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v1.0.0
ICD-10 Guide
ICD-10 CodesQ76.1

Q76.1

Billable

Klippel-Feil syndrome

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

Code Description

ICD-10 Q76.1 is a billable code used to indicate a diagnosis of klippel-feil syndrome.

Key Diagnostic Point:

Klippel-Feil syndrome is a rare congenital condition characterized by the fusion of two or more cervical vertebrae, leading to a shortened neck and restricted neck movement. This syndrome can be associated with various musculoskeletal anomalies, including scoliosis, clubfoot, and limb reduction defects. Patients may present with additional features such as low hairline, limited range of motion in the neck, and other skeletal deformities. The condition is often diagnosed in childhood, and its severity can vary widely among affected individuals. Klippel-Feil syndrome may also be associated with other congenital anomalies, including cardiac defects and renal abnormalities, necessitating a comprehensive evaluation. Genetic factors play a significant role in the etiology of this syndrome, with some cases linked to chromosomal abnormalities. Accurate coding requires careful documentation of associated conditions and any additional congenital malformations present.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in associated congenital anomalies
  • Need for detailed documentation of musculoskeletal deformities
  • Potential overlap with other syndromes and conditions
  • Requirement for genetic evaluation and documentation

Audit Risk Factors

  • Inadequate documentation of associated congenital anomalies
  • Failure to specify the severity of the condition
  • Misidentification of the primary diagnosis
  • Lack of genetic testing documentation

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed records of physical examinations, imaging studies, and developmental assessments.

Common Clinical Scenarios

Evaluation of a child with neck stiffness and scoliosis; assessment of limb deformities in a patient with Klippel-Feil syndrome.

Billing Considerations

Consideration of growth and developmental milestones in pediatric patients.

Genetics

Documentation Requirements

Genetic testing results, family history, and detailed descriptions of any chromosomal abnormalities.

Common Clinical Scenarios

Genetic counseling for families with a history of Klippel-Feil syndrome; assessment of chromosomal abnormalities in affected individuals.

Billing Considerations

Understanding the genetic basis and inheritance patterns of the syndrome.

Coding Guidelines

Inclusion Criteria

Use Q76.1 When
  • Follow official ICD
  • CM guidelines for coding congenital conditions, ensuring accurate documentation of associated anomalies and any relevant genetic information

Exclusion Criteria

Do NOT use Q76.1 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit

Clinical Scenario

Used for routine follow-up visits for patients with Klippel-Feil syndrome.

Documentation Requirements

Document the patient's history, examination findings, and any management plans.

Specialty Considerations

Pediatricians should focus on growth and developmental assessments.

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

  • •
    National Organization for Rare Disorders (NORD)

Coding & Billing References

  • •
    National Organization for Rare Disorders (NORD)

Frequently Asked Questions

What are the common associated conditions with Klippel-Feil syndrome?

Common associated conditions include scoliosis, clubfoot, limb reduction defects, and potential cardiac and renal anomalies. Comprehensive evaluation is essential for management.