Q55.4

Q55.4: Other congenital malformations of vas deferens, epididymis, seminal vesicles and prostate

Billable / specific codeICD-10-CMPOA exempt

Q55.4 is a billable, specific ICD-10-CM code for other congenital malformations of vas deferens, epididymis, seminal vesicles and prostate. It is valid for submission on a claim.

Check Q55.4 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Absence or aplasia of prostate
Absence or aplasia of spermatic cord
Congenital malformation of vas deferens, epididymis, seminal vesicles or prostate NOS

Excludes1 inherited from the categories above Q55.4

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

Q55.4 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

Absence›ejaculatory duct(congenital)
Absence›epididymis(congenital)
Absence›seminal vesicles(congenital)
Absence›spermatic cord, congenital
Absence›vas deferens(congenital)
Agenesis›ejaculatory duct
Agenesis›prostate
Agenesis›seminal vesicles
Agenesis›spermatic cord
Agenesis›vas deferens
Anomaly, anomalous›ejaculatory duct
Anomaly, anomalous›epididymis

Code history

Unchanged in every release from FY2024 to FY2027.