ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 Q91.0

Billable / Specific CC

Trisomy 18, nonmosaicism (meiotic nondisjunction)

Q91
Block
0
Synonyms
91
LCDs
5
Payer Policies
0
Linked CPTs

About ICD-10-CM Q91.0

ICD-10-CM code Q91.0 represents Trisomy 18, nonmosaicism (meiotic nondisjunction). This is a billable/specific code in the Congenital Malformations chapter (block Q91). The 2026 edition of ICD-10-CM Q91.0 became effective on October 1, 2025.

Coding Tips for Q91.0

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Inpatient DRG impact: CC

Q91.0 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.

Inpatient DRG Impact, CC

codes Trisomy 18, nonmosaicism (meiotic nondisjunction). As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for Q91.0

Local Coverage Determinations (LCDs) from CMS MACs that list Q91.0 as a covered diagnosis.

91 LCDs

Showing top 10 of 91 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT 93320 →
CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT 76376 →
CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT J0461 →
CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT 93306 →
CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT 93325 →
CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT J2785 →
CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT A9700 →
CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT Q9955 →
CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT 93352 →
CMS LCD: Billing and Coding: Transthoracic Echocardiography (TTE)
Article ID: 57306, Effective: 2025-11-06 00:00:00, 1168 covered, 0 non-covered
CPT J3490 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing Q91.0.

5 policies

3 Medicare

Billing and Coding: Transthoracic Echocardiography (TTE)
Policy ID: ART-56781
Billing and Coding: MRI and CT Scans of the Head and Neck
Policy ID: ART-57204
Billing and Coding: Transthoracic Echocardiography (TTE)
Policy ID: ART-57306

2 Aetna

Fetal Echocardiography and Magnetocardiography
Policy ID: CPB-0106
Invasive Prenatal Diagnosis of Genetic Diseases
Policy ID: CPB-0358

CPT Codes Commonly Billed with Q91.0

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for Q91.0

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 Q91.0 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
Q91.0 7582 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 Q91.0, Billing FAQ

Is ICD-10 code Q91.0 billable? +

Yes, Q91.0 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

Is Q91.0 a CC or MCC for inpatient DRG? +

Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.

What ICD-9 codes does Q91.0 map to? +

Per CMS GEMs, Q91.0 maps to ICD-9 codes: 7582. 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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