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Compare/Q56 vs Q99.0

Q56 vs Q99.0

Q56 (Indeterminate sex and pseudohermaphroditism) compared with Q99.0 (Chimera 46, XX/46, XY), 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 Q99.0: “chimera 46,XX/46,XY true hermaphrodite (Q99.0)”

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 Q99.0: “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 Q99.0: “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 pseudohermaphroditismQ99.0Chimera 46, XX/46, XY
Billing statusNon-billable header

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

Billable
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).Chimera 46, XX/46, XY is a billable ICD-10-CM diagnosis code (Q99.0).
Includes
Chimera 46, XX/46, XY true hermaphrodite

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