Q05.6

Thoracic spina bifida without hydrocephalus

FY2027Chapter 17: Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders/Q00–Q07 Congenital malformations of the nervous system

BillableComplete code, valid to report

Q05.6 (also written Q056) is a billable ICD-10-CM diagnosis code for thoracic spina bifida without hydrocephalus. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 10 codes in category Q05 (Spina bifida). The Alphabetic Index lists it under 3 entries. Its coding notes include a Use additional code instruction, 2 Excludes1 entries and 1 Excludes2 entry.

Guidelines tip

From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.

Chapter 17 codes can be used for life. Manifestations that are an inherent part of a specifically coded anomaly are not coded separately. A corrected malformation is reported with a personal history code.

Guidelines I.C.17Congenital malformations and genetic disordersRead the official text

Use additional code

Add the listed code as a secondary code, if known.

Inherited from Q05 Spina bifida
  • code for any associated paraplegia (paraparesis) (G82.2-)

Excludes1

Not coded here. The listed conditions generally should not be reported together.

Inherited from Q05 Spina bifida
  • Arnold-Chiari syndrome, type II (Q07.0-)
  • spina bifida occulta (Q76.0)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Also from chapter/block level (1 note)
Inherited from Chapter 17 Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders
  • inborn errors of metabolism (E70-E88)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Home Health Primary

Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the Neuro Rehabilitation clinical group.

Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026

IRF 60% Rule

On the CMS list of diagnoses used to determine presumptive compliance with the IRF 60 percent rule.

Source: CMS IRF Presumptive Compliance-3, FY 2027 IRF PPS final rule files, effective for discharges on or after October 1, 2026

Includes

Further defines or gives examples of the content of the category.

Inherited from Q05 Spina bifida
  • hydromeningocele (spinal)
  • meningocele (spinal)
  • meningomyelocele
  • myelocele
  • myelomeningocele
  • rachischisis
  • spina bifida (aperta)(cystica)
  • syringomyelocele

Inclusion terms

Conditions classified to this code.

This code
  • Dorsal spina bifida NOS
  • Thoracolumbar spina bifida NOS

Notes

Also from chapter/block level (1 note)
Inherited from Chapter 17 Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders
  • Codes from this chapter are not for use on maternal records

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 3 entries