Q90
Non-Billable

Down syndrome

Non-Billable / Non-Specific Code

What is Down syndrome?

ICD-10-CM Q90 is the diagnosis code for Down syndrome. This code falls under the section "Chromosomal abnormalities, not elsewhere classified" within Chapter 17 — Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

Coding Guidelines for Q90

Always refer to the official ICD-10-CM Tabular List for complete coding guidelines. Ensure documentation supports the specificity of the code selected. When in doubt, consult a certified medical coder or the latest CMS guidelines.

ICD-10-CM Code Hierarchy

Understanding where Q90 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 4 entries
Q90.0Trisomy 21, nonmosaicism (meiotic nondisjunction)BillableQ90.1Trisomy 21, mosaicism (mitotic nondisjunction)BillableQ90.2Trisomy 21, translocationBillableQ90.9Down syndrome, unspecifiedBillable
Related Codes

Frequently Asked Questions

Is Q90 a billable ICD-10-CM code?

No, Q90 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does Q90 mean?

Q90 is the ICD-10-CM diagnosis code for "Down syndrome". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What section is Q90 in?

Q90 is located in Section Q90-Q99 — "Chromosomal abnormalities, not elsewhere classified" within Chapter 17 of the ICD-10-CM Tabular List.

What are the sub-codes of Q90?

Q90 has 4 sub-code(s) that provide more specific detail: Q90.0, Q90.1, Q90.2, Q90.9.

When should I use Q90?

Use Q90 when the patients documented diagnosis matches "Down syndrome" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Down syndrome?

The ICD-10-CM code for Down syndrome is Q90.

Can Q90 be used for primary diagnosis?

No, Q90 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is Q90 in?

Q90 is in Chapter 17 of the ICD-10-CM Tabular List.

Is Q90 valid for 2026?

Yes, Q90 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousQ89.9Congenital malformation, unspecifiedNext →Q90.0Trisomy 21, nonmosaicism (meiotic nondisjunction)
Code Details
Q90
Down syndrome
Non-Billable / Non-Specific Code
17 — Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0)
Q90-Q99 — Chromosomal abnormalities, not elsewhere classified
2026 ICD-10-CM