2026 ICD-10-CM Diagnosis Code Q95.0Balanced translocation and insertion in normal individual

ICD-10-CM CodesQ00-Q99Q90-Q99Q95

ICD-10-CM Q95.0
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

Q95.0 is a billable ICD-10-CM diagnosis code for balanced translocation and insertion in normal individual. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 951. The code is exempt from POA reporting. Coders also document this condition as autosomal translocation. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Chromosomal abnormalities.

Code Identity

ICD-10-CM Code
Q95.0
Billable Status
Yes — Valid for Submission
Code Describes
Balanced translocation and insertion in normal individual
Short Description
Balanced translocation and insertion in normal individual
Same as the full description in the CMS dataset.
Parent Code
Balanced rearrangements and structural markers, not elsewhere classified

Code Classification

ChapterQ00-Q99Congenital malformations, deformations and chromosomal abnormalities
SectionQ90-Q99Chromosomal abnormalities, not elsewhere classified
CategoryQ95Balanced rearrangements and structural markers, not elsewhere classified
This CodeQ95.0Balanced translocation and insertion in normal individual

Present on Admission (POA)Billing

Q95.0 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Chromosomal abnormalities, not elsewhere classified (Q90-Q99).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Autosomal translocation
  • Balanced autosomal translocation
  • Balanced autosomal translocation in normal individual
  • Balanced rearrangement and structural marker
  • Balanced translocation and insertion in normal individual

Index to Diseases and InjuriesGuidance

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR MAL009
Chromosomal abnormalities
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

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.

The full article covers:

  • What are genetic disorders?
  • What causes genetic disorders?
  • What are the types of genetic disorders?
  • What are the different ways a genetic disorder can be inherited?
  • How are genetic disorders diagnosed?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert Q95.0 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
758.4 Balance autosom transloc
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About Q95.0Overview

What is the ICD-10 code for balanced translocation and insertion in normal individual?

The ICD-10-CM code for balanced translocation and insertion in normal individual is Q95.0 (sometimes written as Q950). It is billable on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Is Q95.0 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report balanced translocation and insertion in normal individual on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does Q95.0 group to?

When balanced translocation and insertion in normal individual is the principal diagnosis on an inpatient stay, it groups to MS-DRG 951 (other Factors Influencing Health Status), which carries a relative weight of 0.556. Higher weights mean higher Medicare reimbursement.

Is Q95.0 exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for balanced translocation and insertion in normal individual on inpatient claims. The code appears in the Chromosomal abnormalities, not elsewhere classified (Q90-Q99) range of the CMS exempt list.

What is the ICD-9 equivalent of Q95.0?

Under the General Equivalence Mappings, balanced translocation and insertion in normal individual converts to ICD-9-CM 758.4 (balance autosom transloc). The mapping is approximate, so confirm the match fits the documentation.