2020 ICD-10-CM Diagnosis Code Q55.4

Other congenital malformations of vas deferens, epididymis, seminal vesicles and prostate

    2016 2017 2018 2019 2020 Billable/Specific Code Male Dx POA Exempt
  • Q55.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Oth congen malform of vas def,epidid, semnl vescl & prostate
  • The 2020 edition of ICD-10-CM Q55.4 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of Q55.4 - other international versions of ICD-10 Q55.4 may differ.
ICD-10-CM Coding Rules
  • Q55.4 is applicable to male patients.
Applicable To
  • Absence or aplasia of prostate
  • Absence or aplasia of spermatic cord
  • Congenital malformation of vas deferens, epididymis, seminal vesicles or prostate NOS
The following code(s) above Q55.4 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to Q55.4:
  • Q00-Q99
    2020 ICD-10-CM Range Q00-Q99

    Congenital malformations, deformations and chromosomal abnormalities

    Note
    • Codes from this chapter are not for use on maternal records
    Type 2 Excludes
    • inborn errors of metabolism (E70-E88)
    Congenital malformations, deformations and chromosomal abnormalities
  • Q50-Q56
    2020 ICD-10-CM Range Q50-Q56

    Congenital malformations of genital organs

    Type 1 Excludes
    • androgen insensitivity syndrome (E34.5-)
    • syndromes associated with anomalies in the number and form of chromosomes (Q90-Q99)
    Congenital malformations of genital organs
  • Q55
    ICD-10-CM Diagnosis Code Q55

    Other congenital malformations of male genital organs

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    Other congenital malformations of male genital organs
Approximate Synonyms
  • Congenital absence of vas deferens
Present On Admission
POA Help
"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.
  • Q55.4 is considered exempt from POA reporting.
ICD-10-CM Q55.4 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 729 Other male reproductive system diagnoses with cc/mcc
  • 730 Other male reproductive system diagnoses without cc/mcc

Convert Q55.4 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change

Diagnosis Index entries containing back-references to Q55.4:
  • Absence (of) (organ or part) (complete or partial)
    • epididymis (congenital) Q55.4
    • prostate (acquired) Z90.79
      ICD-10-CM Diagnosis Code Z90.79

      Acquired absence of other genital organ(s)

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      • congenital Q55.4
    • seminal vesicles (congenital) Q55.4
    • vas deferens (congenital) Q55.4
    • ejaculatory duct Q55.4 (congenital)
    • spermatic cord, congenital Q55.4
  • Adhesions, adhesive (postinfective) K66.0
    ICD-10-CM Diagnosis Code K66.0

    Peritoneal adhesions (postprocedural) (postinfection)

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Adhesions (of) abdominal (wall)
    • Adhesions (of) diaphragm
    • Adhesions (of) intestine
    • Adhesions (of) male pelvis
    • Adhesions (of) omentum
    • Adhesions (of) stomach
    • Adhesive bands
    • Mesenteric adhesions
    Type 1 Excludes
    • female pelvic adhesions [bands] (N73.6)
    • peritoneal adhesions with intestinal obstruction (K56.5-)
    • spermatic cord (acquired) N50.89
      ICD-10-CM Diagnosis Code N50.89

      Other specified disorders of the male genital organs

        2017 - New Code 2018 2019 2020 Billable/Specific Code Male Dx
      Applicable To
      • Atrophy of scrotum, seminal vesicle, spermatic cord, tunica vaginalis and vas deferens
      • Chylocele, tunica vaginalis (nonfilarial) NOS
      • Edema of scrotum, seminal vesicle, spermatic cord, tunica vaginalis and vas deferens
      • Hypertrophy of scrotum, seminal vesicle, spermatic cord, tunica vaginalis and vas deferens
      • Stricture of spermatic cord, tunica vaginalis, and vas deferens
      • Ulcer of scrotum, seminal vesicle, spermatic cord, testis, tunica vaginalis and vas deferens
      • Urethroscrotal fistula
      • congenital Q55.4
  • Agenesis
    • ejaculatory duct Q55.4
    • prostate Q55.4
    • seminal vesicles Q55.4
    • spermatic cord Q55.4
    • vas deferens Q55.4
  • Anomaly, anomalous (congenital) (unspecified type) Q89.9
    ICD-10-CM Diagnosis Code Q89.9

    Congenital malformation, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    Applicable To
    • Congenital anomaly NOS
    • Congenital deformity NOS
    • hydatid of Morgagni
      • male (epididymal) Q55.4
    • ejaculatory duct Q55.4
    • epididymis Q55.4
    • prostate Q55.4
    • seminal vesicles Q55.4
    • spermatic cord Q55.4
    • vas deferens Q55.4
  • Aplasia - see also Agenesis
    • prostate Q55.4
    • spermatic cord Q55.4
  • Appendage
    • epididymal Q55.4 (organ of Morgagni)
  • Appendix, appendicular - see also condition
  • Atresia, atretic
    • ejaculatory duct Q55.4
  • Cyst (colloid) (mucous) (simple) (retention)
    • hydatid B67.90
      - see also Echinococcus
      ICD-10-CM Diagnosis Code B67.90

      Echinococcosis, unspecified

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Echinococcosis NOS
    • mesonephric duct
      • male Q55.4
    • Morgagni (hydatid)
      • male (epididymal) Q55.4
    • Müllerian duct Q50.4
      ICD-10-CM Diagnosis Code Q50.4

      Embryonic cyst of fallopian tube

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Fimbrial cyst
      • prostatic utricle Q55.4
    • wolffian
      • male Q55.4
  • Deformity Q89.9
    ICD-10-CM Diagnosis Code Q89.9

    Congenital malformation, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    Applicable To
    • Congenital anomaly NOS
    • Congenital deformity NOS
  • Embryonic
    • vas deferens Q55.4
  • Hydatid
  • Hypertrophy, hypertrophic
  • Hypoplasia, hypoplastic
    • epididymis Q55.4 (congenital)
  • Malformation (congenital) - see also Anomaly
    • vas deferens Q55.4
    • epididymis Q55.4
    • prostate Q55.4
    • seminal vesicles Q55.4
  • Morgagni's
  • Spermatocele N43.40
    ICD-10-CM Diagnosis Code N43.40

    Spermatocele of epididymis, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code Male Dx
    • congenital Q55.4
  • Stricture - see also Stenosis
    • vas deferens N50.89
      ICD-10-CM Diagnosis Code N50.89

      Other specified disorders of the male genital organs

        2017 - New Code 2018 2019 2020 Billable/Specific Code Male Dx
      Applicable To
      • Atrophy of scrotum, seminal vesicle, spermatic cord, tunica vaginalis and vas deferens
      • Chylocele, tunica vaginalis (nonfilarial) NOS
      • Edema of scrotum, seminal vesicle, spermatic cord, tunica vaginalis and vas deferens
      • Hypertrophy of scrotum, seminal vesicle, spermatic cord, tunica vaginalis and vas deferens
      • Stricture of spermatic cord, tunica vaginalis, and vas deferens
      • Ulcer of scrotum, seminal vesicle, spermatic cord, testis, tunica vaginalis and vas deferens
      • Urethroscrotal fistula
      • congenital Q55.4

ICD-10-CM Codes Adjacent To Q55.4
Q55 Other congenital malformations of male genital organs
Q55.0 Absence and aplasia of testis
Q55.1 Hypoplasia of testis and scrotum
Q55.2 Other and unspecified congenital malformations of testis and scrotum
Q55.20 Unspecified congenital malformations of testis and scrotum
Q55.21 Polyorchism
Q55.22 Retractile testis
Q55.23 Scrotal transposition
Q55.29 Other congenital malformations of testis and scrotum
Q55.3 Atresia of vas deferens
Q55.4 Other congenital malformations of vas deferens, epididymis, seminal vesicles and prostate
Q55.5 Congenital absence and aplasia of penis
Q55.6 Other congenital malformations of penis
Q55.61 Curvature of penis (lateral)
Q55.62 Hypoplasia of penis
Q55.63 Congenital torsion of penis
Q55.64 Hidden penis
Q55.69 Other congenital malformation of penis
Q55.7 Congenital vasocutaneous fistula
Q55.8 Other specified congenital malformations of male genital organs
Q55.9 Congenital malformation of male genital organ, unspecified

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.