Q55
Header — not billableOther congenital malformations of male genital organs
The ICD-10 code for other congenital malformations of male genital organs is Q55.
Q55 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 10 more specific codes below.
Clinical notes
Excludes1 (not coded here)
An Excludes1 note is a pure exclusion: the excluded condition and this code should never be reported together, because the two conditions cannot occur at the same time (e.g. a congenital form vs. an acquired form of the same disease).
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •Confirm the excluded condition(s) listed above are not also present — Excludes1 conditions cannot be coded together with this one.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Child codes under Q55
- Q55.0Absence and aplasia of testis
- Q55.1Hypoplasia of testis and scrotum
- Q55.2Other and unspecified congenital malformations of testis and scrotumnon-billable header
- Q55.3Atresia of vas deferens
- Q55.4Other congenital malformations of vas deferens, epididymis, seminal vesicles and prostate
- Q55.5Congenital absence and aplasia of penis
- Q55.6Other congenital malformations of penisnon-billable header
- Q55.7Congenital vasocutaneous fistula
- Q55.8Other specified congenital malformations of male genital organs
- Q55.9Congenital malformation of male genital organ, unspecified
Related codes in this category
- Q50Congenital malformations of ovaries, fallopian tubes and broad ligamentsnon-billable header
- Q51Congenital malformations of uterus and cervixnon-billable header
- Q52Other congenital malformations of female genitalianon-billable header
- Q53Undescended and ectopic testiclenon-billable header
- Q54Hypospadiasnon-billable header
- Q56Indeterminate sex and pseudohermaphroditismnon-billable header
- Q55Other congenital malformations of male genital organsnon-billable header