ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesQ76.8

Q76.8

Billable

Other congenital malformations of bony thorax

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

Code Description

ICD-10 Q76.8 is a billable code used to indicate a diagnosis of other congenital malformations of bony thorax.

Key Diagnostic Point:

Congenital malformations of the bony thorax encompass a variety of structural anomalies affecting the ribs, sternum, and thoracic vertebrae. These malformations can lead to significant respiratory and cardiovascular complications due to the restricted space for lung development and function. Common conditions include pectus excavatum (sunken chest), pectus carinatum (pigeon chest), and rib anomalies such as rib fusion or absence. These conditions may be isolated or part of syndromic presentations, often associated with chromosomal abnormalities like Turner syndrome or Marfan syndrome. Diagnosis typically involves physical examination, imaging studies such as X-rays or CT scans, and sometimes genetic testing to identify underlying syndromes. Management may require surgical intervention, particularly in severe cases, to correct deformities and improve respiratory function. Early identification and multidisciplinary care are crucial for optimizing outcomes in affected children.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of conditions
  • Need for detailed documentation of associated anomalies
  • Potential overlap with other congenital codes
  • Requirement for genetic testing results in some cases

Audit Risk Factors

  • Inadequate documentation of associated congenital anomalies
  • Failure to include genetic testing results when applicable
  • Misclassification of severity or type of malformation
  • Inconsistent coding of related conditions

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed clinical notes describing the physical examination findings, imaging results, and any surgical interventions performed.

Common Clinical Scenarios

A pediatric patient presenting with pectus excavatum requiring surgical correction or a child with rib anomalies leading to respiratory distress.

Billing Considerations

Ensure that all associated congenital conditions are documented to support the complexity of the case.

Genetics

Documentation Requirements

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

Common Clinical Scenarios

A child diagnosed with Turner syndrome presenting with thoracic malformations or a patient with Marfan syndrome exhibiting pectus carinatum.

Billing Considerations

Consider the implications of chromosomal abnormalities on the management and prognosis of thoracic malformations.

Coding Guidelines

Inclusion Criteria

Use Q76.8 When
  • Follow the official ICD
  • CM coding guidelines for congenital conditions, ensuring that all relevant clinical information is captured and that codes reflect the most specific diagnosis possible

Exclusion Criteria

Do NOT use Q76.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

39501CPT Code

Pectus excavatum repair

Clinical Scenario

Used in cases of severe pectus excavatum requiring surgical intervention.

Documentation Requirements

Preoperative assessment, imaging studies, and surgical notes.

Specialty Considerations

Pediatric surgical documentation must detail the rationale for surgery.

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.

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.

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 documentation is needed to support the use of code Q76.8?

Comprehensive clinical notes detailing the type and severity of the thoracic malformation, any associated congenital anomalies, imaging results, and treatment plans are essential to support the use of code Q76.8.