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

ICD-10 Q99.1

Billable / Specific

46, XX true hermaphrodite

Q99
Block
3
Synonyms
0
LCDs
0
Payer Policies
0
Linked CPTs

About ICD-10-CM Q99.1

ICD-10-CM code Q99.1 represents 46, XX true hermaphrodite. This is a billable/specific code in the Congenital Malformations chapter (block Q99). The 2026 edition of ICD-10-CM Q99.1 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under Q99.1. Per CMS ICD-10-CM Tabular 2026.

  • 46, XX with streak gonads
  • 46, XY with streak gonads
  • Pure gonadal dysgenesis

Medicare LCD Coverage for Q99.1

Local Coverage Determinations (LCDs) from CMS MACs that list Q99.1 as a covered diagnosis.

No Medicare LCDs reference Q99.1 as covered

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 Q99.1.

No commercial payer policies reference Q99.1 on file

Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but Q99.1 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.

CPT Codes Commonly Billed with Q99.1

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

No procedure linkages on file for Q99.1

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 Q99.1 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
Q99.1 75881 10000

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

ICD-10 Q99.1, Billing FAQ

Is ICD-10 code Q99.1 billable? +

Yes, Q99.1 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to Q99.1? +

ICD-10 Q99.1 includes: 46, XX with streak gonads; 46, XY with streak gonads; Pure gonadal dysgenesis.

What ICD-9 codes does Q99.1 map to? +

Per CMS GEMs, Q99.1 maps to ICD-9 codes: 75881. 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 July 16, 2026.

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