Q76). The 2026 edition of ICD-10-CM Q76 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 1 Excludes
Pure excludes, these codes can never be coded together with Q76. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- congenital musculoskeletal deformities of spine and chest (Q67.5-Q67.8)
Medicare LCD Coverage for Q76
Local Coverage Determinations (LCDs) from CMS MACs that list Q76 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Q76.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but Q76 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with Q76
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To Q76
Other codes in section Q65-Q79 (Congenital malformations and deformations of the musculoskeletal system).
ICD-10 Q76, Billing FAQ
Is ICD-10 code Q76 billable? +
No, Q76 is a non-billable header code. Use a more specific child code from block Q76 when submitting claims.
What codes are Type 1 Excludes for Q76? +
Type 1 Excludes (never code together with Q76): congenital musculoskeletal deformities of spine and chest (Q67.5-Q67.8)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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