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Q76.8 ICD-10-CM Code: Other congenital malformations of bony thorax

ICD-10-CM Code View

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FY 2026 Apr update / Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0) / Congenital malformations and deformations of the musculoskeletal system (Q65-Q79)

Q76.8

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Other congenital malformations of bony thorax

A birth defect involving other abnormalities of the bones in the chest wall and rib cage that don't fit into more specific categories.

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

Official
Q76Congenital malformations of spine and bony thorax
Q76.8Other congenital malformations of bony thorax

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for Q76.8 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for Q76.8 in this effective period.

Related Child Codes

Official
Q76.0Spina bifida occulta
Q76.1Klippel-Feil syndrome
Q76.2Congenital spondylolisthesis
Q76.3Congenital scoliosis due to congenital bony malformation
Q76.4Other congenital malformations of spine, not associated with scoliosis

Includes

Official

ICD-10-CM does not list Includes notes for Q76.8 in this effective period.

Excludes 1

Official
  • congenital musculoskeletal deformities of spine and chest (Q67.5-Q67.8)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for Q76.8 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for Q76.8 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for Q76.8 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Use this code only when the specific type of bony thorax malformation is not classifiable elsewhere
Document the specific anatomical location and nature of the malformation for clarity

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 →

Is Q76.8 an HCC code?

No. Q76.8 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
Q76.8
Description
Other congenital malformations of bony thorax
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
Yes
Payment year
2026

Coder workflow notes

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

What This Code Means

Q76.8 is the ICD-10-CM diagnosis code for other congenital malformations of bony thorax. A birth defect involving other abnormalities of the bones in the chest wall and rib cage that don't fit into more specific categories. Q76.8 sits in the ICD-10-CM chapter for congenital malformations, deformations and chromosomal abnormalities (q00-qa0), within the section covering congenital malformations and deformations of the musculoskeletal system (q65-q79).

Q76.8 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

Use this code only when the specific type of bony thorax malformation is not classifiable elsewhere.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Q76.8 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Use this code only when the specific type of bony thorax malformation is not classifiable elsewhere
  • Document the specific anatomical location and nature of the malformation for clarity

Child Codes

Code Hierarchy

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