Q05 ICD-10-CM Code: Spina bifida
Q05 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC Buddy coding tools
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FY 2026 Apr update / Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0) / Congenital malformations of the nervous system (Q00-Q07)
Q05
Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidanceSpina bifida
Spina bifida
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
N/A—
Not mapped
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for Q05 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for Q05 in this effective period.
Related Child Codes
Includes
Official- hydromeningocele (spinal)
- meningocele (spinal)
- meningomyelocele
- myelocele
- myelomeningocele
Excludes 1
Official- Arnold-Chiari syndrome, type II (Q07.0-)
- spina bifida occulta (Q76.0)
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for Q05 in this effective period.
Use Additional
Official- code for any associated paraplegia (paraparesis) (G82.2-)
Code Also
OfficialICD-10-CM does not list Code Also instructions for Q05 in this effective period.
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
- Code
- Q05
- Description
- Spina bifida
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF reference coefficient
- —
- Billable
- No
- Payment year
- 2026
Coder workflow notes
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What This Code Means
Q05 is the ICD-10-CM diagnosis code for spina bifida. Q05 sits in the ICD-10-CM chapter for congenital malformations, deformations and chromosomal abnormalities (q00-qa0), within the section covering congenital malformations of the nervous system (q00-q07).
Header codes like Q05 cannot be reported on claims directly; they organize child codes that share clinical context. Coders should select the billable child code that matches the documented presentation and then verify its current source-backed HCC mapping. Do not infer a child code or risk adjustment value from the header alone.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for Q05 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Includes
- hydromeningocele (spinal)
- meningocele (spinal)
- meningomyelocele
- myelocele
- myelomeningocele
- rachischisis
- spina bifida (aperta)(cystica)
- syringomyelocele
Excludes 1, Do NOT code together
Use Additional Code
- code for any associated paraplegia (paraparesis) (G82.2-)

