ICD-10 Q78.0
Billable / Specific CCOsteogenesis imperfecta
About ICD-10-CM Q78.0
ICD-10-CM code Q78.0 represents Osteogenesis imperfecta. This is a billable/specific code in the Congenital Malformations chapter (block Q78). The 2026 edition of ICD-10-CM Q78.0 became effective on October 1, 2025.
Coding Tips for Q78.0
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
Q78.0 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under Q78.0. Per CMS ICD-10-CM Tabular 2026.
- Fragilitas ossium
- Osteopsathyrosis
Inpatient DRG Impact, CC
codes Osteogenesis imperfecta. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.
Medicare LCD Coverage for Q78.0
Local Coverage Determinations (LCDs) from CMS MACs that list Q78.0 as a covered diagnosis.
Showing top 10 of 75 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Q78.0.
1 Cigna
5 Medicare
1 Aetna
CPT Codes Commonly Billed with Q78.0
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 Q78.0 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 |
|---|---|---|
| Q78.0 | 75651 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To Q78.0
Other codes in section Q65-Q79 (Congenital malformations and deformations of the musculoskeletal system).
ICD-10 Q78.0, Billing FAQ
Is ICD-10 code Q78.0 billable? +
Yes, Q78.0 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 Q78.0? +
ICD-10 Q78.0 includes: Fragilitas ossium; Osteopsathyrosis.
Is Q78.0 a CC or MCC for inpatient DRG? +
Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.
What ICD-9 codes does Q78.0 map to? +
Per CMS GEMs, Q78.0 maps to ICD-9 codes: 75651. Useful for legacy data review and historical claim analysis.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team