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Compare/E34.5 vs Q56

E34.5 vs Q56

E34.5 (Androgen insensitivity syndrome) compared with Q56 (Indeterminate sex and pseudohermaphroditism), 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. Q56 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 syndromeQ56Indeterminate sex and pseudohermaphroditism
Billing statusNon-billable header

Report instead: E34.50, E34.51, E34.52

Non-billable header

Report instead: Q56.0, Q56.1, Q56.2, Q56.3, Q56.4

ClassificationE00-E89 — Endocrine, Nutritional and Metabolic Diseases (E00-E89)Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99)
DefinitionAndrogen insensitivity syndrome is a non-billable ICD-10-CM category code (E34.5).Indeterminate sex and pseudohermaphroditism is a non-billable ICD-10-CM category code (Q56).

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