2022 ICD-10-CM Code Q55.64
Hidden penis
Code Classification
Q55.64 is a billable diagnosis code used to specify a medical diagnosis of hidden penis. The code Q55.64 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 Q55.64 might also be used to specify conditions or terms like congenital buried penis. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
The code Q55.64 is applicable to male patients only. It is clinically and virtually impossible to use this code on a non-male patient.
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 the code Q55.64:
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.
- Buried penis
- Concealed penis
Type 1 Excludes
Type 1 ExcludesA type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- acquired buried penis N48.83
Entries in the Index to Diseases and Injuries with references to Q55.64
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 Q55.64 are found in the index:
- - Buried
- - penis (congenital) - Q55.64
- - Concealed penis - Q55.64
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 .
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Congenital buried penis
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code Q55.64 is grouped in the following groups for version MS-DRG V39.0 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 10/01/2021 through 09/30/2022.
| 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)
Q55.64 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 Q55.64 to ICD-9 Code
- 752.65 - Hidden penis
Information for Patients
Penis Disorders
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
[Learn More in MedlinePlus]
Related Codes
| ICD Code | Description | Valid for Submission |
|---|---|---|
| Q55 | Other congenital malformations of male genital organs | NON-BILLABLE CODE |
| Q55.0 | Absence and aplasia of testis | BILLABLE CODE |
| Q55.1 | Hypoplasia of testis and scrotum | BILLABLE CODE |
| Q55.2 | Other and unspecified congenital malformations of testis and scrotum | NON-BILLABLE CODE |
| Q55.20 | Unspecified congenital malformations of testis and scrotum | BILLABLE CODE |
| Q55.21 | Polyorchism | BILLABLE CODE |
| Q55.22 | Retractile testis | BILLABLE CODE |
| Q55.23 | Scrotal transposition | BILLABLE CODE |
| Q55.29 | Other congenital malformations of testis and scrotum | BILLABLE CODE |
| Q55.3 | Atresia of vas deferens | BILLABLE CODE |
| Q55.4 | Other congenital malformations of vas deferens, epididymis, seminal vesicles and prostate | BILLABLE CODE |
| Q55.5 | Congenital absence and aplasia of penis | BILLABLE CODE |
| Q55.6 | Other congenital malformations of penis | NON-BILLABLE CODE |
| Q55.61 | Curvature of penis (lateral) | BILLABLE CODE |
| Q55.62 | Hypoplasia of penis | BILLABLE CODE |
| Q55.63 | Congenital torsion of penis | BILLABLE CODE |
| Q55.69 | Other congenital malformation of penis | BILLABLE CODE |
| Q55.7 | Congenital vasocutaneous fistula | BILLABLE CODE |
| Q55.8 | Other specified congenital malformations of male genital organs | BILLABLE CODE |
| Q55.9 | Congenital malformation of male genital organ, unspecified | BILLABLE CODE |
Code History
- 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)
