ICD-10-CM Code Q64.12

Cloacal exstrophy of urinary bladder

Version 2020 Billable Code POA Exempt

Valid for Submission

Q64.12 is a billable code used to specify a medical diagnosis of cloacal exstrophy of urinary bladder. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Q64.12 might also be used to specify conditions or terms like cloacal disease or exstrophy of bladder sequence or exstrophy of cloaca sequence or high anorectal malformation. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

ICD-10:Q64.12
Short Description:Cloacal exstrophy of urinary bladder
Long Description:Cloacal exstrophy of urinary bladder

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 Q64.12 are found in the index:


Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Cloacal disease
  • Exstrophy of bladder sequence
  • Exstrophy of cloaca sequence
  • High anorectal malformation

Diagnostic Related Groups

The ICD-10 code Q64.12 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.

  • 698 - OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC
  • 699 - OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC
  • 700 - OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC

Present on Admission (POA)

Q64.12 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 CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert Q64.12 to ICD-9

  • 753.5 - Bladder exstrophy (Approximate Flag)

Code Classification

  • Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • Congenital malformations of the urinary system (Q60-Q64)
      • Other congenital malformations of urinary system (Q64)

Code History

  • 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 - Code Updated, effective from 10/1/2017 through 9/30/2018
    • New Description: Cloacal exstrophy of urinary bladder
    • Previous Description: Cloacal extrophy of urinary bladder
  • 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

Information for Patients


Bladder Diseases

The bladder is a hollow organ in your lower abdomen that stores urine. Many conditions can affect your bladder. Some common ones are

  • Cystitis - inflammation of the bladder, often from an infection
  • Urinary incontinence - loss of bladder control
  • Overactive bladder - a condition in which the bladder squeezes urine out at the wrong time
  • Interstitial cystitis - a chronic problem that causes bladder pain and frequent, urgent urination
  • Bladder cancer

Doctors diagnose bladder diseases using different tests. These include urine tests, x-rays, and an examination of the bladder wall with a scope called a cystoscope. Treatment depends on the cause of the problem. It may include medicines and, in severe cases, surgery.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases


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