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Compare/Q54 vs Q55

Q54 vs Q55

Q54 (Hypospadias) compared with Q55 (Other congenital malformations of male genital organs), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. Q55 carries an Excludes1 note covering Q54: “hypospadias (Q54.-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

Q54HypospadiasQ55Other congenital malformations of male genital organs
Billing statusNon-billable header

Report instead: Q54.0, Q54.1, Q54.2, Q54.3, Q54.4

Non-billable header

Report instead: Q55.0, Q55.1, Q55.20, Q55.21, Q55.22

ClassificationQ00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99)Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99)
DefinitionHypospadias is a non-billable ICD-10-CM category code (Q54).Other congenital malformations of male genital organs is a non-billable ICD-10-CM category code (Q55).
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources