Hypospadias (Q54)
Hypospadias (Q54) codes identify specific congenital conditions where the opening of the urethra is abnormally located on the underside of the penis or in related areas. These ICD-10 codes are used to accurately classify the various forms of hypospadias for medical documentation and treatment planning.
The ICD-10 code Q54 covers all types of hypospadias, a birth defect affecting the urinary opening. More specific codes distinguish variants such as Q54.0 for balanic or glanular hypospadias, often called penile or coronal hypospadias; Q54.1 for penile shaft forms; Q54.2 for penoscrotal locations; and Q54.3 for perineal hypospadias. These detailed codes support precise identification of the abnormal urethral placement, which may range from the glans to the perineum. Additionally, Q54.4 codes congenital chordee, a curvature of the penis frequently associated with hypospadias. Other codes like Q54.8 and Q54.9 capture less common or unspecified forms, including syndromic cases. Using these codes helps clinicians and coders document conditions such as penile hypospadias, glanular hypospadias, penoscrotal hypospadias, and congenital chordee clearly in health records and billing systems.
Instructional Notations
Type 1 Excludes
A 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.
- epispadias Q64.0
Clinical Terms
The following clinical terms provide additional context, helping users better understand the clinical background and common associations for each diagnosis listed in this section. Including related terms alongside ICD-10-CM codes supports coders, billers, and healthcare professionals in improving accuracy, enhancing documentation, and facilitating research or patient education.
Hypospadias
A birth defect due to malformation of the URETHRA in which the urethral opening is below its normal location. In the male, the malformed urethra generally opens on the ventral surface of the PENIS or on the PERINEUM. In the female, the malformed urethral opening is in the VAGINA.
