2026 ICD-10-CM Diagnosis Code Q95.9Balanced rearrangement and structural marker, unspecified

ICD-10-CM Codes›Q00-Q99›Q90-Q99›Q95

ICD-10-CM Q95.9
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

Q95.9 is a billable ICD-10-CM diagnosis code for balanced rearrangement and structural marker, unspecified. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is exempt from POA reporting. Coders also document this condition as balanced rearrangement and structural marker. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Chromosomal abnormalities.

Code Identity

ICD-10-CM Code
Q95.9
Billable Status
Yes — Valid for Submission
Code Describes
Balanced rearrangement and structural marker, unspecified
Short Description
Balanced rearrangement and structural marker, unspecified
Same as the full description in the CMS dataset.
Parent Code
Q95
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 CodeQ95.9Balanced rearrangement and structural marker, unspecified

Present on Admission (POA)Billing

Q95.9 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Balanced rearrangement and structural marker
  • Balanced translocation of chromosome

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Rearrangement
      • chromosomal
        • balanced (in)
    • Translocation
      • balanced autosomal

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 Q95.9 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 Q95.9Overview

Is Q95.9 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report balanced rearrangement and structural marker, unspecified on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Is Q95.9 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 rearrangement and structural marker, unspecified on inpatient claims.

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

Under the General Equivalence Mappings, balanced rearrangement and structural marker, unspecified converts to ICD-9-CM 758.4 (balance autosom transloc). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.