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Compare/Q03 vs Q05.0

Q03 vs Q05.0

Q03 (Congenital hydrocephalus) compared with Q05.0 (Cervical spina bifida with hydrocephalus), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. Q03 carries an Excludes1 note covering Q05.0: “hydrocephalus with spina bifida (Q05.0-Q05.4)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

Q03Congenital hydrocephalusQ05.0Cervical spina bifida with hydrocephalus
Billing statusNon-billable header

Report instead: Q03.0, Q03.1, Q03.8, Q03.9

Billable
ClassificationQ00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99)Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99)
DefinitionCongenital hydrocephalus is a non-billable ICD-10-CM category code (Q03).Cervical spina bifida with hydrocephalus is a billable ICD-10-CM diagnosis code (Q05.0).
Includes
hydrocephalus in newborn
hydromeningocele (spinal)
meningocele (spinal)
meningomyelocele
myelocele
Use additional code
code for any associated paraplegia (paraparesis) (G82.2-)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources