2027 ICD-10-CM Diagnosis Code Q64.72Congenital prolapse of urinary meatus
ICD-10-CM Codes›Q00-Q99›Q60-Q64›Q64
- Billable — Valid for Submission
- POA Exempt
- Chronic Condition
Q64.72 is a billable ICD-10-CM diagnosis code for congenital prolapse of urinary meatus. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 698 through 700. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Genitourinary congenital anomalies.
Code Identity
Code Classification
Present on Admission (POA)Billing
Q64.72 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Congenital malformations of the urinary system (Q60-Q64).
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Congenital prolapse of urinary meatus
- Prolapse of urethra
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to Q64.72: its own notes plus those printed at Q64.7 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.
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.
Notes
General instructions on how these codes are used.
- 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 Q64.72, its category, or a range that includes it.
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.
Patient EducationClinical
Urethral Disorders
The urethra is the tube that allows urine to pass out of the body. In men, it's a long tube that runs through the penis. It also carries semen in men. In women, it's short and is just above the vagina. Urethral problems may happen due to aging, illness, or injury. They include:
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert Q64.72 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About Q64.72Overview
What is the ICD-10 code for congenital prolapse of urinary meatus?
The ICD-10-CM code for congenital prolapse of urinary meatus is Q64.72 (sometimes written as Q6472). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is Q64.72 a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report congenital prolapse of urinary meatus on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does Q64.72 group to?
When congenital prolapse of urinary meatus is the principal diagnosis on an inpatient stay, it groups to MS-DRG 699, 698, 700, with relative weights from 0.6740 to 1.6400 depending on complications. Higher weights mean higher Medicare reimbursement.
Is Q64.72 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 congenital prolapse of urinary meatus on inpatient claims. The code appears in the Congenital malformations of the urinary system (Q60-Q64) range of the CMS exempt list.
Can Q64.72 be reported with Q79.4?
Not as a rule. The Excludes1 note at Q64.7, which applies to Q64.72, lists "congenital prolapse of bladder (mucosa) (Q79.4)". 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).
