Q90Non-billable

Down syndrome

Congenital Malformations, Deformations and Chromosomal Abnormalities·Chromosomal abnormalities, not elsewhere classified (Q90-Q99)·category·FY 2026

CH17 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
  • inborn errors of metabolism (E70-E88)

Q90-Q99 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
  • mitochondrial metabolic disorders (E88.4-)

Instructional Notes

Code Also
  • associated physical condition(s), such as atrioventricular septal defect (Q21.2-)
Use Additional Code
  • code(s) to identify any associated degree of intellectual disabilities (F70-F79)

Clinical Hierarchy

BillableHas subcodes
CH17Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0)
Q90-Q99Chromosomal abnormalities, not elsewhere classified (Q90-Q99)
Q90Down syndromeNot billable
Q90.0Trisomy 21, nonmosaicism (meiotic nondisjunction)Billable
Q90.1Trisomy 21, mosaicism (mitotic nondisjunction)Billable
Q90.2Trisomy 21, translocationBillable
Q90.9Down syndrome, unspecifiedBillable

MS-DRG Classification

2026

No direct MS-DRG triggers identified.