CodeMap® 
150 North Wacker Drive
Suite 2360
Chicago, IL 60606
847-381-5465 Phone
847-381-4606 Fax
customerservice@codemap.com
      


User Information

Create New Account

Lost Password

Username:
Password:


Quick Links

LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule

2025
2024
QW Tests

Physician Fee Schedule

2025
2024

OPPS Fee Schedule

2025-July
2025-April

ASC Fee Schedule

2025-July
2025-April

APC Codes

2025-July
2025-April

DRG Codes

2025
2024

ASP Drug Pricing Files

2025-July
2025-April


CMS Transmittals



.

ICD-10 Code or Description Search:

Q05.3 Quick jump to specific ICD-10 (CM) Code: Q05.5


See Category: Congenital malformations, deformations and chromosomal abnormalities

ICD-10 (CM) Code and Descriptor

Q05.4 Unspecified spina bifida with hydrocephalus

Q054 utilizaton on OPPS claims.*

Primary
ICD10 Code
ICD10
Position 2
ICD10
Position 3
ICD10
Position 4
ICD10
Position 5
ICD10
Position 6
ICD10
Position 7
ICD10
Position 8
ICD10
Position 9
ICD10
Position 10
20.49% 19.31% 17.82% 13.15% 8.11% 5.85% 4.13% 3.26% 1.99% 1.04%

* Medicare Part A utilization data is derived from the 100% 2023 Outpatient (Fee-for-Service) Standard Analytical File.

Commonly Associated Procedure Codes for Q05.4*:

CPT
Description Number of Claims Sum Performed
97110
THERAPEUTIC EXERCISES 614 1,140
97530
THERAPEUTIC ACTIVITIES 536 885
97112
NEUROMUSCULAR REEDUCATION 186 311
97542
WHEELCHAIR MNGMENT TRAINING 138 394
G0463
HOSPITAL OUTPT CLINIC VISIT 120 120
97535
SELF CARE MNGMENT TRAINING 114 183
92526
ORAL FUNCTION THERAPY 110 110
97140
MANUAL THERAPY 1/> REGIONS 103 130
92507
TX SP LANG VOICE COMM INDIV 71 71
97116
GAIT TRAINING THERAPY 32 35
70450
CT HEAD/BRAIN W/O DYE 26 26
G0283
ELEC STIM OTHER THAN WOUND 24 24
97166
OT EVAL MOD COMPLEX 45 MIN 22 22
85025
COMPLETE CBC W/AUTO DIFF WBC 21 21
80053
COMPREHEN METABOLIC PANEL 20 20
A4432
OS PCH URINE W BAR/FANGE/TAP 20 20
G1004
CDSM NDSC 19 20
99213
OFFICE O/P EST LOW 20 MIN 18 18
A4428
URINE OST POUCH W FAUCET/TAP 18 18
G0467
FQHC VISIT, ESTAB PT 18 18

* Derived from 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.



Q05.4 related to the following DRG Codes:

091-093
791
793






CodeMap¨ is a Registered Trademark of Wheaton Partners, LLC.