MCMedicalCodingSoftware
Q89.4

Q89.4: Conjoined twins

Billable / specific codeICD-10-CMPOA exempt

Q89.4 is a billable, specific ICD-10-CM code for conjoined twins. It is valid for submission on a claim.

Check Q89.4 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Craniopagus
  • Dicephaly
  • Pygopagus
  • Thoracopagus

Risk adjustment

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

Alphabetic index entries that lead here

  • Conjoined twins
  • Craniopagus
  • Dicephalus, dicephaly
  • Epignathus
  • Ischiopagus
  • Janiceps
  • Pygopagus
  • Siamese twin
  • Sternopagus
  • Syncephalus
  • Thoracopagus
  • Xiphopagus

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under Q89

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.