Valid for Submission
Q54.9 is a billable code used to specify a medical diagnosis of hypospadias, unspecified. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Q54.9 might also be used to specify conditions or terms like brachydactyly of hand, congenital hypoplasia of radius, generalized spacing of maxillary teeth, goldblatt wallis syndrome, guttmacher syndrome, hyperphalangy, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
The code Q54.9 is applicable to male patients only. It is clinically and virtually impossible to use this code on a non-male patient.
|Short Description:||Hypospadias, unspecified|
|Long Description:||Hypospadias, unspecified|
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code Q54.9 are found in the index:
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:
- Diagnoses for males only - Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, this code applies to MALES only
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Brachydactyly of hand
- Congenital hypoplasia of radius
- Generalized spacing of maxillary teeth
- Goldblatt Wallis syndrome
- Guttmacher syndrome
- Hypoplasia of radius
- Hypospadias and epispadias
- Lower limb malformation hypospadias syndrome
- Polydactyly of thumb
- Schmitt Gillenwater Kelly syndrome
- Spondylocostal dysostosis, hypospadias, intellectual disability syndrome
- Triphalangeal thumb
- HYPOSPADIAS-. a birth defect due to malformation of the urethra in which the urethral opening is below its normal location. in the male the malformed urethra generally opens on the ventral surface of the penis or on the perineum. in the female the malformed urethral opening is in the vagina.
Diagnostic Related Groups
The ICD-10 code Q54.9 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2019 through 09/30/2020.
- 729 - OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC
- 730 - OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC
Present on Admission (POA)
Q54.9 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here .
CMS POA Indicator Options and Definitions
|POA Indicator Code||POA Reason for Code||CMS will pay the CC/MCC DRG?|
|Y||Diagnosis was present at time of inpatient admission.||YES|
|N||Diagnosis was not present at time of inpatient admission.||NO|
|U||Documentation insufficient to determine if the condition was present at the time of inpatient admission.||NO|
|W||Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.||YES|
|1||Unreported/Not used - Exempt from POA reporting. ||NO|
Convert Q54.9 to ICD-9
- 752.61 - Hypospadias (Approximate Flag)
Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
Congenital malformations of genital organs (Q50-Q56)
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
(First year ICD-10-CM implemented into the HIPAA code set)
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020