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ICD-10 Guide
ICD-10 CodesQ76.41

Q76.41

Billable

Congenital kyphosis

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

Code Description

ICD-10 Q76.41 is a billable code used to indicate a diagnosis of congenital kyphosis.

Key Diagnostic Point:

Congenital kyphosis is a spinal deformity characterized by an abnormal forward curvature of the thoracic spine that is present at birth. This condition can arise from various developmental anomalies, including failure of formation, segmentation, or fusion of the vertebrae. Congenital kyphosis can lead to significant postural issues, pain, and functional limitations as the child grows. The severity of the curvature can vary widely, and it may be associated with other congenital malformations, particularly those affecting the musculoskeletal system, such as scoliosis, clubfoot, and limb reduction defects. Diagnosis typically involves clinical evaluation and 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 of the curvature and the presence of symptoms. Early diagnosis and management are crucial to prevent complications and improve the quality of life for affected individuals.

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 comprehensive documentation of clinical findings
  • Differentiation from acquired kyphosis

Audit Risk Factors

  • Inadequate documentation of the severity of the curvature
  • Failure to document associated congenital conditions
  • Misclassification of congenital versus acquired conditions
  • Lack of clarity in treatment plans and outcomes

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation should include growth patterns, developmental milestones, and any associated musculoskeletal anomalies.

Common Clinical Scenarios

Common scenarios include a newborn presenting with a noticeable spinal deformity or a child with developmental delays due to severe kyphosis.

Billing Considerations

Accurate coding requires a thorough understanding of the child's overall health and any coexisting conditions.

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

Consideration of chromosomal abnormalities that may contribute to the condition is essential for accurate coding.

Coding Guidelines

Inclusion Criteria

Use Q76.41 When
  • According to ICD
  • 10 coding guidelines, congenital conditions must be documented with specificity regarding the type and severity of the malformation
  • It is essential to include any associated conditions to ensure accurate coding

Exclusion Criteria

Do NOT use Q76.41 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

Detailed operative report and pre-operative imaging studies.

Specialty Considerations

Pediatric orthopedic specialists should document the rationale for surgical intervention.

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, including congenital kyphosis, which aids in better tracking and management of these patients.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, including congenital kyphosis, which aids in better tracking and management of these patients.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of congenital conditions, including congenital kyphosis, which aids in better tracking and management of these patients.

Resources

Clinical References

  • •
    American Academy of Pediatrics - Congenital Disorders

Coding & Billing References

  • •
    American Academy of Pediatrics - Congenital Disorders

Frequently Asked Questions

What is the difference between congenital kyphosis and acquired kyphosis?

Congenital kyphosis is present at birth due to developmental anomalies, while acquired kyphosis develops later in life due to factors such as injury, disease, or degenerative changes. Accurate coding requires clear documentation of the onset and cause of the condition.