Valid for Submission
Q56.1 is a billable code used to specify a medical diagnosis of male pseudohermaphroditism, not elsewhere classified. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Q56.1 might also be used to specify conditions or terms like 3-oxo-5 alpha-steroid delta 4-dehydrogenase deficiency, 46,xy ovotesticular disorder of sex development, 46,xy partial gonadal dysgenesis, male pseudohermaphroditism, pseudohermaphroditism, rudimentary uterus in male, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
The code Q56.1 is applicable to male patients only. It is clinically and virtually impossible to use this code on a non-male patient.
|Short Description:||Male pseudohermaphroditism, not elsewhere classified|
|Long Description:||Male pseudohermaphroditism, not elsewhere classified|
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code Q56.1:
Inclusion Terms Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- 46, XY with streak gonads
- Male pseudohermaphroditism NOS
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code Q56.1 are found in the index:
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:
- Diagnoses for males only - Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, this code applies to MALES only
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- 3-Oxo-5 alpha-steroid delta 4-dehydrogenase deficiency
- 46,XY ovotesticular disorder of sex development
- 46,XY partial gonadal dysgenesis
- Male pseudohermaphroditism
- Rudimentary uterus in male
Diagnostic Related Groups
The ICD-10 code Q56.1 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2020 through 09/30/2020.
- 729 - OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC
- 730 - OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC
Present on Admission (POA)
Q56.1 is exempt from POA reporting - 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 diagnosis codes that are exempt from the POA reporting requirement.
CMS POA Indicator Options and Definitions
|POA Indicator Code||POA Reason for Code||CMS will pay the CC/MCC DRG?|
|Y||Diagnosis was present at time of inpatient admission.||YES|
|N||Diagnosis was not present at time of inpatient admission.||NO|
|U||Documentation insufficient to determine if the condition was present at the time of inpatient admission.||NO|
|W||Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.||YES|
|1||Unreported/Not used - Exempt from POA reporting. ||NO|
Convert Q56.1 to ICD-9
- 752.7 - Indeterminate sex (Approximate Flag)