Present on Admission Exempt ICD-10 Codes - Balanced rearrangements and structural markers, NEC (Q95)

The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific ICD-10 diagnosis codes that are exempt from the POA reporting requirement.

  • Q95.0 - Balanced translocation and insertion in normal individual
  • Q95.1 - Chromosome inversion in normal individual
  • Q95.2 - Balanced autosomal rearrangement in abnormal individual
  • Q95.3 - Balanced sex/autosomal rearrangement in abnormal individual
  • Q95.5 - Individual with autosomal fragile site
  • Q95.8 - Other balanced rearrangements and structural markers
  • Q95.9 - Balanced rearrangement and structural marker, unspecified