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ICD-10 Guide
ICD-10 CodesQ76.412

Q76.412

Billable

Congenital kyphosis, cervical region

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 Q76.412 is a billable code used to indicate a diagnosis of congenital kyphosis, cervical region.

Key Diagnostic Point:

Congenital kyphosis in the cervical region is a structural deformity characterized by an abnormal anterior curvature of the cervical spine that is present at birth. This condition can result from various developmental anomalies during fetal growth, including vertebral malformations, segmentation defects, or failure of formation. The severity of kyphosis can vary significantly, impacting the patient's posture, respiratory function, and neurological status. In pediatric patients, early diagnosis is crucial as untreated congenital kyphosis can lead to progressive deformity, pain, and functional impairment. Clinical evaluation typically includes physical examination, imaging studies such as X-rays or MRI, and assessment of associated anomalies. Management may involve observation, bracing, or surgical intervention depending on the severity and associated complications. Understanding the implications of congenital kyphosis is essential for pediatricians and specialists in musculoskeletal disorders, as it often coexists with other congenital malformations such as scoliosis, clubfoot, or limb reduction defects.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of the condition
  • Need for comprehensive documentation of associated anomalies
  • Differentiation from acquired kyphosis
  • Potential for co-occurring congenital conditions

Audit Risk Factors

  • Inadequate documentation of the severity and impact of the condition
  • Failure to document associated congenital anomalies
  • Misclassification of congenital versus acquired conditions
  • Lack of clarity in treatment plans and outcomes

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed growth and developmental assessments, imaging results, and treatment plans must be documented to support the diagnosis.

Common Clinical Scenarios

A pediatric patient presents with a noticeable curvature of the spine; imaging reveals congenital kyphosis with associated scoliosis.

Billing Considerations

Pediatric coders must be aware of the growth implications and potential for surgical intervention in young patients.

Genetics

Documentation Requirements

Genetic testing results, family history, and any syndromic associations must be documented to support the diagnosis.

Common Clinical Scenarios

A child with congenital kyphosis is evaluated for possible genetic syndromes, such as Marfan syndrome or Ehlers-Danlos syndrome.

Billing Considerations

Genetic coders should consider the implications of chromosomal abnormalities that may contribute to the condition.

Coding Guidelines

Inclusion Criteria

Use Q76.412 When
  • 10 guidelines specify that congenital conditions should be coded based on the specific anatomical site and any associated anomalies
  • Documentation must clearly indicate the congenital nature of the condition and any relevant clinical findings

Exclusion Criteria

Do NOT use Q76.412 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22554CPT Code

Spinal fusion, cervical

Clinical Scenario

Used in cases of severe congenital kyphosis requiring surgical intervention.

Documentation Requirements

Pre-operative assessments, imaging studies, and surgical notes must be documented.

Specialty Considerations

Orthopedic surgeons must provide detailed operative reports to support the procedure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the significance of coding congenital kyphosis accurately?

Accurate coding of congenital kyphosis is crucial for appropriate treatment planning, reimbursement, and tracking of congenital conditions. It ensures that patients receive the necessary care and that healthcare providers are compensated for their services.