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v1.0.0
ICD-10 Guide
ICD-10 CodesQ76.413

Q76.413

Billable

Congenital kyphosis, cervicothoracic region

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

Code Description

ICD-10 Q76.413 is a billable code used to indicate a diagnosis of congenital kyphosis, cervicothoracic region.

Key Diagnostic Point:

Congenital kyphosis in the cervicothoracic region is a structural deformity characterized by an abnormal curvature of the spine, specifically in the cervical and thoracic areas. This condition arises during fetal development and can result from various factors, including genetic predispositions, environmental influences, or disruptions in normal vertebral formation. Patients may present with a visible hump in the back, neck pain, and potential neurological deficits if spinal cord compression occurs. The severity of kyphosis can vary significantly, with some individuals experiencing mild deformities while others may have severe curvature requiring surgical intervention. Diagnosis typically involves clinical examination and imaging studies, such as X-rays or MRI, to assess the degree of curvature and any associated anomalies. Early identification and management are crucial to prevent complications, including respiratory issues and impaired mobility.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of kyphosis
  • Need for comprehensive imaging documentation
  • Potential for associated congenital anomalies
  • Differentiation from acquired kyphosis

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to document associated conditions
  • Misclassification of congenital vs. acquired conditions
  • Lack of imaging studies in the medical record

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation should include growth parameters, developmental milestones, and specific physical examination findings related to kyphosis.

Common Clinical Scenarios

Common scenarios include routine pediatric check-ups where kyphosis is identified, referrals for orthopedic evaluation, and management of associated symptoms.

Billing Considerations

Consideration must be given to the child's age, growth patterns, and potential impact on development when coding.

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

Genetic factors should be explored, especially if kyphosis is part of a broader syndrome.

Coding Guidelines

Inclusion Criteria

Use Q76.413 When
  • Follow ICD
  • CM guidelines for coding congenital conditions, ensuring accurate documentation of the condition's nature, severity, and any associated anomalies

Exclusion Criteria

Do NOT use Q76.413 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22554CPT Code

Spinal fusion, posterior or posterolateral technique

Clinical Scenario

Used in cases of severe congenital kyphosis requiring surgical intervention.

Documentation Requirements

Pre-operative assessments, imaging studies, and surgical notes.

Specialty Considerations

Orthopedic and neurosurgical specialties may be involved in the procedure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital kyphosis, improving the ability to capture the complexity of the condition and its management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital kyphosis, improving the ability to capture the complexity of the condition and its management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of congenital kyphosis, improving the ability to capture the complexity of the condition and its management.

Resources

Clinical References

  • •
    American Academy of Pediatrics
  • •
    Genetics Home Reference

Coding & Billing References

  • •
    American Academy of Pediatrics
  • •
    Genetics Home Reference

Frequently Asked Questions

What are the common treatments for congenital kyphosis?

Treatment options for congenital kyphosis may include observation, physical therapy, bracing, and surgical intervention, depending on the severity and associated symptoms.

How is congenital kyphosis diagnosed?

Diagnosis typically involves a physical examination, patient history, and imaging studies such as X-rays or MRI to assess the curvature of the spine.