Q64.0 — Epispadias
Is Q64.0 billable?
Yes — Q64.0 is billable for FY2027. Q64.0 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Q64.0 may be submitted for encounters from October 1, 2026 through September 30, 2027.
Q64.0 at a glance
| Code | Q64.0 |
|---|---|
| Description | Epispadias |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does Q64.0 group to?
Q64.0 sits in MDC 12 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 729Other Male Reproductive System Diagnoses with CC/MCCmedical
- 730Other Male Reproductive System Diagnoses without CC/MCCmedical
How is Q64.0 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to Q64.0. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Epispadias (female) (male)
Excludes1 — never code together
The conditions below can never be reported together with Q64.0 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- hypospadias (Q54.-)
Excludes2 — not included here — inherited from Chapter 17
The conditions below are not part of Q64.0, but a patient may have both at the same time. When documentation supports it, Q64.0 and the excluded code may both be reported.
- inborn errors of metabolism (E70-E88)
How long has Q64.0 existed?
Q64.0 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which codes are confused with Q64.0?
ICD-10-CM declares these codes mutually exclusive with Q64.0 — exactly one of each pair can be correct for a given encounter.
What other codes are in the Q64 family? (9)
- Q64.1Exstrophy of urinary bladdernot billable
- Q64.2Congenital posterior urethral valves
- Q64.3Other atresia and stenosis of urethra and bladder necknot billable
- Q64.4Malformation of urachus
- Q64.5Congenital absence of bladder and urethra
- Q64.6Congenital diverticulum of bladder
- Q64.7Other and unspecified congenital malformations of bladder and urethranot billable
- Q64.8Other specified congenital malformations of urinary system
- Q64.9Congenital malformation of urinary system, unspecified