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    OpenPayerBilling CodesCongenital malformations of genital organsICD-10-CM q54-hypospadias
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    ICD-10-CM Code For Hypospadias: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group Q54 includes congenital malformations of the male urethra in which the urinary meatus opens on the underside of the penis, scrotum, or perineum, covering subtypes and anatomical variants of hypospadias. These ICD-10-CM diagnosis codes are used to document presentations ranging from glandular to penoscrotal hypospadias, capturing anatomical location and severity relevant to surgical planning and follow-up. Accurate coding within the ICD-10-CM Q54 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM Q54: Hypospadias Overview

    The ICD-10-CM Q54 group represents congenital malformations of the male urethra where the urethral opening is located on the ventral surface of the penis, scrotum, or perineum. These diagnoses target the genitourinary system and are relevant to pediatric urology and congenital anomaly reporting. Accurate coding is important for clinical documentation, surgical planning, and appropriate reimbursement for corrective procedures.

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    When to Use

    Use a code from this group when documenting a diagnosed case of hypospadias with specification of the meatal location or subtype. These codes are applied during initial diagnosis, surgical correction, and follow-up encounters related to the congenital anomaly.

    ICD-10-CM Codes

    7 rows

    ICD-10-CM CodeDescription
    Q54.0Hypospadias, balanic
    Q54.1Hypospadias, penile
    Q54.2Hypospadias, penoscrotal
    Q54.3Hypospadias, perineal
    Q54.4Congenital chordee
    Q54.8Other hypospadias
    Q54.9Hypospadias, unspecified

    DRG Codes

    2 rows

    DRG CodeDescription
    729Other Male Reproductive System Diagnoses with CC/MCC
    730Other Male Reproductive System Diagnoses without CC/MCC

    Typical Clinical Scenarios

    • A newborn male is noted on initial neonatal exam to have an ectopic urethral meatus located on the ventral shaft of the penis without associated chordee; the infant is referred to pediatric urology for evaluation and possible surgical repair. A congenital malformation of the urethral opening is documented as the primary genital anomaly, and a code from this group is assigned to capture the specific location of the hypospadias. Typical codes: Q54.0, Q54.2
    • A 2-year-old boy with a history of proximal urethral opening and significant ventral curvature presents for planned corrective reconstruction because of urinary spraying and difficulty with toilet training; preoperative assessment and imaging are performed. This ongoing congenital condition requiring staged surgical management and follow-up is coded to reflect the proximal location and severity of the hypospadias. Typical codes: Q54.1, Q54.3
    • An adolescent male with previously repaired distal hypospadias now presents with urethral fistula and recurrent meatal stenosis after prior surgery, complaining of dysuria and recurrent urinary tract infections. The visit documents a complication of the original congenital malformation and the need for revision surgery, so a code from this group is used along with any applicable complication codes in the chart. Typical codes: Q54.4, Q54.8}

    Related Codes

    Q50-CONGENITAL-MALFORMATIONS-OF-OVARIES

    ICD-10-CM Code For Congenital Malformations Of Ovaries Fallopian Tubes And Broad Ligaments: Group Overview

    Q51-CONGENITAL-MALFORMATIONS-OF-UTERUS-AND-CERVIX

    ICD-10-CM Code For Congenital Malformations Of Uterus And Cervix: Group Overview

    Q52-OTHER-CONGENITAL-MALFORMATIONS-FEMALE-GENITALIA

    ICD-10-CM Code For Other Congenital Malformations Of Female Genitalia: Group Overview

    Q53-UNDESCENDED-AND-ECTOPIC-TESTICLE

    ICD-10-CM Code For Undescended And Ectopic Testicle: Group Overview

    Q55-OTHER-CONGENITAL-MALE-GENITAL-MALFORMATIONS

    ICD-10-CM Code For Other Congenital Malformations Of Male Genital Organs: Group Overview

    Q56-INDETERMINATE-SEX-AND-PSEUDOHERMAPHRODITISM

    ICD-10-CM Code For Indeterminate Sex And Pseudohermaphroditism: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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