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v1.0.0
ICD-10 Guide
ICD-10 CodesQ76.414

Q76.414

Billable

Congenital kyphosis, thoracic region

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

Code Description

ICD-10 Q76.414 is a billable code used to indicate a diagnosis of congenital kyphosis, thoracic region.

Key Diagnostic Point:

Congenital kyphosis is a spinal deformity characterized by an abnormal curvature of the thoracic spine, leading to a hunchback appearance. This condition arises from developmental anomalies during fetal growth, which may include vertebral malformations, segmentation defects, or failure of formation. Congenital kyphosis can manifest at birth or become apparent during early childhood as the child grows. Symptoms may include back pain, postural abnormalities, and in severe cases, respiratory issues due to compromised thoracic cavity space. Diagnosis typically involves physical examination and imaging studies such as X-rays or MRI to assess the degree of curvature and associated anomalies. Treatment options vary based on severity and may include observation, bracing, or surgical intervention to correct the deformity and prevent further complications. Early diagnosis and management are crucial to optimize outcomes and improve quality of life for affected individuals.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of kyphosis
  • Need for comprehensive imaging documentation
  • Differentiation from other spinal deformities
  • Potential for associated congenital anomalies

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to document associated congenital anomalies
  • Misclassification of the type of kyphosis
  • Lack of follow-up documentation on treatment outcomes

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation should include growth parameters, developmental milestones, and specific observations related to spinal deformities.

Common Clinical Scenarios

Common scenarios include a child presenting with back pain or postural abnormalities, requiring referral for orthopedic evaluation.

Billing Considerations

Consideration should be given to the child's age, growth patterns, and any associated developmental delays.

Genetics

Documentation Requirements

Genetic documentation should include family history of congenital conditions, chromosomal analysis, and any syndromic associations.

Common Clinical Scenarios

Scenarios may involve genetic counseling for families with a history of congenital kyphosis or related syndromes.

Billing Considerations

Genetic testing may be warranted to identify underlying syndromic causes, influencing management and prognosis.

Coding Guidelines

Inclusion Criteria

Use Q76.414 When
  • Follow official ICD
  • 10 guidelines for coding congenital conditions, ensuring accurate documentation of the diagnosis, associated anomalies, and treatment plans

Exclusion Criteria

Do NOT use Q76.414 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22800CPT Code

Spinal fusion, posterior technique

Clinical Scenario

Used in cases of severe congenital kyphosis requiring surgical correction.

Documentation Requirements

Detailed operative report and pre-operative imaging.

Specialty Considerations

Orthopedic and neurosurgical specialties may be involved in surgical management.

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

  • •
    American Academy of Pediatrics - Coding for Congenital Conditions

Coding & Billing References

  • •
    American Academy of Pediatrics - Coding for Congenital Conditions

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.