Q56

Indeterminate sex and pseudohermaphroditism

FY2027Chapter 17: Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders/Q50–Q56 Congenital malformations of genital organs

Non-billable headerNot valid on its own. Use one of the more specific codes under it.

Q56 is a non-billable ICD-10-CM code category for indeterminate sex and pseudohermaphroditism. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are Q56.0 Hermaphroditism, not elsewhere classified; Q56.1 Male pseudohermaphroditism, not elsewhere classified; Q56.2 Female pseudohermaphroditism, not elsewhere classified; Q56.3 Pseudohermaphroditism, unspecified and 1 more. Its coding notes include 8 Excludes1 entries and 1 Excludes2 entry.

Guidelines tip

From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.

Chapter 17 codes can be used for life. Manifestations that are an inherent part of a specifically coded anomaly are not coded separately. A corrected malformation is reported with a personal history code.

Guidelines I.C.17Congenital malformations and genetic disordersRead the official text

Excludes1

Not coded here. The listed conditions generally should not be reported together.

This code
  • 46,XX true hermaphrodite (Q99.1)
  • androgen insensitivity syndrome (E34.5-)
  • chimera 46,XX/46,XY true hermaphrodite (Q99.0)
  • female pseudohermaphroditism with adrenocortical disorder (E25.-)
  • pseudohermaphroditism with specified chromosomal anomaly (Q96-Q99)
  • pure gonadal dysgenesis (Q99.1)
Also from chapter/block level (2 notes)
Inherited from Q50–Q56 Congenital malformations of genital organs
  • androgen insensitivity syndrome (E34.5-)
  • syndromes associated with anomalies in the number and form of chromosomes (Q90-Q99)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Also from chapter/block level (1 note)
Inherited from Chapter 17 Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders
  • inborn errors of metabolism (E70-E88)

Notes

Also from chapter/block level (1 note)
Inherited from Chapter 17 Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders
  • Codes from this chapter are not for use on maternal records

More specific codes under Q56 5