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ICD-10 Guide
ICD-10 CodesChapter 17: Congenital malformations and chromosomal abnormalitiesQ96

Q96

Non-billable

Turner's syndrome

Chapter 17:Congenital malformations and chromosomal abnormalities

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 Q96 is a used to indicate a diagnosis of turner's syndrome.

Key Diagnostic Point:

Turner's syndrome, classified under ICD-10 code Q96, is a chromosomal condition that affects females, characterized by the partial or complete absence of one of the two X chromosomes. This genetic disorder leads to a variety of developmental and physical features, including short stature, delayed puberty, and infertility. Individuals with Turner's syndrome may also exhibit other health issues such as heart defects, kidney abnormalities, and hearing problems. The clinical significance of this condition lies in its multifaceted impact on the patient's health and development, necessitating a comprehensive approach to management and care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Genetic testing complexity
  • Variability in clinical presentation
  • Need for multidisciplinary care

Audit Risk Factors

  • Inadequate documentation of associated conditions
  • Misclassification of severity
  • Failure to update patient records with new findings

Specialty Focus

Medical Specialties

Genetics

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Pediatrics

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical impact of the Q96 code category is significant, as it aids in identifying and managing Turner's syndrome, which can lead to improved patient outcomes through early intervention and tailored healthcare strategies. Administratively, accurate coding is crucial for tracking health trends and resource allocation for affected populations. As awareness of genetic disorders grows, healthcare providers are increasingly focusing on quality measures related to Turner's syndrome, emphasizing the importance of comprehensive care and monitoring for associated health risks.

ICD-9 vs ICD-10

The clinical impact of the Q96 code category is significant, as it aids in identifying and managing Turner's syndrome, which can lead to improved patient outcomes through early intervention and tailored healthcare strategies. Administratively, accurate coding is crucial for tracking health trends and resource allocation for affected populations. As awareness of genetic disorders grows, healthcare providers are increasingly focusing on quality measures related to Turner's syndrome, emphasizing the importance of comprehensive care and monitoring for associated health risks.

Reimbursement & Billing Impact

reimbursement. Providers should include comprehensive details about the patient's condition, including any associated health issues that may affect treatment and management. It is essential to use the appropriate CPT codes for consultations, genetic testing, and any other relevant services to facilitate reimbursement from payers. Additionally, understanding payer-specific guidelines can help avoid claim denials and ensure timely payment for services rendered.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for Q96

Coding & Billing References

  • •
    Official ICD-10 Guidelines for Q96

Frequently Asked Questions

What conditions are included in Q96?

Q96 encompasses Turner's syndrome and its related manifestations, including short stature, ovarian insufficiency, and various congenital anomalies.

When should I use Q96 codes?

Q96 codes should be used when diagnosing Turner's syndrome or when documenting related health issues that stem from this genetic condition.

What documentation is required for Q96?

Documentation should include genetic testing results, clinical findings, and any associated health conditions to support the diagnosis of Turner's syndrome.