Present On Admission Exempt Codes
ICD-10-CM diagnosis codes exempt from POA reporting based on the official FY2026 CMS POA exempt list.
- Q91.3Billable
Trisomy 18, unspecified
- Q91.4Billable
Trisomy 13, nonmosaicism (meiotic nondisjunction)
- Q91.5Billable
Trisomy 13, mosaicism (mitotic nondisjunction)
- Q91.6Billable
Trisomy 13, translocation
- Q91.7Billable
Trisomy 13, unspecified
- Q92.0Billable
Whole chromosome trisomy, nonmosaicism (meiotic nondisjunction)
- Q92.1Billable
Whole chromosome trisomy, mosaicism (mitotic nondisjunction)
- Q92.2Billable
Partial trisomy
- Q92.5Billable
Duplications with other complex rearrangements
- Q92.61Billable
Marker chromosomes in normal individual
- Q92.62Billable
Marker chromosomes in abnormal individual
- Q92.7Billable
Triploidy and polyploidy
- Q92.8Billable
Other specified trisomies and partial trisomies of autosomes
- Q92.9Billable
Trisomy and partial trisomy of autosomes, unspecified
- Q93.0Billable
Whole chromosome monosomy, nonmosaicism (meiotic nondisjunction)
- Q93.1Billable
Whole chromosome monosomy, mosaicism (mitotic nondisjunction)
- Q93.2Billable
Chromosome replaced with ring, dicentric or isochromosome
- Q93.3Billable
Deletion of short arm of chromosome 4
- Q93.4Billable
Deletion of short arm of chromosome 5
- Q93.51Billable
Angelman syndrome
- Q93.52Billable
Phelan-McDermid syndrome
- Q93.59Billable
Other deletions of part of a chromosome
- Q93.7Billable
Deletions with other complex rearrangements
- Q93.81Billable
Velo-cardio-facial syndrome
- Q93.82Billable
Williams syndrome
- Q93.88Billable
Other microdeletions
- Q93.89Billable
Other deletions from the autosomes
- Q93.9Billable
Deletion from autosomes, unspecified
- Q95.0Billable
Balanced translocation and insertion in normal individual
- Q95.1Billable
Chromosome inversion in normal individual
- Q95.2Billable
Balanced autosomal rearrangement in abnormal individual
- Q95.3Billable
Balanced sex/autosomal rearrangement in abnormal individual
- Q95.5Billable
Individual with autosomal fragile site
- Q95.8Billable
Other balanced rearrangements and structural markers
- Q95.9Billable
Balanced rearrangement and structural marker, unspecified
- Q96.0Billable
Karyotype 45, X
- Q96.1Billable
Karyotype 46, X iso (Xq)
- Q96.2Billable
Karyotype 46, X with abnormal sex chromosome, except iso (Xq)
- Q96.3Billable
Mosaicism, 45, X/46, XX or XY
- Q96.4Billable
Mosaicism, 45, X/other cell line(s) with abnormal sex chromosome
- Q96.8Billable
Other variants of Turner's syndrome
- Q96.9Billable
Turner's syndrome, unspecified
- Q97.0Billable
Karyotype 47, XXX
- Q97.1Billable
Female with more than three X chromosomes
- Q97.2Billable
Mosaicism, lines with various numbers of X chromosomes
- Q97.3Billable
Female with 46, XY karyotype
- Q97.8Billable
Other specified sex chromosome abnormalities, female phenotype
- Q97.9Billable
Sex chromosome abnormality, female phenotype, unspecified
- Q98.0Billable
Klinefelter syndrome karyotype 47, XXY
- Q98.1Billable
Klinefelter syndrome, male with more than two X chromosomes
- Q98.3Billable
Other male with 46, XX karyotype
- Q98.4Billable
Klinefelter syndrome, unspecified
- Q98.5Billable
Karyotype 47, XYY
- Q98.6Billable
Male with structurally abnormal sex chromosome
- Q98.7Billable
Male with sex chromosome mosaicism
- Q98.8Billable
Other specified sex chromosome abnormalities, male phenotype
- Q98.9Billable
Sex chromosome abnormality, male phenotype, unspecified
- Q99.0Billable
Chimera 46, XX/46, XY
- Q99.1Billable
46, XX true hermaphrodite
- Q99.2Billable
Fragile X chromosome
- Q99.811Billable
Usher syndrome, type 1
- Q99.812Billable
Usher syndrome, type 2
- Q99.813Billable
Usher syndrome, type 3
- Q99.818Billable
Other Usher syndrome
- Q99.819Billable
Usher syndrome, unspecified
- Q99.89Billable
Other specified chromosome abnormalities
- Q99.9Billable
Chromosomal abnormality, unspecified
- QA0.0101Billable
SCN2A-related neurodevelopmental disorder
- QA0.0102Billable
CACNA1A-related neurodevelopmental disorder
- QA0.0109Billable
Neurodevelopmental disorder related to pathogenic variant in other ion channel gene
- QA0.011Billable
Neurodevelopmental disorders, related to pathogenic variants in glutamate receptor genes
- QA0.012Billable
Neurodevelopmental disorders, related to pathogenic variants in other receptor genes
- QA0.0131Billable
SLC6A1-related disorder
- QA0.0139Billable
Neurodevelopmental disorder, related to pathogenic variant in other transporter or solute carrier gene
- QA0.0141Billable
Syntaxin-binding protein 1-related disorder
- QA0.0142Billable
DLG4-related synaptopathy
- QA0.0149Billable
Neurodevelopmental disorder, related to pathogenic variant in other synapse related gene
- QA0.0151Billable
FOXG1 syndrome
- QA0.0159Billable
Neurodevelopmental disorder, related to other genes associated with transcription and gene expression
- QA0.8Billable
Other neurodevelopmental disorders related to pathogenic variants in other specific genes
- S00.00XDBillable
Unspecified superficial injury of scalp, subsequent encounter
- S00.00XSBillable
Unspecified superficial injury of scalp, sequela
- S00.01XDBillable
Abrasion of scalp, subsequent encounter
- S00.01XSBillable
Abrasion of scalp, sequela
- S00.02XDBillable
Blister (nonthermal) of scalp, subsequent encounter
- S00.02XSBillable
Blister (nonthermal) of scalp, sequela
- S00.03XDBillable
Contusion of scalp, subsequent encounter
- S00.03XSBillable
Contusion of scalp, sequela
- S00.04XDBillable
External constriction of part of scalp, subsequent encounter
- S00.04XSBillable
External constriction of part of scalp, sequela
- S00.05XDBillable
Superficial foreign body of scalp, subsequent encounter
- S00.05XSBillable
Superficial foreign body of scalp, sequela
- S00.06XDBillable
Insect bite (nonvenomous) of scalp, subsequent encounter
- S00.06XSBillable
Insect bite (nonvenomous) of scalp, sequela
- S00.07XDBillable
Other superficial bite of scalp, subsequent encounter
- S00.07XSBillable
Other superficial bite of scalp, sequela
- S00.10XDBillable
Contusion of unspecified eyelid and periocular area, subsequent encounter
- S00.10XSBillable
Contusion of unspecified eyelid and periocular area, sequela
- S00.11XDBillable
Contusion of right eyelid and periocular area, subsequent encounter
- S00.11XSBillable
Contusion of right eyelid and periocular area, sequela
