ICD-10-CM Code Q55.4
Other congenital malformations of vas deferens, epididymis, seminal vesicles and prostate
Billable Code
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.POA Exempt Code
The Center for Medicare & Medicaid Services (CMS) requires medical coders to indicate whether or not a condition was present at the time of admission, in order to properly assign MS-DRG codes. This "Present On Admission" (POA) indicator is recorded on CMS form 4010A.Male Only
Code is only used for male patients.Q55.4 is a billable ICD code used to specify a diagnosis of other congenital malformations of vas deferens, epididymis, seminal vesicles and prostate. A 'billable code' is detailed enough to be used to specify a medical diagnosis.
POA Indicators on CMS form 4010A are as follows:
| Indicator | Meaning | CMS Will Pay CC/MCC DRG Costs |
|---|---|---|
| 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. Provider unable to clinically determine whether the condition was present at the time of inpatient admission. | Yes |
| 1 | Exempt from POA reporting | No |
The ICD code Q554 is used to code Congenital absence of the vas deferens
Congenital absence of the vas deferens (CAVD) is a condition in which the vasa deferentia reproductive organs, fail to form properly prior to birth. It may either be unilateral (CUAVD) or bilateral (CBAVD).
| Specialty: | Medical Genetics |
| ICD 9 Code: | 752.8 |
Coding Notes for Q55.4 Info for medical coders on how to properly use this ICD-10 code
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Inclusion Terms:
Inclusion Terms
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive. - Absence or aplasia of prostate
- Absence or aplasia of spermatic cord
- Congenital malformation of vas deferens, epididymis, seminal vesicles or prostate NOS
MS-DRG Mapping
- DRG Group #729-730 - Other male reproductive system diagnoses with CC or MCC.
- DRG Group #729-730 - Other male reproductive system diagnoses without CC or MCC.
Related Concepts SNOMET-CT
- Azoospermia with absent vasa in association with cystic fibrosis trait (disorder)
ICD-10-CM Alphabetical Index References for 'Q55.4 - Other congenital malformations of vas deferens, epididymis, seminal vesicles and prostate'
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code Q55.4. Click on any term below to browse the alphabetical index.
Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)
This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code Q55.4 and a single ICD9 code, 752.89 is an approximate match for comparison and conversion purposes.
Parent Code: Q55 - Other congenital malformations of male genital organs