FY2027
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Excludes1 pair

Q67.8 vs Q76-

Q67.8 and Q76 are not coded together. ICD-10-CM declares them mutually exclusive with an Excludes1 note — the two conditions are not expected to occur together, so exactly one of them is normally correct for a given encounter. The Official Guidelines carve out one exception: if the two conditions are clearly unrelated to each other, both may be reported.

The official note, declared on Q76
congenital musculoskeletal deformities of spine and chest (Q67.5-Q67.8)
Q67.8

Other congenital deformities of chest

Billable
Chapter 17
Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders
Section
Q65-Q79
Use when the record says
  • Congenital deformity of chest wall NOS
Indexed under
  • Anomaly, anomalous › chest wall
  • Anomaly, anomalous › thorax (wall)
  • Distortion › chest (wall)
  • Distortion › thorax (wall)
  • Flat › chest, congenital
Q76

Congenital malformations of spine and bony thorax

Not billable
Chapter 17
Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders
Section
Q65-Q79

Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027