ICD-10 Q76.0
Billable / SpecificSpina bifida occulta
About ICD-10-CM Q76.0
ICD-10-CM code Q76.0 represents Spina bifida occulta. This is a billable/specific code in the Congenital Malformations chapter (block Q76). The 2026 edition of ICD-10-CM Q76.0 became effective on October 1, 2025.
Type 1 Excludes
Pure excludes, these codes can never be coded together with Q76.0. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- meningocele (spinal) (Q05.-)
- spina bifida (aperta) (cystica) (Q05.-)
Medicare LCD Coverage for Q76.0
Local Coverage Determinations (LCDs) from CMS MACs that list Q76.0 as a covered diagnosis.
Showing top 10 of 315 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Q76.0.
3 Aetna
5 Medicare
CPT Codes Commonly Billed with Q76.0
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.
Convert Q76.0 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| Q76.0 | 75617 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To Q76.0
Other codes in section Q65-Q79 (Congenital malformations and deformations of the musculoskeletal system).
ICD-10 Q76.0, Billing FAQ
Is ICD-10 code Q76.0 billable? +
Yes, Q76.0 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What codes are Type 1 Excludes for Q76.0? +
Type 1 Excludes (never code together with Q76.0): meningocele (spinal) (Q05.-); spina bifida (aperta) (cystica) (Q05.-)
What ICD-9 codes does Q76.0 map to? +
Per CMS GEMs, Q76.0 maps to ICD-9 codes: 75617. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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