Q91

Trisomy 18 and Trisomy 13

FY2027Chapter 17: Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders/Q90–Q99 Chromosomal abnormalities, not elsewhere classified

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

Q91 is a non-billable ICD-10-CM code category for trisomy 18 and Trisomy 13. 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 Q91.0 Trisomy 18, nonmosaicism (meiotic nondisjunction); Q91.1 Trisomy 18, mosaicism (mitotic nondisjunction); Q91.2 Trisomy 18, translocation; Q91.3 Trisomy 18, unspecified and 4 more. Its coding notes include 2 Excludes2 entries.

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

Excludes2

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

Also from chapter/block level (2 notes)
Inherited from Q90–Q99 Chromosomal abnormalities, not elsewhere classified
  • mitochondrial metabolic disorders (E88.4-)
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 Q91 8