MCMedicalCodingSoftware
Q64.4

Q64.4: Malformation of urachus

Billable / specific codeICD-10-CMPOA exempt

Q64.4 is a billable, specific ICD-10-CM code for malformation of urachus. It is valid for submission on a claim.

Check Q64.4 with the rest of the claim: free scrubber

Inclusion terms

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

  • Cyst of urachus
  • Patent urachus
  • Prolapse of urachus

Risk adjustment

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

Medicare coverage

Q64.4 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

  • Anomaly, anomalous›urachus
  • Cyst›allantoic
  • Cyst›urachus, congenital
  • Deformity›urachus, congenital
  • Fistula›urachus, congenital
  • Patent›urachus
  • Persistence, persistent›umbilical sinus
  • Persistence, persistent›urachus
  • Prolapse, prolapsed›urachus, congenital
  • Remnant›urachus
  • Sinus›urachus
  • Urachus›patent or persistent

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under Q64

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.