Q56

Q56: Indeterminate sex and pseudohermaphroditism

Non-billable headerICD-10-CM

Q56 is a non-billable header ICD-10-CM code for indeterminate sex and pseudohermaphroditism. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

46,XX true hermaphrodite (Q99.1)
androgen insensitivity syndrome (E34.5-)
chimera 46,XX/46,XY true hermaphrodite (Q99.0)
female pseudohermaphroditism with adrenocortical disorder (E25.-)
pseudohermaphroditism with specified chromosomal anomaly (Q96-Q99)
pure gonadal dysgenesis (Q99.1)

Other codes that can never be billed with Q56

Their own Excludes1 notes name this code, so the conflict is not listed above.

E25Adrenogenital disorders

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead Q56

5 child codes. Green means billable.