Q55.4 - Other congenital malformations of vas deferens, epididymis, seminal vesicles and prostate
ICD-10: | Q55.4 |
Short Description: | Oth congen malform of vas def,epidid, semnl vescl & prostate |
Long Description: | Other congenital malformations of vas deferens, epididymis, seminal vesicles and prostate |
Status: | Valid for Submission |
Version: | ICD-10-CM 2023 |
Code Classification: |
Q55.4 is a billable ICD-10 code used to specify a medical diagnosis of other congenital malformations of vas deferens, epididymis, seminal vesicles and prostate. The code is valid during the fiscal year 2023 from October 01, 2022 through September 30, 2023 for the submission of HIPAA-covered transactions. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
This code is applicable to male patients only. It is clinically and virtually impossible to use this code on a non-male patient.
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Agenesis of epididymis
- Aplasia of spermatic cord
- Congenital absence of epididymis
- Congenital absence of prostate
- Congenital absence of seminal vesicle
- Congenital absence of spermatic cord
- Congenital absence of vas deferens
- Congenital anomaly of epididymis
- Congenital anomaly of prostate
- Congenital anomaly of spermatic cord
- Congenital anomaly of vas deferens
- Congenital aplasia of vas deferens
- Congenital atresia of ejaculatory duct
- Congenital bilateral aplasia of vas deferens
- Congenital hypoplasia of epididymis
- Congenital hypoplasia of vas deferens
- Congenital malposition of epididymis
- Congenital malposition of vas deferens
- Craggy epididymis
- Cyst of hydatid of Morgagni
- Cyst of hydatid of Morgagni
- Cyst of Wolffian duct
- Cyst of Wolffian duct
- Epididymis absent
- Finding of appearance of epididymis
- Hydatid cyst of Morgagni - male
- Mesonephric cyst
- Vas deferens absent
- Wolffian duct cyst - male
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to this diagnosis code:
Inclusion Terms
Inclusion TermsThese terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Absence or aplasia of prostate
- Absence or aplasia of spermatic cord
- Congenital malformation of vas deferens, epididymis, seminal vesicles or prostate NOS
Index to Diseases and Injuries References
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 this diagnosis code are found in the injuries and diseases index:
- - Absence (of) (organ or part) (complete or partial)
- - ejaculatory duct (congenital) - Q55.4
- - epididymis (congenital) - Q55.4
- - prostate (acquired) - Z90.79
- - congenital - Q55.4
- - seminal vesicles (congenital) - Q55.4
- - spermatic cord, congenital - Q55.4
- - vas deferens (congenital) - Q55.4
- - Adhesions, adhesive (postinfective) - K66.0
- - spermatic cord (acquired) - N50.89
- - congenital - Q55.4
- - spermatic cord (acquired) - N50.89
- - Agenesis
- - ejaculatory duct - Q55.4
- - prostate - Q55.4
- - seminal vesicles - Q55.4
- - spermatic cord - Q55.4
- - vas deferens - Q55.4
- - Anomaly, anomalous (congenital) (unspecified type) - Q89.9
- - ejaculatory duct - Q55.4
- - epididymis - Q55.4
- - hydatid of Morgagni
- - male (epididymal) - Q55.4
- - prostate - Q55.4
- - seminal vesicles - Q55.4
- - spermatic cord - Q55.4
- - vas deferens - Q55.4
- - Aplasia - See Also: Agenesis;
- - prostate - Q55.4
- - spermatic cord - Q55.4
- - Appendage
- - epididymal (organ of Morgagni) - Q55.4
- - Appendix, appendicular - See Also: condition;
- - epididymis - Q55.4
- - Morgagni
- - male (epididymal) - Q55.4
- - Atresia, atretic
- - ejaculatory duct - Q55.4
- - Cyst (colloid) (mucous) (simple) (retention)
- - hydatid - See Also: Echinococcus; - B67.90
- - Morgagni
- - male (epididymal) - Q55.4
- - Morgagni
- - mesonephric duct
- - male - Q55.4
- - Morgagni (hydatid)
- - male (epididymal) - Q55.4
- - Müllerian duct - Q50.4
- - prostatic utricle - Q55.4
- - wolffian
- - male - Q55.4
- - hydatid - See Also: Echinococcus; - B67.90
- - Deformity - Q89.9
- - ejaculatory duct (congenital) - Q55.4
- - epididymis (congenital) - Q55.4
- - prostate (congenital) - Q55.4
- - seminal vesicles (congenital) - Q55.4
- - spermatic cord (congenital) - Q55.4
- - vas deferens (congenital) - Q55.4
- - Embryonic
- - vas deferens - Q55.4
- - Hydatid
- - Morgagni
- - male (epididymal) - Q55.4
- - Morgagni
- - Hypertrophy, hypertrophic
- - prostate - See: Enlargement, enlarged, prostate;
- - congenital - Q55.4
- - prostate - See: Enlargement, enlarged, prostate;
- - Hypoplasia, hypoplastic
- - epididymis (congenital) - Q55.4
- - Malformation (congenital) - See Also: Anomaly;
- - epididymis - Q55.4
- - prostate - Q55.4
- - seminal vesicles - Q55.4
- - vas deferens - Q55.4
- - Morgagni's
- - cyst, organ, hydatid, or appendage
- - male (epididymal) - Q55.4
- - cyst, organ, hydatid, or appendage
- - Spermatocele - N43.40
- - congenital - Q55.4
- - Stricture - See Also: Stenosis;
- - vas deferens - N50.89
- - congenital - Q55.4
- - vas deferens - N50.89
Code Edits
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 - The Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, these edits apply to MALES only .
Present on Admission (POA)
Q55.4 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 to ICD-9 Code
Source ICD-10 Code | Target ICD-9 Code | |
---|---|---|
Q55.4 | 752.89 - Genital organ anom NEC | |
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code. |
Patient Education
Testicular Disorders
Testicles, or testes, make male hormones and sperm. They are two egg-shaped organs inside the scrotum, the loose sac of skin behind the penis. It's easy to injure your testicles because they are not protected by bones or muscles. Men and boys should wear athletic supporters when they play sports.
You should examine your testicles monthly and seek medical attention for lumps, redness, pain or other changes. Testicles can get inflamed or infected. They can also develop cancer. Testicular cancer is rare and highly treatable. It usually happens between the ages of 15 and 40.
[Learn More in MedlinePlus]
Code History
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)