Q76.49 Other congenital malformations of spine, not associated with scoliosis

Billable ICD-10-CM code, FY2026. Exempt from present-on-admission (POA) reporting.

Applicable to

• 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

Applies from Q76 Congenital malformations of spine and bony thorax

Excludes1 (never code together)

• congenital musculoskeletal deformities of spine and chest (Q67.5-Q67.8)

MS-DRG index

Defines the logic of DRG(s) 551-552 in MDC 08.

Approximate ICD-9-CM (GEMs)

• 756.13 Absence of vertebra, congenital (approximate)
• 756.14 Hemivertebra (approximate)
• 756.15 Fusion of spine (vertebra), congenital (approximate)
• 756.19 Other anomalies of spine (approximate)

Code annotations containing back-references to Q76.49

Back-references to Q76.4

• Type 1 Excludes: M40 Kyphosis and lordosis ("congenital kyphosis and lordosis (Q76.4)")
• Type 1 Excludes: M43 Other deforming dorsopathies ("hemivertebra (Q76.3-Q76.4)")
• Type 1 Excludes: M43 Other deforming dorsopathies ("lumbarization and sacralization (Q76.4)")
• Type 1 Excludes: M43 Other deforming dorsopathies ("platyspondylisis (Q76.4)")
• Type 1 Excludes: M43.2 Fusion of spine ("congenital fusion of spine (Q76.4)")

Back-references to Q76

• Type 1 Excludes: M24.3 Pathological dislocation of joint, not elsewhere classified ("congenital dislocation or displacement of joint- see congenital malformations and deformations of the musculoskeletal system (Q65-Q79)")
• Type 2 Excludes: M95 Other acquired deformities of musculoskeletal system and connective tissue ("congenital malformations and deformations of the musculoskeletal system (Q65-Q79)")

Diagnosis Index entries for Q76.49

• Absence (of) (organ or part) (complete or partial) › coccyx, congenital
• Absence (of) (organ or part) (complete or partial) › sacrum, congenital
• Absence (of) (organ or part) (complete or partial) › spine, congenital
• Absence (of) (organ or part) (complete or partial) › vertebra, congenital
• Accessory (congenital) › vertebra
• Agenesis › coccyx
• Agenesis › sacrum
• Agenesis › spine
• Agenesis › vertebra
• Angulation › coccyx (acquired) › congenital NEC
• Angulation › sacrum (acquired) › congenital NEC
• Anomaly, anomalous (congenital) (unspecified type) › coccyx
• Anomaly, anomalous (congenital) (unspecified type) › intervertebral cartilage or disc
• Anomaly, anomalous (congenital) (unspecified type) › lumbosacral (joint) (region)
• Anomaly, anomalous (congenital) (unspecified type) › sacrum NEC
• Anomaly, anomalous (congenital) (unspecified type) › spine, spinal NEC
• Anomaly, anomalous (congenital) (unspecified type) › spine, spinal NEC › column NEC
• Anomaly, anomalous (congenital) (unspecified type) › vertebra
• Bifurcation (congenital) › vertebra
• Brevicollis
• Deformity › lumbosacral (congenital) (joint) (region)
• Dislocation (articular) › lumbosacral (vertebra) › congenital
• Dislocation (articular) › spine › congenital
• Dislocation (articular) › vertebra (articular process) (body) (traumatic) › congenital
• Distortion (s) (congenital) › coccyx
• Distortion (s) (congenital) › lumbar spine
• Distortion (s) (congenital) › lumbosacral (joint) (region)
• Distortion (s) (congenital) › sacrum
• Distortion (s) (congenital) › spine
• Distortion (s) (congenital) › vertebra
• Failure, failed › segmentation › vertebra
• Fusion, fused (congenital) › lumbosacral (acquired) › congenital
• Fusion, fused (congenital) › spine (acquired) NEC › congenital
• Half vertebra
• Hemivertebra
• Hypoplasia, hypoplastic › coccyx
• Hypoplasia, hypoplastic › sacrum
• Hypoplasia, hypoplastic › spine
• Hypoplasia, hypoplastic › vertebra
• Lumbarization, vertebra, congenital
• Maldevelopment › spine
• Malformation (congenital) › joint › lumbosacral
• Malformation (congenital) › spine
• Platyspondylisis
• Sacralization
• Segmentation, incomplete (congenital) › lumbosacral (joint) (vertebra)
• Supernumerary (congenital) › vertebra
• Syndrome › straight back, congenital

Nearby codes

• Q76.425 Congenital lordosis, thoracolumbar region
• Q76.426 Congenital lordosis, lumbar region
• Q76.427 Congenital lordosis, lumbosacral region
• Q76.428 Congenital lordosis, sacral and sacrococcygeal region
• Q76.429 Congenital lordosis, unspecified region
• Q76.49 Other congenital malformations of spine, not associated with scoliosis (this code)
• Q76.5 Cervical rib
• Q76.6 Other congenital malformations of ribs
• Q76.7 Congenital malformation of sternum
• Q76.8 Other congenital malformations of bony thorax
• Q76.9 Congenital malformation of bony thorax, unspecified