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

ICD-10 Q78.1

Billable / Specific

Polyostotic fibrous dysplasia

Q78
Block
1
Synonyms
34
LCDs
3
Payer Policies
0
Linked CPTs

About ICD-10-CM Q78.1

ICD-10-CM code Q78.1 represents Polyostotic fibrous dysplasia. This is a billable/specific code in the Congenital Malformations chapter (block Q78). The 2026 edition of ICD-10-CM Q78.1 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under Q78.1. Per CMS ICD-10-CM Tabular 2026.

  • Albright(-McCune)(-Sternberg) syndrome

Medicare LCD Coverage for Q78.1

Local Coverage Determinations (LCDs) from CMS MACs that list Q78.1 as a covered diagnosis.

34 LCDs

Showing top 10 of 34 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Bisphosphonate Drug Therapy
Article ID: 56907, Effective: 2026-01-01 00:00:00, 228 covered, 0 non-covered
CPT J2430 →
CMS LCD: Billing and Coding: Bisphosphonate Drug Therapy
Article ID: 56907, Effective: 2026-01-01 00:00:00, 228 covered, 0 non-covered
CPT J3489 →
CMS LCD: Billing and Coding: Bisphosphonate Drug Therapy
Article ID: 56907, Effective: 2026-01-01 00:00:00, 228 covered, 0 non-covered
CPT J1740 →
CMS LCD: Billing and Coding: Bisphosphonate Drug Therapy
Article ID: 59561, Effective: , 227 covered, 0 non-covered
CPT J2430 →
CMS LCD: Billing and Coding: Bisphosphonate Drug Therapy
Article ID: 59561, Effective: , 227 covered, 0 non-covered
CPT J3489 →
CMS LCD: Billing and Coding: Bisphosphonate Drug Therapy
Article ID: 59561, Effective: , 227 covered, 0 non-covered
CPT J1740 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 70553 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 70336 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 72142 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 70450 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing Q78.1.

3 policies

3 Medicare

Billing and Coding: Bisphosphonate Drug Therapy
Policy ID: ART-56907
Billing and Coding: MRI and CT Scans of the Head and Neck
Policy ID: ART-57204
Billing and Coding: Bisphosphonate Drug Therapy
Policy ID: ART-59561

CPT Codes Commonly Billed with Q78.1

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

No procedure linkages on file for Q78.1

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 Q78.1 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
Q78.1 75654 00000

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

ICD-10 Q78.1, Billing FAQ

Is ICD-10 code Q78.1 billable? +

Yes, Q78.1 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 Q78.1? +

ICD-10 Q78.1 includes: Albright(-McCune)(-Sternberg) syndrome.

What ICD-9 codes does Q78.1 map to? +

Per CMS GEMs, Q78.1 maps to ICD-9 codes: 75654. 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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