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ICD-10-CM 2027

ICD-10 code for chondrodystrophy

Q78.9

Osteochondrodysplasia, unspecified

✓ Billable / specific

From the official ICD-10-CM alphabetic index entry “Chondrodystrophy, chondrodystrophia (familial) (fetalis) (hypoplastic)”. Page updated September 29, 2026.

About coding chondrodystrophy

The ICD-10-CM code for chondrodystrophy is Q78.9 (Osteochondrodysplasia, unspecified). The official index lists 3 more specific codes, so check the documentation for details such as type, cause, site or severity before settling on Q78.9.

Within Q78, choose Q78.9 (Osteochondrodysplasia, unspecified) only when documentation doesn't support a more specific option: Osteogenesis imperfecta (Q78.0), Polyostotic fibrous dysplasia (Q78.1), Osteopetrosis (Q78.2), progressive diaphyseal dysplasia (Q78.3), Enchondromatosis (Q78.4), Metaphyseal dysplasia (Q78.5), multiple congenital exostoses (Q78.6) and other specified osteochondrodysplasias (Q78.8).

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 564 (Other Musculoskeletal System and Connective Tissue Diagnoses with MCC, relative weight 1.4908), DRG 565 (Other Musculoskeletal System and Connective Tissue Diagnoses with CC, relative weight 0.9783) and DRG 566 (Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCC, relative weight 0.7378), in MDC 08 (Diseases and Disorders of the Musculoskeletal System and Connective Tissue), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

More specific chondrodystrophy codes (official index)

  • calcificans congenita Q77.3 — Chondrodysplasia punctata
  • myotonic (congenital) G71.13 — Myotonic chondrodystrophy
  • punctata Q77.3 — Chondrodysplasia punctata

Common questions about chondrodystrophy ICD-10 codes

What is the ICD-10 code for chondrodystrophy?

Q78.9 — Osteochondrodysplasia, unspecified. More specific codes apply when the documentation supports them: Q77.3, G71.13, Q77.3.

What is the ICD-10 code for calcificans congenita chondrodystrophy?

Q77.3 — Chondrodysplasia punctata.

What is the ICD-10 code for myotonic chondrodystrophy?

G71.13 — Myotonic chondrodystrophy.

What is the ICD-10 code for punctata chondrodystrophy?

Q77.3 — Chondrodysplasia punctata.

Is Q78.9 billable?

Yes. Q78.9 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can Q78.9 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict Q78.9 as a principal diagnosis.

Is Q78.9 a CC or MCC?

No. Q78.9 is neither a CC nor an MCC under MS-DRG v44.0.