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ICD-10 Guide
ICD-10 CodesQ76.419

Q76.419

Billable

Congenital kyphosis, unspecified region

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

Code Description

ICD-10 Q76.419 is a billable code used to indicate a diagnosis of congenital kyphosis, unspecified region.

Key Diagnostic Point:

Congenital kyphosis is a spinal deformity characterized by an abnormal curvature of the spine, resulting in a hunchback appearance. This condition arises during fetal development and can be attributed to various factors, including genetic predispositions, environmental influences, or a combination of both. The severity of kyphosis can vary significantly, with some infants presenting mild deformities that may not require intervention, while others may experience severe curvature leading to complications such as respiratory issues, pain, and impaired mobility. Congenital kyphosis can occur in isolation or as part of a syndrome involving other congenital malformations, particularly those affecting the musculoskeletal system. Accurate diagnosis typically involves imaging studies such as X-rays or MRI to assess the degree of curvature and any associated anomalies. Treatment options may include observation, bracing, or surgical intervention, depending on the severity and impact on the child's health and development.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of kyphosis
  • Potential association with other congenital malformations
  • Need for detailed imaging documentation
  • Differentiation from acquired forms of kyphosis

Audit Risk Factors

  • Inadequate documentation of the severity of the curvature
  • Failure to document associated congenital anomalies
  • Misclassification of congenital versus acquired conditions
  • Lack of follow-up documentation for treatment outcomes

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation should include growth parameters, developmental milestones, and detailed physical examination findings related to the spine.

Common Clinical Scenarios

Common scenarios include infants presenting with abnormal posture, referrals for orthopedic evaluation, and monitoring of developmental progress.

Billing Considerations

Considerations include the age of the child, potential for growth-related changes in curvature, and the psychosocial impact of visible deformities.

Genetics

Documentation Requirements

Genetic documentation should include family history, genetic testing results, and any syndromic associations with congenital kyphosis.

Common Clinical Scenarios

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

Billing Considerations

Considerations include the need for comprehensive genetic evaluation to identify potential syndromic causes and implications for family planning.

Coding Guidelines

Inclusion Criteria

Use Q76.419 When
  • Follow official coding guidelines for congenital conditions, ensuring accurate documentation of the diagnosis, associated anomalies, and treatment plans
  • Use additional codes as necessary to capture related conditions

Exclusion Criteria

Do NOT use Q76.419 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22554CPT Code

Spinal fusion, posterior technique

Clinical Scenario

Used in cases of severe congenital kyphosis requiring surgical intervention.

Documentation Requirements

Pre-operative assessments, imaging studies, and surgical notes.

Specialty Considerations

Orthopedic specialists should ensure comprehensive documentation of the surgical approach and outcomes.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital kyphosis, enabling better tracking of outcomes and resource allocation for affected patients.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital kyphosis, enabling better tracking of outcomes and resource allocation for affected patients.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of congenital kyphosis, enabling better tracking of outcomes and resource allocation for affected patients.

Resources

Clinical References

  • •
    American Academy of Pediatrics
  • •
    Genetics Home Reference

Coding & Billing References

  • •
    American Academy of Pediatrics
  • •
    Genetics Home Reference

Frequently Asked Questions

What is the difference between congenital kyphosis and acquired kyphosis?

Congenital kyphosis is present at birth due to abnormal vertebral development, while acquired kyphosis develops later in life due to factors such as trauma, degenerative diseases, or postural issues.