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Compare/Q56 vs Q99

Q56 vs Q99

Q56 (Indeterminate sex and pseudohermaphroditism) compared with Q99 (Other chromosome abnormalities, not elsewhere classified), 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 Q99: “pseudohermaphroditism with specified chromosomal anomaly (Q96-Q99)”

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

No — do not report together. Q56 carries an Excludes1 note covering Q99: “syndromes associated with anomalies in the number and form of chromosomes (Q90-Q99)”

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

Q56Indeterminate sex and pseudohermaphroditismQ99Other chromosome abnormalities, not elsewhere classified
Billing statusNon-billable header

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

Non-billable header

Report instead: Q99.0, Q99.1, Q99.2, Q99.811, Q99.812

ClassificationQ00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99)Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99)
DefinitionIndeterminate sex and pseudohermaphroditism is a non-billable ICD-10-CM category code (Q56).Other chromosome abnormalities, not elsewhere classified is a non-billable ICD-10-CM category code (Q99).

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