Question 1

What is ICD-10 code Q99.89?

Accepted Answer

Q99.89 is the ICD-10-CM diagnosis code for other specified chromosome abnormalities. Various rare chromosomal abnormalities that do not fit into other specific chromosome disorder categories. Q99.89 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).

Q99.89 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 is a catch-all code; use only when a specific chromosome abnormality code is not available.

Question 2

Is Q99.89 an HCC code?

Accepted Answer

No. Q99.89 is a billable ICD-10-CM code but does not map to any payment HCC category under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can still be reported on Medicare Advantage encounter data submissions, but it does not contribute to the beneficiary's Risk Adjustment Factor (RAF) score and therefore does not affect the risk-adjusted capitation payment to the plan. V28 reached 100% phase-in for payment year 2026.

Question 3

Is Q99.89 billable?

Accepted Answer

Yes. Q99.89 is a billable ICD-10-CM code that can be reported on professional and institutional claims as a primary or secondary diagnosis when the provider documentation supports the specific condition described. Billable codes in ICD-10-CM are coded to the highest level of specificity available for the documented diagnosis. Q99.89 is current for fiscal year 2026 and remains in the active CMS ICD-10-CM code set published by the National Center for Health Statistics.

Question 4

What is the V28 vs V24 difference for Q99.89?

Accepted Answer

Q99.89 does not map to a payment HCC under either the CMS-HCC V28 risk adjustment model or the older V24 model. V28 reached 100% phase-in for payment year 2026, replacing V24 which was used during the PY2024–PY2025 transition. Because neither community model rewards Q99.89 with a risk adjustment factor, it contributes zero to a Medicare Advantage beneficiary's V28/V24 community RAF score in either version. Coders should check whether provider documentation supports a more specific child code that does map to a community payment HCC.

Question 5

What should coders know when reporting Q99.89?

Accepted Answer

This is a catch-all code; use only when a specific chromosome abnormality code is not available Provide detailed documentation of the specific chromosomal finding to support medical necessity and allow for future code specificity

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Q99.89

Is Q99.89 an HCC code?

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Q99.89 ICD-10-CM Code: Other specified chromosome abnormalities

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Q99.89

Is Q99.89 an HCC code?

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What This Code Means

Coding Tips

Child Codes

Code Hierarchy

Q99.89 code history

Work Q99.89 in HCC Buddy