Is Q64.71 a billable ICD-10-CM code?

Yes. Q64.71 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Q64.71 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 Q64.71?

Q64.71 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above Q64.71 (Q64.7) and apply to it just the same.

Q64.71

Q64.71 — Congenital prolapse of urethra

Billable / specific codeICD-10-CMPOA exempt

Q64.71 is a billable, specific ICD-10-CM code for congenital prolapse of urethra. It is valid for submission on a claim.

Excludes1 inherited from the categories above Q64.71

These are not written on Q64.71, but they bind it: a note on a category applies to every code beneath it. Billing Q64.71 with anything listed here is a denial.

Written on Q64.7 — Other and unspecified congenital malformations of bladder and urethra

congenital prolapse of bladder (mucosa) (Q79.4)

Risk adjustment

Q64.71 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.

Medicare coverage

Q64.71 is named in 3 Medicare coverage policies — 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56421Billing and Coding: CT of the Abdomen and Pelvis
A56802Billing and Coding: Urodynamics
A57455Billing and Coding: Urodynamics

How Q64.71 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 Q64.71.

Anomaly, anomalous›urethra›prolapse
Malformation›urethra›prolapse
Prolapse, prolapsed›urethra›congenital

Code history

Q64.71 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share Q64.7. If Q64.71 is not quite right, the correct code is usually one of these.

Questions about Q64.71

Is Q64.71 a billable ICD-10-CM code?: Yes. Q64.71 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Q64.71 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 Q64.71?: Q64.71 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above Q64.71 (Q64.7) and apply to it just the same.