2021 ICD-10-CM Code Q99.1
46, XX true hermaphrodite
Valid for Submission
Q99.1 is a billable diagnosis code used to specify a medical diagnosis of 46, xx true hermaphrodite. The code Q99.1 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code Q99.1 might also be used to specify conditions or terms like 46, xx true hermaphrodite, congenital anomaly of endocrine ovary, congenital anomaly of endocrine ovary, genitopalatocardiac syndrome, hermaphroditism , lung fibrosis, immunodeficiency, 46,xx gonadal dysgenesis syndrome, etc. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
Code Classification
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 Q99.1:
Inclusion Terms
Inclusion TermsThese 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, XX with streak gonads
- 46, XY with streak gonads
- Pure gonadal dysgenesis
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 Q99.1 are found in the index:
- - Anomaly, anomalous (congenital) (unspecified type) - Q89.9
- - chromosomes, chromosomal - Q99.9
- - sex
- - gonadal dysgenesis (pure) - Q99.1
- - sex
- - chromosomes, chromosomal - Q99.9
- - Dysgenesis
- - gonadal (due to chromosomal anomaly) - Q96.9
- - pure - Q99.1
- - gonadal (due to chromosomal anomaly) - Q96.9
- - Hermaphrodite, hermaphroditism (true) - Q56.0
- - 46,XX with streak gonads - Q99.1
- - 46,XY with streak gonads - Q99.1
- - Karyotype
- - 46,XX - Q98.3
- - hermaphrodite (true) - Q99.1
- - 46,XY
- - hermaphrodite (true) - Q99.1
- - 46,XX - Q98.3
- - Swyer syndrome - Q99.1
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- 46, XX true hermaphrodite
- Congenital anomaly of endocrine ovary
- Congenital anomaly of endocrine ovary
- Genitopalatocardiac syndrome
- Hermaphroditism
- Lung fibrosis, immunodeficiency, 46,XX gonadal dysgenesis syndrome
- Ovarian dysgenesis
- Ovarian dysgenesis
- Pure gonadal dysgenesis
- Pure gonadal dysgenesis
- Pure gonadal dysgenesis 46,XX
- Pure gonadal dysgenesis 46,XX
- Pure gonadal dysgenesis 46,XY
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code Q99.1 is grouped in the following groups for version MS-DRG V38.0 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 09/30/2021.
Present on Admission (POA)
Q99.1 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. 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 Q99.1 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code Q99.1 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.
- 758.81 - Oth cond due to sex chrm (Approximate Flag)
Information for Patients
Genetic Disorders
Genes are the building blocks of heredity. They are passed from parent to child. They hold DNA, the instructions for making proteins. Proteins do most of the work in cells. They move molecules from one place to another, build structures, break down toxins, and do many other maintenance jobs.
Sometimes there is a mutation, a change in a gene or genes. The mutation changes the gene's instructions for making a protein, so the protein does not work properly or is missing entirely. This can cause a medical condition called a genetic disorder.
You can inherit a gene mutation from one or both parents. A mutation can also happen during your lifetime.
There are three types of genetic disorders:
- Single-gene disorders, where a mutation affects one gene. Sickle cell anemia is an example.
- Chromosomal disorders, where chromosomes (or parts of chromosomes) are missing or changed. Chromosomes are the structures that hold our genes. Down syndrome is a chromosomal disorder.
- Complex disorders, where there are mutations in two or more genes. Often your lifestyle and environment also play a role. Colon cancer is an example.
Genetic tests on blood and other tissue can identify genetic disorders.
NIH: National Library of Medicine
- Genetics (Medical Encyclopedia)
[Learn More]
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)