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v1.0.0
ICD-10 Guide
ICD-10 CodesQ56.2

Q56.2

Billable

Female pseudohermaphroditism, not elsewhere classified

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 Q56.2 is a billable code used to indicate a diagnosis of female pseudohermaphroditism, not elsewhere classified.

Key Diagnostic Point:

Female pseudohermaphroditism is a condition characterized by the presence of female external genitalia in individuals with a male chromosomal pattern (typically 46,XY). This condition arises from various factors, including androgen exposure during fetal development, which can lead to ambiguous genitalia or the development of male characteristics in genetically female individuals. Congenital malformations associated with this condition may include hypospadias, where the urethral opening is located on the underside of the penis, and cryptorchidism, where one or both testes fail to descend into the scrotum. Uterine malformations may also be present, affecting reproductive health. Accurate diagnosis often requires a multidisciplinary approach, including genetic testing and imaging studies to assess the anatomy of the genital tract. The complexity of this condition lies in its varied presentations and the need for thorough clinical evaluation to determine the underlying cause and appropriate management.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Variability in clinical presentation and associated conditions
  • Need for genetic testing and interpretation of results
  • Differential diagnosis with other intersex conditions
  • Documentation of multidisciplinary evaluations

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to capture associated congenital anomalies
  • Misclassification of ambiguous genitalia
  • Lack of genetic testing documentation

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed growth and development assessments, including physical examinations and any surgical interventions.

Common Clinical Scenarios

Evaluation of newborns with ambiguous genitalia, management of hypospadias repair, and follow-up for cryptorchidism.

Billing Considerations

Consideration of psychosocial aspects and parental counseling regarding the condition.

Genetics

Documentation Requirements

Genetic testing results, family history, and any chromosomal analysis performed.

Common Clinical Scenarios

Genetic counseling for families with a history of intersex conditions and interpretation of karyotype results.

Billing Considerations

Understanding the implications of genetic findings on management and prognosis.

Coding Guidelines

Inclusion Criteria

Use Q56.2 When
  • Follow the official ICD
  • CM guidelines for coding congenital conditions, ensuring accurate documentation of the clinical scenario and any associated anomalies

Exclusion Criteria

Do NOT use Q56.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54300CPT Code

Hypospadias repair

Clinical Scenario

Used in cases where surgical intervention is required for hypospadias associated with pseudohermaphroditism.

Documentation Requirements

Detailed operative notes and pre-operative assessments.

Specialty Considerations

Pediatric urology may be involved in the surgical management.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    American Academy of Pediatrics - Guidelines on Intersex Conditions

Coding & Billing References

  • •
    American Academy of Pediatrics - Guidelines on Intersex Conditions

Frequently Asked Questions

What is the significance of coding Q56.2 accurately?

Accurate coding of Q56.2 is crucial for appropriate management and treatment planning for patients with female pseudohermaphroditism. It ensures that healthcare providers can track outcomes, allocate resources effectively, and provide necessary support for affected individuals and their families.