E34.5 vs Q54

E34.5 (Androgen insensitivity syndrome) compared with Q54 (Hypospadias), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. Q54 carries an Excludes1 note covering E34.5: “androgen insensitivity syndrome (E34.5-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

	E34.5Androgen insensitivity syndrome	Q54Hypospadias
Billing status	Non-billable header Report instead: E34.50, E34.51, E34.52	Non-billable header Report instead: Q54.0, Q54.1, Q54.2, Q54.3, Q54.4
Classification	E00-E89 — Endocrine, Nutritional and Metabolic Diseases (E00-E89)	Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99)
Definition	Androgen insensitivity syndrome is a non-billable ICD-10-CM category code (E34.5).	Hypospadias is a non-billable ICD-10-CM category code (Q54).

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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources