Q54 vs Q64.0
Q54 (Hypospadias) compared with Q64.0 (Epispadias), 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. Q54 carries an Excludes1 note covering Q64.0: “epispadias (Q64.0)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
No — do not report together. Q64.0 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
| Q54Hypospadias | Q64.0Epispadias | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99) | Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99) |
| Definition | Hypospadias is a non-billable ICD-10-CM category code (Q54). | Epispadias is a billable ICD-10-CM diagnosis code (Q64.0). |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources