ICD-10 Q53.11
Non-Billable HeaderAbdominal testis, unilateral
About ICD-10-CM Q53.11
ICD-10-CM code Q53.11 represents Abdominal testis, unilateral. This is a non-billable header code in the Congenital Malformations chapter (block Q53). The 2026 edition of ICD-10-CM Q53.11 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Medicare LCD Coverage for Q53.11
Local Coverage Determinations (LCDs) from CMS MACs that list Q53.11 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Q53.11.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but Q53.11 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with Q53.11
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert Q53.11 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| Q53.11 | 75251 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To Q53.11
Other codes in section Q50-Q56 (Congenital malformations of genital organs).
ICD-10 Q53.11, Billing FAQ
Is ICD-10 code Q53.11 billable? +
No, Q53.11 is a non-billable header code. Use a more specific child code from block Q53 when submitting claims.
What ICD-9 codes does Q53.11 map to? +
Per CMS GEMs, Q53.11 maps to ICD-9 codes: 75251. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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