Q76.0Spina bifida occulta

Q76.0 is the ICD-10-CM diagnosis code for spina bifida occulta. It belongs to category Q76 (congenital malformations of spine and bony thorax), block Q65-Q79 (congenital malformations and deformations of the musculoskeletal system) and chapter 17 (congenital malformations, deformations, chromosomal abnormalities, and genetic disorders). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within Q76 (congenital malformations of spine and bony thorax), Q76.0 is specifically for spina bifida occulta. Related codes cover Klippel-Feil syndrome (Q76.1), congenital spondylolisthesis (Q76.2), congenital scoliosis due to congenital bony malformation (Q76.3), other congenital malformations of spine, not associated with scoliosis (Q76.4), cervical rib (Q76.5), other congenital malformations of ribs (Q76.6), congenital malformation of sternum (Q76.7), other congenital malformations of bony thorax (Q76.8) and 1 more.

Don't report Q76.0 together with the conditions in its Excludes1 note: meningocele (spinal) (Q05.-) and spina bifida (aperta) (cystica) (Q05.-).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 091 (Other Disorders of Nervous System with MCC, relative weight 1.7046), DRG 092 (Other Disorders of Nervous System with CC, relative weight 1.0239) and DRG 093 (Other Disorders of Nervous System without CC/MCC, relative weight 0.7783), in MDC 01 (Diseases and Disorders of the Nervous System), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 756.17 (spina bifida occulta).