Q05.1

Thoracic spina bifida with hydrocephalus

Risk-adjusting (HCC)Billable code

HCC risk adjustment mapping

CMS-HCC V28

HCC182

Spinal Cord Disorders/Injuries

CMS-HCC ESRD V24

HCC72

Spinal Cord Disorders/Injuries

RxHCC V08

RXHCC155

Spinal Cord Disorders

Coding notes

Excludes 1 never coded together · Excludes 2 may co-exist

This code · Q05.1

Synonyms

Dorsal spina bifida with hydrocephalus Thoracolumbar spina bifida with hydrocephalus

Inherited from Q05Spina bifida

Includes

hydromeningocele (spinal) meningocele (spinal) meningomyelocele myelocele myelomeningocele rachischisis spina bifida (aperta)(cystica) syringomyelocele

Excludes 1

Arnold-Chiari syndrome, type II (Q07.0-) spina bifida occulta (Q76.0)

Use additional

code for any associated paraplegia (paraparesis) (G82.2-)

Inherited from chapter 17Congenital malformations, deformations and chromosomal abnormalities

Excludes 2

inborn errors of metabolism (E70-E88)

Note

Codes from this chapter are not for use on maternal records

Official Guidelines for Q05.1

FY 2026 ›

I.C.17Chapter-specific guidanceChapter 17: Congenital malformations, deformations, and chromosomal abnormalities (Q00-QA1)

Sections that reference Q05.1

IV.QEncounters for routine health screeningsOutpatient services
… Congenital conditions and anomalies Assign “Y” for congenital conditions and anomalies except for categories Q00- Q99, Congenital anomalies, which are on the exempt list. …

Sections whose FY 2026 text names Q05.1, its Q05 category, or a range containing it — the chapter guidance above is the authoritative source.

Find Q05.1 in the alphabetic index

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