Q77Not billable, use a more specific code below

Osteochondrodysplasia with defects of growth of tubular bones and spine

In Congenital malformations and deformations of the musculoskeletal system (Q65-Q79), chapter 17: Congenital Malformations, Deformations and Chromosomal Abnormalities

10 billable codes under Q77: 1 is a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.

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Instructional notes

Excludes1: not coded here, use a different code

Excludes2: not included here, code separately if applicable

  • congenital myotonic chondrodystrophy (G71.13)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Assign Q00-QA1 codes for documented congenital anomalies or genetic disorders at any age, coding non-inherent manifestations separately and sequencing Z38 first on the birth admission.

Read Section I.C.17 (page 74)

Q77 MS-DRGs

As the principal diagnosis, all 10 billable codes under Q77 group to MS-DRG 564, 565, or 566 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Birth Defects

A birth defect is a problem that happens while a baby is developing in the mother's body. Most birth defects happen during the first 3 months of pregnancy. One out of every 33 babies in the United States is born with a birth defect.

Read more about birth defects on MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.