ICD-10-CM Code Q56.4
Indeterminate sex, unspecified
Billable Code
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.POA Exempt Code
The Center for Medicare & Medicaid Services (CMS) requires medical coders to indicate whether or not a condition was present at the time of admission, in order to properly assign MS-DRG codes. This "Present On Admission" (POA) indicator is recorded on CMS form 4010A.Q56.4 is a billable ICD code used to specify a diagnosis of indeterminate sex, unspecified. A 'billable code' is detailed enough to be used to specify a medical diagnosis.
POA Indicators on CMS form 4010A are as follows:
Indicator | Meaning | CMS Will Pay CC/MCC DRG Costs |
---|---|---|
Y | Diagnosis was present at time of inpatient admission | Yes |
N | Diagnosis was not present at time of inpatient admission | No |
U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | No |
W | Clinically undetermined. Provider unable to clinically determine whether the condition was present at the time of inpatient admission. | Yes |
1 | Exempt from POA reporting | No |
The ICD code Q564 is used to code XY gonadal dysgenesis
Swyer syndrome, or XY gonadal dysgenesis, is a type of hypogonadism in a person whose karyotype is 46,XY. The person is externally female with streak gonads, and left untreated, will not experience puberty. Such gonads are typically surgically removed (as they have a significant risk of developing tumors) and a typical medical treatment would include hormone replacement therapy with female hormones. The syndrome was named by Gerald Swyer, an endocrinologist, based in London, UK.
Specialty: | Medical Genetics |
MeSH Code: | D006061 |
ICD 9 Code: | 752.7 |
Coding Notes for Q56.4 Info for medical coders on how to properly use this ICD-10 code
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Inclusion Terms:
Inclusion Terms
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive. - Ambiguous genitalia
MS-DRG Mapping
- DRG Group #729-730 - Other male reproductive system diagnoses with CC or MCC.
- DRG Group #729-730 - Other male reproductive system diagnoses without CC or MCC.
- DRG Group #742-743 - Uterine and adnexa procedure for non-malignancy with CC or MCC.
- DRG Group #742-743 - Uterine and adnexa procedure for non-malignancy without CC or MCC.
- DRG Group #760-761 - Menstrual and other female reproductive system disorders with CC or MCC.
- DRG Group #760-761 - Menstrual and other female reproductive system disorders without CC or MCC.
ICD-10-CM Alphabetical Index References for 'Q56.4 - Indeterminate sex, unspecified'
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code Q56.4. Click on any term below to browse the alphabetical index.
Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)
This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code Q56.4 and a single ICD9 code, 752.7 is an approximate match for comparison and conversion purposes.
Parent Code: Q56 - Indeterminate sex and pseudohermaphroditism