Q64.73

Q64.73: Congenital urethrorectal fistula

Billable / specific codeICD-10-CMPOA exempt

Q64.73 is a billable, specific ICD-10-CM code for congenital urethrorectal fistula. It is valid for submission on a claim.

Check Q64.73 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above Q64.73

A category’s note binds every code beneath it.

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

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

Other codes that can never be billed with Q64.73

Their own Excludes1 notes name this code, so the conflict is not listed above.

Q43.6Congenital fistula of rectum and anus

Risk adjustment

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

Medicare coverage

Q64.73 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

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

Alphabetic index entries that lead here

Anomaly, anomalous›urethra›fistula to rectum
Fistula›rectourethral›congenital
Fistula›urethrorectal›congenital

Code history

Unchanged in every release from FY2024 to FY2027.