Q55
Non-Billable

Other congenital malformations of male genital organs

Non-Billable / Non-Specific Code

What is Other congenital malformations of male genital organs?

ICD-10-CM Q55 is the diagnosis code for Other congenital malformations of male genital organs. This code falls under the section "Congenital malformations of genital organs" within Chapter 17 — Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

⛔ Excludes1

Coding Guidelines for Q55

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as Q55. They are mutually exclusive:

  • congenital hydrocele (P83.5)
  • hypospadias (Q54.-)

ICD-10-CM Code Hierarchy

Understanding where Q55 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 10 entries
Q55.0Absence and aplasia of testisBillableQ55.1Hypoplasia of testis and scrotumBillableQ55.2Other and unspecified congenital malformations of testis and scrotumNon-BillableQ55.20Unspecified congenital malformations of testis and scrotumBillableQ55.21PolyorchismBillableQ55.22Retractile testisBillableQ55.23Scrotal transpositionBillableQ55.29Other congenital malformations of testis and scrotumBillableQ55.3Atresia of vas deferensBillableQ55.4Other congenital malformations of vas deferens, epididymis, seminal vesicles and prostateBillableQ55.5Congenital absence and aplasia of penisBillableQ55.6Other congenital malformations of penisNon-BillableQ55.61Curvature of penis (lateral)BillableQ55.62Hypoplasia of penisBillableQ55.63Congenital torsion of penisBillableQ55.64Hidden penisBillableQ55.69Other congenital malformation of penisBillableQ55.7Congenital vasocutaneous fistulaBillableQ55.8Other specified congenital malformations of male genital organsBillableQ55.9Congenital malformation of male genital organ, unspecifiedBillable
Related Codes

Frequently Asked Questions

Is Q55 a billable ICD-10-CM code?

No, Q55 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does Q55 mean?

Q55 is the ICD-10-CM diagnosis code for "Other congenital malformations of male genital organs". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What section is Q55 in?

Q55 is located in Section Q50-Q56 — "Congenital malformations of genital organs" within Chapter 17 of the ICD-10-CM Tabular List.

What are the sub-codes of Q55?

Q55 has 10 sub-code(s) that provide more specific detail: Q55.0, Q55.1, Q55.2, Q55.3, Q55.4 and more.

When should I use Q55?

Use Q55 when the patients documented diagnosis matches "Other congenital malformations of male genital organs" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Other congenital malformations of male genital organs?

The ICD-10-CM code for Other congenital malformations of male genital organs is Q55.

Can Q55 be used for primary diagnosis?

No, Q55 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is Q55 in?

Q55 is in Chapter 17 of the ICD-10-CM Tabular List.

What conditions are excluded from Q55?

Type 1 Excludes for Q55 include: congenital hydrocele (P83.5); hypospadias (Q54.-).

Is Q55 valid for 2026?

Yes, Q55 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousQ54.9Hypospadias, unspecifiedNext →Q55.0Absence and aplasia of testis
Code Details
Q55
Other congenital malformations of male genital organs
Non-Billable / Non-Specific Code
17 — Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0)
Q50-Q56 — Congenital malformations of genital organs
2026 ICD-10-CM