Other congenital malformations of spine, not associated with scoliosis
ICD-10 Q76.4 is a billable code used to indicate a diagnosis of other congenital malformations of spine, not associated with scoliosis.
Congenital malformations of the spine encompass a variety of structural anomalies that can affect the vertebrae and surrounding tissues. These malformations may arise from genetic factors, environmental influences, or a combination of both during fetal development. Conditions classified under Q76.4 include anomalies such as spina bifida occulta, hemivertebrae, and other vertebral segmentation defects. Unlike scoliosis, which involves lateral curvature of the spine, these malformations may present with varying degrees of severity and can lead to complications such as neurological deficits, pain, and functional limitations. Early diagnosis through imaging studies, such as X-rays or MRI, is crucial for management and intervention. Treatment options may include surgical correction, physical therapy, and ongoing monitoring to address associated complications. Understanding the specific type of malformation is essential for appropriate coding and management.
Detailed clinical notes describing the malformation, associated symptoms, and treatment plans are essential. Growth and developmental assessments should also be documented.
A pediatric patient presents with spina bifida occulta, requiring evaluation for neurological deficits and potential surgical intervention.
Pediatric coders must be aware of the growth implications of spinal malformations and the need for multidisciplinary care.
Genetic testing results, family history, and any syndromic associations should be documented to support the diagnosis.
A child with a congenital spinal malformation undergoes genetic counseling to assess for chromosomal abnormalities or syndromic conditions.
Genetic coders should consider the implications of genetic syndromes that may present with spinal malformations.
Used in cases where surgical intervention is required for congenital spinal malformations.
Operative reports detailing the procedure and indications for surgery.
Pediatric surgeons must document the rationale for surgical intervention in congenital cases.
Common congenital malformations include spina bifida, hemivertebrae, and segmentation defects. Each condition has unique implications for treatment and management.
