2022 ICD-10-CM Code Q96.9
Turner's syndrome, unspecified
Code Classification
Q96.9 is a billable diagnosis code used to specify a medical diagnosis of turner's syndrome, unspecified. The code Q96.9 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code Q96.9 might also be used to specify conditions or terms like congenital anomaly of endocrine ovary, genetic mosaic, gonadal dysgenesis, gonadal dysgenesis with auditory dysfunction, autosomal recessive inheritance, monosomy x , mosaic turner syndrome, etc. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
The code Q96.9 is applicable to female patients only. It is clinically and virtually impossible to use this code on a non-female patient.
Unspecified diagnosis codes like Q96.9 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
Entries in the Index to Diseases and Injuries with references to Q96.9
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 Q96.9 are found in the index:
- - Deficiency, deficient
- - short stature homeobox gene (SHOX)
- - with
- - Turner's syndrome - Q96.9
- - with
- - short stature homeobox gene (SHOX)
- - Dysgenesis
- - gonadal (due to chromosomal anomaly) - Q96.9
- - Morgagni-Turner (-Albright) syndrome - Q96.9
- - Turner-Ullrich syndrome - Q96.9
- - XO syndrome - Q96.9
Code Edits
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 females only - The Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, these edits apply to FEMALES only .
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Congenital anomaly of endocrine ovary
- Genetic mosaic
- Gonadal dysgenesis
- Gonadal dysgenesis with auditory dysfunction, autosomal recessive inheritance
- Monosomy X
- Mosaic Turner syndrome
- Ovarian dysgenesis
- Turner syndrome
Clinical Information
- NOONAN SYNDROME-. a genetically heterogeneous multifaceted disorder characterized by short stature webbed neck ptosis skeletal malformations hypertelorism hormonal imbalance cryptorchidism multiple cardiac abnormalities most commonly including pulmonary valve stenosis and some degree of intellectual disability. the phenotype bears similarities to that of turner syndrome that occurs only in females and has its basis in a 45 x karyotype abnormality. noonan syndrome occurs in both males and females with a normal karyotype 46xx and 46xy. mutations in a several genes ptpn11 kras sos1 nf1 and raf1 have been associated the ns phenotype. mutations in ptpn11 are the most common. leopard syndrome a disorder that has clinical features overlapping those of noonan syndrome is also due to mutations in ptpn11. in addition there is overlap with the syndrome called neurofibromatosis noonan syndrome due to mutations in nf1.
- TURNER SYNDROME-. a syndrome of defective gonadal development in phenotypic females associated with the karyotype 45x or 45xo. patients generally are of short stature with undifferentiated gonads streak gonads sexual infantilism hypogonadism webbing of the neck cubitus valgus elevated gonadotropins decreased estradiol level in blood and congenital heart defects. noonan syndrome also called pseudo turner syndrome and male turner syndrome resembles this disorder; however it occurs in males and females with a normal karyotype and is inherited as an autosomal dominant.
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code Q96.9 is grouped in the following groups for version MS-DRG V39.0 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 10/01/2021 through 09/30/2022.
| MS-DRG | MS-DRG Title | MCD | Relative Weight |
|---|---|---|---|
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | 13 | 1.717 |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | 13 | 1.1323 |
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Present on Admission (POA)
Q96.9 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. Review other POA exempt codes here.
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 Q96.9 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code Q96.9 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
- 758.6 - Gonadal dysgenesis (Approximate Flag)
Information for Patients
Turner Syndrome
Turner syndrome is a genetic disorder that affects a girl's development. The cause is a missing or incomplete X chromosome. Girls who have it are short, and their ovaries don't work properly.
Other physical features typical of Turner syndrome are
- Short, "webbed" neck with folds of skin from tops of shoulders to sides of neck
- Low hairline in the back
- Low-set ears
- Swollen hands and feet
Most women with Turner syndrome are infertile. They are at risk for health difficulties such as high blood pressure, kidney problems, diabetes, cataracts, osteoporosis, and thyroid problems.
Doctors diagnose Turner syndrome based on symptoms and a genetic test. Sometimes it is found in prenatal testing. There is no cure for Turner syndrome, but there are some treatments for the symptoms. Growth hormone often helps girls reach heights that are close to average. Hormone replacement can help start sexual development. Assisted reproduction techniques can help some women with Turner syndrome get pregnant.
NIH: National Institute of Child Health and Human Development
[Learn More in MedlinePlus]
Turner syndrome
Turner syndrome is a chromosomal condition that affects development in females. The most common feature of Turner syndrome is short stature, which becomes evident by about age 5. An early loss of ovarian function (ovarian hypofunction or premature ovarian failure) is also very common. The ovaries develop normally at first, but egg cells (oocytes) usually die prematurely and most ovarian tissue degenerates before birth. Many affected girls do not undergo puberty unless they receive hormone therapy, and most are unable to conceive (infertile). A small percentage of females with Turner syndrome retain normal ovarian function through young adulthood.
About 30 percent of females with Turner syndrome have extra folds of skin on the neck (webbed neck), a low hairline at the back of the neck, puffiness or swelling (lymphedema) of the hands and feet, skeletal abnormalities, or kidney problems. One third to one half of individuals with Turner syndrome are born with a heart defect, such as a narrowing of the large artery leaving the heart (coarctation of the aorta) or abnormalities of the valve that connects the aorta with the heart (the aortic valve). Complications associated with these heart defects can be life-threatening.
Most girls and women with Turner syndrome have normal intelligence. Developmental delays, nonverbal learning disabilities, and behavioral problems are possible, although these characteristics vary among affected individuals.
[Learn More in MedlinePlus]
Related Codes
| ICD Code | Description | Valid for Submission |
|---|---|---|
| Q96 | Turner's syndrome | NON-BILLABLE CODE |
| Q96.0 | Karyotype 45, X | BILLABLE CODE |
| Q96.1 | Karyotype 46, X iso (Xq) | BILLABLE CODE |
| Q96.2 | Karyotype 46, X with abnormal sex chromosome, except iso (Xq) | BILLABLE CODE |
| Q96.3 | Mosaicism, 45, X/46, XX or XY | BILLABLE CODE |
| Q96.4 | Mosaicism, 45, X/other cell line(s) with abnormal sex chromosome | BILLABLE CODE |
| Q96.8 | Other variants of Turner's syndrome | BILLABLE CODE |
Code History
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)
