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Q76.0

Billable

Spina bifida occulta

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A birth defect where the spinal column fails to close completely, but there is no visible opening on the skin surface and typically no protrusion of spinal tissue.

Coding Tips

  • Spina bifida occulta is often asymptomatic and may be discovered incidentally on imaging
  • Distinguish this from open spina bifida (Q05.x) which involves visible skin defects and tissue protrusion

Excludes 1 — Do NOT code together

  • meningocele (spinal) (Q05.-)
  • spina bifida (aperta) (cystica) (Q05.-)

Code Hierarchy

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