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    v1.0.28
    OpenPayerBilling CodesChromosomal abnormalities, not elsewhere classifiedICD-10-CM q95-balanced-rearrangements-and-structural-markers
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    ICD-10-CM Code For Balanced Rearrangements And Structural Markers Not Elsewhere Classified: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group Q95 includes balanced chromosomal rearrangements and structural marker chromosomes that do not fit into other specified chromosomal abnormality categories, covering diagnoses such as balanced translocations, inversions, and unidentified marker chromosomes. These ICD-10-CM diagnosis codes are used to document genetic and congenital chromosomal structural anomalies, capturing clinical complexity related to developmental anomalies, multisystem involvement, or prenatal findings. Accurate coding within the ICD-10-CM Q95 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM Q95: Balanced Rearrangements And Structural Markers, Not Elsewhere Classified Overview

    This group represents chromosomal structural abnormalities such as balanced translocations, inversions, and marker chromosomes that are not classified elsewhere. These conditions target genetic and congenital disorders affecting development and multiple organ systems depending on the rearrangement. Accurate coding matters for correct classification of genetic diagnoses and can affect reimbursement tied to documented congenital and chromosomal conditions.

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    When to Use

    Use a code from this group when a clinically recognized balanced chromosomal rearrangement or structural marker chromosome has been documented and there is no more specific ICD-10-CM category. These codes apply to cases identified through cytogenetic testing, prenatal diagnosis, or clinical genetic evaluation when the rearrangement is responsible for clinical findings or is noted as part of the medical record.

    ICD-10-CM Codes

    7 rows

    ICD-10-CM CodeDescription
    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

    DRG Codes

    1 rows

    DRG CodeDescription
    951Other Factors Influencing Health Status

    Related Codes

    Q90-DOWN-SYNDROME

    ICD-10-CM Code For Down Syndrome: Group Overview

    Q91-TRISOMY-18-AND-TRISOMY-13

    ICD-10-CM Code For Trisomy 18 And Trisomy 13: Group Overview

    Q92-OTHER-TRISOMIES-AND-PARTIAL-TRISOMIES

    ICD-10-CM Code For Other Trisomies And Partial Trisomies Of The Autosomes Not Elsewhere Classified: Group Overview

    Q93-MONOSOMIES-AND-DELETIONS

    ICD-10-CM Code For Monosomies And Deletions From The Autosomes Not Elsewhere Classified: Group Overview

    Q96-TURNERS-SYNDROME

    ICD-10-CM Code For Turner's Syndrome: Group Overview

    Q97-OTHER-SEX-CHROMOSOME-ABNORMALITIES-FEMALE-PHENOTYPE

    ICD-10-CM Code For Other Sex Chromosome Abnormalities Female Phenotype Not Elsewhere Classified: Group Overview

    Q98-OTHER-SEX-CHROMOSOME-ABNORMALITIES-MALE-PHENOTYPE

    ICD-10-CM Code For Other Sex Chromosome Abnormalities Male Phenotype Not Elsewhere Classified: Group Overview

    Q99-OTHER-CHROMOSOME-ABNORMALITIES-NOT-ELSEWHERE-CLASSIFIED

    ICD-10-CM Code For Other Chromosome Abnormalities, Not Elsewhere Classified: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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