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Q96.2 ICD-10-CM Code: Karyotype 46, X with abnormal sex chromosome, except iso (Xq)

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FY 2026 Apr update / Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0) / Chromosomal abnormalities, not elsewhere classified (Q90-Q99)

Q96.2

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Karyotype 46, X with abnormal sex chromosome, except iso (Xq)

A chromosomal condition where a person has 46 chromosomes with an abnormal sex chromosome that is not an isochromosome, causing Turner's syndrome features.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

HCC 97

Varies by metal level

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
Q96Turner's syndrome
Q96.2Karyotype 46, X with abnormal sex chromosome, except iso (Xq)

Inclusion Terms

Official
  • Karyotype 46, X with abnormal sex chromosome, except isochromosome Xq

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for Q96.2 in this effective period.

Related Child Codes

Official
Q96.0Karyotype 45, X
Q96.1Karyotype 46, X iso (Xq)
Q96.3Mosaicism, 45, X/46, XX or XY
Q96.4Mosaicism, 45, X/other cell line(s) with abnormal sex chromosome
Q96.8Other variants of Turner's syndrome

Includes

Official

ICD-10-CM does not list Includes notes for Q96.2 in this effective period.

Excludes 1

Official
  • Noonan syndrome (Q87.19)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for Q96.2 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for Q96.2 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for Q96.2 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
This code excludes isochromosome Xq (Q96.1); verify the specific chromosomal abnormality from genetic testing
Document the exact nature of the sex chromosome abnormality in the medical record for clarity

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is Q96.2 an HCC code?

No. Q96.2 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
Q96.2
Description
Karyotype 46, X with abnormal sex chromosome, except iso (Xq)
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
Yes
Payment year
2026

Coder workflow notes

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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Q96.2 is the ICD-10-CM diagnosis code for karyotype 46, x with abnormal sex chromosome, except iso (xq). A chromosomal condition where a person has 46 chromosomes with an abnormal sex chromosome that is not an isochromosome, causing Turner's syndrome features. Q96.2 sits in the ICD-10-CM chapter for congenital malformations, deformations and chromosomal abnormalities (q00-qa0), within the section covering chromosomal abnormalities, not elsewhere classified (q90-q99).

Q96.2 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

This code excludes isochromosome Xq (Q96.1); verify the specific chromosomal abnormality from genetic testing.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Q96.2 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This code excludes isochromosome Xq (Q96.1); verify the specific chromosomal abnormality from genetic testing
  • Document the exact nature of the sex chromosome abnormality in the medical record for clarity

Child Codes

Code Hierarchy

Q96Turner's syndromeQ96.2Karyotype 46, X with abnormal sex chromosome, except iso (Xq)
Q96.2Karyotype 46, X with abnormal sex chromosome, except iso (Xq)

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