ICD-10-CM 2027
ICD-10 code for lumbar spine distortion
From the official ICD-10-CM alphabetic index entry “Distortion (s) (congenital) › lumbar spine”. Page updated September 29, 2026.
About coding lumbar spine distortion
The ICD-10-CM code for lumbar spine distortion is Q76.49 (Other congenital malformations of spine, not associated with scoliosis). The official index lists 2 more specific codes, so check the documentation for details such as type, cause, site or severity before settling on Q76.49.
Within Q76.4, choose Q76.49 (Other congenital malformations of spine, not associated with scoliosis) only when documentation doesn't support a more specific option: congenital kyphosis (Q76.41) and congenital lordosis (Q76.42).
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 551 (Medical Back Problems with MCC, relative weight 1.6358) and DRG 552 (Medical Back Problems without MCC, relative weight 0.9584), 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 lumbar spine distortion codes (official index)
Common questions about lumbar spine distortion ICD-10 codes
What is the ICD-10 code for lumbar spine distortion?
- Q76.49 — Other congenital malformations of spine, not associated with scoliosis. More specific codes apply when the documentation supports them: O33.8, O65.0.
Is Q76.49 billable?
- Yes. Q76.49 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can Q76.49 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict Q76.49 as a principal diagnosis.
Is Q76.49 a CC or MCC?
- No. Q76.49 is neither a CC nor an MCC under MS-DRG v44.0.