Is Q55.2 a billable ICD-10-CM code?

No. Q55.2 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does Q55.2 sit in the tabular list?

Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations of genital organs (Q50-Q56).

What cannot be coded together with Q55.2?

Q55.2 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above Q55.2 (Q55) and apply to it just the same.

Q55.2

Q55.2 — Other and unspecified congenital malformations of testis and scrotum

Non-billable headerICD-10-CMunspecified

Q55.2 is a non-billable header ICD-10-CM code for other and unspecified congenital malformations of testis and scrotum. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 inherited from the categories above Q55.2

These are not written on Q55.2, but they bind it: a note on a category applies to every code beneath it. Billing Q55.2 with anything listed here is a denial.

Written on Q55 — Other congenital malformations of male genital organs

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

Risk adjustment

Q55.2 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code history

Q55.2 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead Q55.2

5 child codes. Green means billable.

Related codes at this level

Codes that share Q55. If Q55.2 is not quite right, the correct code is usually one of these.

Questions about Q55.2

Is Q55.2 a billable ICD-10-CM code?: No. Q55.2 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does Q55.2 sit in the tabular list?: Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations of genital organs (Q50-Q56).
What cannot be coded together with Q55.2?: Q55.2 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above Q55.2 (Q55) and apply to it just the same.