ICD-10 Q95
Non-Billable HeaderBalanced rearrangements and structural markers, not elsewhere classified
About ICD-10-CM Q95
ICD-10-CM code Q95 represents Balanced rearrangements and structural markers, not elsewhere classified. This is a non-billable header code in the Congenital Malformations chapter (block Q95). The 2026 edition of ICD-10-CM Q95 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.
Includes
- Robertsonian and balanced reciprocal translocations and insertions
Medicare LCD Coverage for Q95
Local Coverage Determinations (LCDs) from CMS MACs that list Q95 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 Q95.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but Q95 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with Q95
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.
Codes Adjacent To Q95
Other codes in section Q90-Q99 (Chromosomal abnormalities, not elsewhere classified).
ICD-10 Q95, Billing FAQ
Is ICD-10 code Q95 billable? +
No, Q95 is a non-billable header code. Use a more specific child code from block Q95 when submitting claims.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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