Q55.3

Q55.3: Atresia of vas deferens

Billable / specific codeICD-10-CMPOA exempt

Q55.3 is a billable, specific ICD-10-CM code for atresia of vas deferens. It is valid for submission on a claim.

Check Q55.3 with the rest of the claim: free scrubber

Code first

The underlying condition must be sequenced before this code.

any associated cystic fibrosis (E84.-)

Excludes1 inherited from the categories above Q55.3

A category’s note binds every code beneath it.

Written on Q55: Other congenital malformations of male genital organs

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

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

Q55.3 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56421Billing and Coding: CT of the Abdomen and Pelvis

Alphabetic index entries that lead here

Atresia, atretic›vas deferens
Malformation›vas deferens›atresia

Code history

Unchanged in every release from FY2024 to FY2027.