Valid for Submission
Q55.5 is a billable diagnosis code used to specify a medical diagnosis of congenital absence and aplasia of penis. The code Q55.5 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code Q55.5 might also be used to specify conditions or terms like aplasia of penis or congenital absence of penis. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
The code Q55.5 is applicable to male patients only. It is clinically and virtually impossible to use this code on a non-male patient.
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 Q55.5 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:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Aplasia of penis
- Congenital absence of penis
Diagnostic Related Groups - MS-DRG Mapping
|MS-DRG||MS-DRG Title||MCD||Relative Weight|
|729||OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC||12||1.0048|
|730||OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC||12||0.5657|
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Present on Admission (POA)
Convert Q55.5 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code Q55.5 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Information for Patients
Problems with the penis can cause pain and affect a man's sexual function and fertility. Penis disorders include
- Erectile dysfunction - inability to get or keep an erection
- Priapism - a painful erection that does not go away
- Peyronie's disease - bending of the penis during an erection due to a hard lump called a plaque
- Balanitis - inflammation of the skin covering the head of the penis, most often in men and boys who have not been circumcised
- Penile cancer - a rare form of cancer, highly curable when caught early
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