ICD-10 · PDGM grouping
Q76 Congenital malformations of spine and bony thorax
All 21 codes in the Q76 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
21
Can lead a claim
18
Cannot lead a claim
3
What CMS assigns to Q76
18 of the 21 codes group to Musculoskeletal Rehabilitation (13), MMTA - Other (4) and Neuro Rehabilitation (1); 3 are assigned no clinical group. None of the 21 is assigned a comorbidity subgroup. 18 of the 21 can lead a claim.
Every code in Q76
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| Q76.0 | Spina bifida occulta | Can lead a claim | B | None |
| Q76.1 | Klippel-Feil syndrome | Can lead a claim | E | None |
| Q76.2 | Congenital spondylolisthesis | Can lead a claim | E | None |
| Q76.3 | Congenital scoliosis due to congenital bony malformation | Can lead a claim | E | None |
| Q76.4 Other congenital malformations of spine, not associated with scoliosis | ||||
| Q76.41 Congenital kyphosis | ||||
| Q76.411 | Congenital kyphosis, occipito-atlanto-axial region | Can lead a claim | E | None |
| Q76.412 | Congenital kyphosis, cervical region | Can lead a claim | E | None |
| Q76.413 | Congenital kyphosis, cervicothoracic region | Can lead a claim | E | None |
| Q76.414 | Congenital kyphosis, thoracic region | Can lead a claim | E | None |
| Q76.415 | Congenital kyphosis, thoracolumbar region | Can lead a claim | E | None |
| Q76.419 | Congenital kyphosis, unspecified region | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Q76.42 Congenital lordosis | ||||
| Q76.425 | Congenital lordosis, thoracolumbar region | Can lead a claim | E | None |
| Q76.426 | Congenital lordosis, lumbar region | Can lead a claim | E | None |
| Q76.427 | Congenital lordosis, lumbosacral region | Can lead a claim | E | None |
| Q76.428 | Congenital lordosis, sacral and sacrococcygeal region | Can lead a claim | E | None |
| Q76.429 | Congenital lordosis, unspecified region | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Q76.49 | Other congenital malformations of spine, not associated with scoliosisCMS: Oth congenital malform of spine, not associated w scoliosis | Can lead a claim | E | None |
| Q76.5 | Cervical rib | Can lead a claim | A | None |
| Q76.6 | Other congenital malformations of ribs | Can lead a claim | A | None |
| Q76.7 | Congenital malformation of sternum | Can lead a claim | A | None |
| Q76.8 | Other congenital malformations of bony thorax | Can lead a claim | A | None |
| Q76.9 | Congenital malformation of bony thorax, unspecified | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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