ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 Q76.49

Billable / Specific

Other congenital malformations of spine, not associated with scoliosis

Q76
Block
8
Synonyms
315
LCDs
13
Payer Policies
0
Linked CPTs

About ICD-10-CM Q76.49

ICD-10-CM code Q76.49 represents Other congenital malformations of spine, not associated with scoliosis. This is a billable/specific code in the Congenital Malformations chapter (block Q76). The 2026 edition of ICD-10-CM Q76.49 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under Q76.49. Per CMS ICD-10-CM Tabular 2026.

  • Congenital absence of vertebra NOS
  • Congenital fusion of spine NOS
  • Congenital malformation of lumbosacral (joint) (region) NOS
  • Congenital malformation of spine NOS
  • Hemivertebra NOS
  • Malformation of spine NOS
  • Platyspondylisis NOS
  • Supernumerary vertebra NOS

Medicare LCD Coverage for Q76.49

Local Coverage Determinations (LCDs) from CMS MACs that list Q76.49 as a covered diagnosis.

315 LCDs

Showing top 10 of 315 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Lumbar MRI
Article ID: 57206, Effective: 2025-10-23 00:00:00, 3361 covered, 0 non-covered
CPT Q9953 →
CMS LCD: Billing and Coding: Lumbar MRI
Article ID: 57206, Effective: 2025-10-23 00:00:00, 3361 covered, 0 non-covered
CPT 72148 →
CMS LCD: Billing and Coding: Lumbar MRI
Article ID: 57206, Effective: 2025-10-23 00:00:00, 3361 covered, 0 non-covered
CPT A9585 →
CMS LCD: Billing and Coding: Lumbar MRI
Article ID: 57206, Effective: 2025-10-23 00:00:00, 3361 covered, 0 non-covered
CPT 72158 →
CMS LCD: Billing and Coding: Lumbar MRI
Article ID: 57206, Effective: 2025-10-23 00:00:00, 3361 covered, 0 non-covered
CPT 72149 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29131 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29260 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29580 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 97036 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29445 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing Q76.49.

13 policies

5 Aetna

Orthopedic Casts, Braces and Splints - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0009
Chiropractic Services
Policy ID: CPB-0107
Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) of the Spine
Policy ID: CPB-0236
Wheelchairs and Power Operated Vehicles (Scooters)
Policy ID: CPB-0271
Ambulatory Assist Devices: Walkers, Canes, and Crutches
Policy ID: CPB-0505

1 Cigna

Intraoperative Monitoring - (0509)
Policy ID: MM_0509

5 Medicare

Billing and Coding: Home Health Occupational Therapy
Policy ID: ART-53057
Billing and Coding: Home Health Physical Therapy
Policy ID: ART-53058
Billing and Coding: Outpatient Occupational Therapy
Policy ID: ART-53064
Billing and Coding: Outpatient Physical Therapy
Policy ID: ART-53065
Billing and Coding: MRI and CT Scans of the Head and Neck
Policy ID: ART-57204

CPT Codes Commonly Billed with Q76.49

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for Q76.49

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 Q76.49 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
Q76.49 75613 10000
Q76.49 75614 10000
Q76.49 75615 10000
Q76.49 75619 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 Q76.49, Billing FAQ

Is ICD-10 code Q76.49 billable? +

Yes, Q76.49 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to Q76.49? +

ICD-10 Q76.49 includes: Congenital absence of vertebra NOS; Congenital fusion of spine NOS; Congenital malformation of lumbosacral (joint) (region) NOS, and 5 more clinical synonyms.

What ICD-9 codes does Q76.49 map to? +

Per CMS GEMs, Q76.49 maps to ICD-9 codes: 75613, 75614, 75615, 75619. 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 June 1, 2026.

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