Q18 vs Q76.0
Q18 (Other congenital malformations of face and neck) compared with Q76.0 (Spina bifida occulta), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. Q18 carries an Excludes2 note covering Q76.0: “congenital malformation of cervical spine (Q05.0, Q05.5, Q67.5, Q76.0-Q76.4)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| Q18Other congenital malformations of face and neck | Q76.0Spina bifida occulta | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99) | Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99) |
| Definition | Other congenital malformations of face and neck is a non-billable ICD-10-CM category code (Q18). | Spina bifida occulta is a billable ICD-10-CM diagnosis code (Q76.0). |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources