2027 ICD-10-CM Diagnosis Code Q54.3Hypospadias, perineal

ICD-10-CM Codes›Q00-Q99›Q50-Q56›Q54

ICD-10-CM Q54.3
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

Q54.3 is a billable ICD-10-CM diagnosis code for hypospadias, perineal. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 729 through 730. The code is exempt from POA reporting. Coders also document this condition as perineal hypospadias. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Genitourinary congenital anomalies.

Code Identity

ICD-10-CM Code
Q54.3
Billable Status
Yes — Valid for Submission
Code Describes
Hypospadias, perineal
Short Description
Hypospadias, perineal
Same as the full description in the CMS dataset.
Parent Code
Q54
Hypospadias

Code Classification

ChapterQ00-Q99Congenital malformations, deformations and chromosomal abnormalities
SectionQ50-Q56Congenital malformations of genital organs
CategoryQ54Hypospadias
This CodeQ54.3Hypospadias, perineal

Present on Admission (POA)Billing

Q54.3 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Congenital malformations of genital organs (Q50-Q56).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Perineal hypospadias
  • Posterior hypospadias

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to Q54.3: its own notes plus those printed at Q54, block Q50-Q56, and Chapter 17. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From Q54 Hypospadias applies to 7 codes
From Block Q50-Q56 Congenital malformations of genital organs applies to 91 codes
  • androgen insensitivity syndrome (E34.5-)
  • syndromes associated with anomalies in the number and form of chromosomes (Q90-Q99)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Chapter 17 (Q00-QA1) Congenital malformations, deformations and chromosomal abnormalities applies to 900 codes
  • inborn errors of metabolism (E70-E88)

Notes

General instructions on how these codes are used.

From Chapter 17 (Q00-QA1) Congenital malformations, deformations and chromosomal abnormalities applies to 900 codes
  • Codes from this chapter are not for use on maternal records

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name Q54.3, its category, or a range that includes it.

Excludes1 2

These codes carry an Excludes1 note naming Q54.3: they are not reported together with it, unless the two conditions are unrelated.

  • Q55 Other congenital malformations of male genital organs
    hypospadias (Q54.-) names Q54.-, which includes this code
  • Q64.0 Epispadias
    hypospadias (Q54.-) names Q54.-, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR MAL003
Genitourinary congenital anomalies
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • 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.

Patient EducationClinical

Penis Disorders

Problems with the penis can cause pain and affect a man's sexual function and fertility. Penis disorders include:

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert Q54.3 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
752.61 Hypospadias
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About Q54.3Overview

What is the ICD-10 code for hypospadias, perineal?

The ICD-10-CM code for hypospadias, perineal is Q54.3 (sometimes written as Q543). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is Q54.3 (Hypospadias) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report hypospadias, perineal on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does Q54.3 group to?

When hypospadias, perineal is the principal diagnosis on an inpatient stay, it groups to MS-DRG 729, 730, with relative weights from 0.6595 to 1.0553 depending on complications. Higher weights mean higher Medicare reimbursement.

Is Q54.3 exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for hypospadias, perineal on inpatient claims. The code appears in the Congenital malformations of genital organs (Q50-Q56) range of the CMS exempt list.

Can Q54.3 be reported with Q64.0?

Not as a rule. The Excludes1 note at Q54, which applies to Q54.3, lists "epispadias (Q64.0)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).