Q78.0 Osteogenesis imperfecta

The ICD-10-CM code for Osteogenesis imperfecta is Q78.0 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Chapter

17: Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0)

Section

Q65-Q79: Congenital malformations and deformations of the musculoskeletal system (Q65-Q79)

Category Q78

10 codes (9 billable)

FY2026 Status

Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to Q78.0:

• Ekman's syndrome (brittle bones and blue sclera)
• Osteopsathyrosis (idiopathica)
• Eddowes (-Spurway) syndrome
• Osteogenesis imperfecta
• Lobstein (-Ekman) disease or syndrome
• Van der Hoeve (-de Kleyn) syndrome
• Spurway's syndrome
• Adair-Dighton syndrome (brittle bones and blue sclera, deafness)

Inclusion Terms

• Fragilitas ossium
• Osteopsathyrosis

U.S. Hospital Utilization

• An estimated 4,540 U.S. inpatient stays in 2023 included Q78.0 among the documented diagnoses.
• 250 stays listed it as the principal diagnosis.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

POA indicator for congenital conditions/anomalies and Q00-Q99 exception

Congenital conditions and anomalies Assign “Y” for congenital conditions and anomalies except for categories Q00- Q99, Congenital anomalies, which are on the exempt list. Congenital conditions are always considered present on admission.

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

• CMS — ICD-10-CM Official Code Set and Guidelines, FY2026
• CDC/NCHS — ICD-10-CM Files and Browser Tool
• AHRQ — HCUP National Inpatient Sample, Frequencies by Diagnosis Code (2016–2023)