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v1.0.0
ICD-10 Guide
ICD-10 CodesQ76.6

Q76.6

Billable

Other congenital malformations of ribs

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

Code Description

ICD-10 Q76.6 is a billable code used to indicate a diagnosis of other congenital malformations of ribs.

Key Diagnostic Point:

Congenital malformations of the ribs can manifest in various forms, including rib hypoplasia, rib fusion, or the presence of additional ribs. These malformations may occur as isolated defects or as part of syndromic presentations involving other musculoskeletal anomalies. The ribs play a crucial role in protecting thoracic organs and facilitating respiratory mechanics. Malformations can lead to complications such as respiratory distress, thoracic deformities, and impaired lung function. Diagnosis typically involves imaging studies such as X-rays or MRI, which can reveal structural abnormalities. Management may include surgical intervention for severe cases, particularly when respiratory function is compromised. Understanding the underlying genetic factors is essential, as some rib malformations may be associated with chromosomal abnormalities or syndromes, necessitating a multidisciplinary approach to care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of rib malformations
  • Potential association with syndromic conditions
  • Need for precise documentation of imaging findings
  • Differentiation from other musculoskeletal anomalies

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to note associated congenital anomalies
  • Misclassification of rib malformations as acquired conditions
  • Lack of genetic counseling documentation

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed clinical notes on physical examination findings, imaging results, and any associated conditions.

Common Clinical Scenarios

A pediatric patient presenting with respiratory distress due to rib malformations, requiring surgical evaluation.

Billing Considerations

Pediatric coders must ensure that all congenital anomalies are documented, including any syndromic associations.

Genetics

Documentation Requirements

Genetic testing results, family history, and any syndromic associations must be clearly documented.

Common Clinical Scenarios

A child with rib malformations undergoing genetic counseling for potential syndromic conditions.

Billing Considerations

Genetic coders should be aware of the implications of rib malformations in the context of chromosomal abnormalities.

Coding Guidelines

Inclusion Criteria

Use Q76.6 When
  • Coders should adhere to the official ICD
  • CM guidelines for congenital conditions, ensuring accurate documentation of the malformation's nature, associated conditions, and any relevant family history

Exclusion Criteria

Do NOT use Q76.6 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

CPT 20670CPT Code

Arthrocentesis, aspiration and/or injection into a major joint or bursa

Clinical Scenario

Used in cases where rib malformations lead to joint complications.

Documentation Requirements

Document the necessity of the procedure due to rib malformation-related issues.

Specialty Considerations

Pediatric specialists should ensure that the procedure is justified in the context of congenital conditions.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital malformations, improving the accuracy of data collection and reimbursement processes. It has also facilitated better tracking of congenital conditions and their associated healthcare needs.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital malformations, improving the accuracy of data collection and reimbursement processes. It has also facilitated better tracking of congenital conditions and their associated healthcare needs.

Reimbursement & Billing Impact

reimbursement processes. It has also facilitated better tracking of congenital conditions and their associated healthcare needs.

Resources

Clinical References

  • •
    CDC Congenital Malformations

Coding & Billing References

  • •
    CDC Congenital Malformations

Frequently Asked Questions

What are the common presentations of congenital rib malformations?

Common presentations include rib hypoplasia, rib fusion, and additional ribs, which may lead to respiratory issues or thoracic deformities. Diagnosis often requires imaging studies, and management may involve surgical intervention depending on severity.