Is Q64.0 a billable ICD-10-CM code?

Yes. Q64.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Q64.0 sit in the tabular list?

Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations of the urinary system (Q60-Q64).

What cannot be coded together with Q64.0?

Q64.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

Q64.0

Q64.0 — Epispadias

Billable / specific codeICD-10-CMPOA exempt

Q64.0 is a billable, specific ICD-10-CM code for epispadias. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

hypospadias (Q54.-)

Other codes that can never be billed with Q64.0

These codes carry an Excludes1 note pointing at Q64.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Q64.0 alone.

Q54Hypospadias

Risk adjustment

Q64.0 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.

How Q64.0 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to Q64.0.

Epispadias(female) (male)

Related codes at this level

Codes that share Q64. If Q64.0 is not quite right, the correct code is usually one of these.

Questions about Q64.0

Is Q64.0 a billable ICD-10-CM code?: Yes. Q64.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Q64.0 sit in the tabular list?: Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations of the urinary system (Q60-Q64).
What cannot be coded together with Q64.0?: Q64.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.