Q64.3
Q64.3 — Other atresia and stenosis of urethra and bladder neck
Non-billable headerICD-10-CM
Q64.3 is a non-billable header ICD-10-CM code for other atresia and stenosis of urethra and bladder neck. It cannot be billed on its own: choose one of the more specific child codes below.
Other codes that can never be billed with Q64.3
These codes carry an Excludes1 note pointing at Q64.3. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Q64.3 alone.
Risk adjustment
Q64.3 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 to one of these instead Q64.3
4 child codes. Green means billable.
Related codes at this level
Codes that share Q64. If Q64.3 is not quite right, the correct code is usually one of these.
- Q64.0Epispadias
- Q64.1Exstrophy of urinary bladder
- Q64.2Congenital posterior urethral valves
- Q64.4Malformation of urachus
- Q64.5Congenital absence of bladder and urethra
- Q64.6Congenital diverticulum of bladder
- Q64.7Other and unspecified congenital malformations of bladder and urethra
- Q64.8Other specified congenital malformations of urinary system
- Q64.9Congenital malformation of urinary system, unspecified
Questions about Q64.3
- Is Q64.3 a billable ICD-10-CM code?
- No. Q64.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does Q64.3 sit in the tabular list?
- Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations of the urinary system (Q60-Q64).