Q56.1 — Male pseudohermaphroditism, not elsewhere classified
Is Q56.1 billable?
Yes, but Q56.1 is an unspecified code. Q56.1 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, Q56.1 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting Q56.1 — the more specific alternatives are listed below.
Q56.1 at a glance
| Code | Q56.1 |
|---|---|
| Description | Male pseudohermaphroditism, not elsewhere classified |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does Q56.1 group to?
Q56.1 sits in MDC 12 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 729Other Male Reproductive System Diagnoses with CC/MCCmedical
- 730Other Male Reproductive System Diagnoses without CC/MCCmedical
How is Q56.1 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to Q56.1. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Pseudohermaphroditism › male
- Karyotype › 46,XY › with streak gonads
- Pseudohermaphroditism › male › without gonadal disorder
- Rudimentary › uterus › in male (congenital)
- Pseudohermaphroditism › male › with › cleft scrotum
Inclusion terms
Alternative wording in documentation that is classified to Q56.1.
- 46, XY with streak gonads
- Male pseudohermaphroditism NOS
Excludes1 — never code together — inherited from Q50-Q56
The conditions below can never be reported together with Q56.1 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes1 — never code together — inherited from Q56
The conditions below can never be reported together with Q56.1 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes2 — not included here — inherited from Chapter 17
The conditions below are not part of Q56.1, but a patient may have both at the same time. When documentation supports it, Q56.1 and the excluded code may both be reported.
- inborn errors of metabolism (E70-E88)
How long has Q56.1 existed?
Q56.1 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.