Balanced rearrangements and structural markers, not elsewhere classified
In Chromosomal abnormalities, not elsewhere classified (Q90-Q99), chapter 17: Congenital Malformations, Deformations and Chromosomal Abnormalities
7 billable codes under Q95: none are a CC or MCC; none map to an HCC.
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Instructional notes
Includes: conditions that are coded here
- Robertsonian and balanced reciprocal translocations and insertions
Also applies, from Chromosomal abnormalities, not elsewhere classified (Q90-Q99)
These notes sit on Q90-Q99 and apply to every code under it, including Q95.
Excludes2: not included here, code separately if applicable
- mitochondrial metabolic disorders (E88.4-)
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Assign Q00-QA1 codes for documented congenital anomalies or genetic disorders at any age, coding non-inherent manifestations separately and sequencing Z38 first on the birth admission.
All codes under Q95
Q95 can't be used on a claim. Pick a billable code below; grey headings group them.
- Q95.0Balanced translocation and insertion in normal individual
- Q95.1Chromosome inversion in normal individual
- Q95.2Balanced autosomal rearrangement in abnormal individual
- Q95.3Balanced sex/autosomal rearrangement in abnormal individual
- Q95.5Individual with autosomal fragile site
- Q95.8Other balanced rearrangements and structural markers
- Q95.9Balanced rearrangement and structural marker, unspecified
Q95 MS-DRG
As the principal diagnosis, all 7 billable codes under Q95 group to MS-DRG 951 (v44.0).
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Genetic Disorders
Genetic disorders are health conditions caused by changes (also called mutations or variants) in your genes. Genes are parts of DNA found in your cells that carry instructions for how your body grows, develops, and functions. Many genes tell your body how to make proteins, which are needed for your body to work properly.
Read more about genetic disorders on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
