Q60-Q66
Medium Complexity
Congenital malformations of genital organs
Primary Specialty: Urology
Last Updated: 2025-09-10
ICD-10 Codes (131)
125 billable0 category headers
Q61Q61.0Billable
Q61.00Billable
Q61.01Billable
Q61.02Billable
Q61.1Billable
Q61.11Billable
Q61.19Billable
Q61.2Billable
Q61.3Billable
Q61.4Billable
Q61.5Billable
Q61.8Billable
Q61.9Billable
Q62Q62.0Billable
Q62.1Billable
Q62.10Billable
Q62.11Billable
Q62.12Billable
Q62.2Billable
Q62.3Billable
Q62.31Billable
Q62.32Billable
Q62.39Billable
Q62.4Billable
Q62.5Billable
Q62.6Billable
Q62.60Billable
Q62.61Billable
Q62.62Billable
Q62.63Billable
Q62.69Billable
Q62.7Billable
Q62.8Billable
Q63Q63.0Billable
Q63.1Billable
Q63.2Billable
Q63.3Billable
Q63.8Billable
Q63.9Billable
Q64Q64.0Billable
Q64.1Billable
Q64.10Billable
Q64.11Billable
Q64.12Billable
Q64.19Billable
Q64.2Billable
Q64.3Billable
Q64.31Billable
Q64.32Billable
Q64.33Billable
Q64.39Billable
Q64.4Billable
Q64.5Billable
Q64.6Billable
Q64.7Billable
Q64.70Billable
Q64.71Billable
Q64.72Billable
Q64.73Billable
Q64.74Billable
Q64.75Billable
Q64.79Billable
Q64.8Billable
Q64.9Billable
Q65Q65.0Billable
Q65.00Billable
Q65.01Billable
Q65.02Billable
Q65.1Billable
Q65.2Billable
Q65.3Billable
Q65.30Billable
Q65.31Billable
Q65.32Billable
Q65.4Billable
Q65.5Billable
Q65.6Billable
Q65.8Billable
Q65.81Billable
Q65.82Billable
Q65.89Billable
Q65.9Billable
Q66Q66.0Billable
Q66.00Billable
Q66.01Billable
Q66.02Billable
Q66.1Billable
Q66.10Billable
Q66.11Billable
Q66.12Billable
Q66.2Billable
Q66.21Billable
Q66.211Billable
Q66.212Billable
Q66.219Billable
Q66.22Billable
Q66.221Billable
Q66.222Billable
Q66.229Billable
Q66.3Billable
Q66.30Billable
Q66.31Billable
Q66.32Billable
Q66.4Billable
Q66.40Billable
Q66.41Billable
Q66.42Billable
Q66.5Billable
Q66.50Billable
Q66.51Billable
Q66.52Billable
Q66.6Billable
Q66.7Billable
Q66.70Billable
Q66.71Billable
Q66.72Billable
Q66.8Billable
Q66.80Billable
Q66.81Billable
Q66.82Billable
Q66.89Billable
Q66.9Billable
Q66.90Billable
Q66.91Billable
Q66.92Billable
Updates & Changes
FY 2026 Updates
Current Year
New Codes (1)
Q23.4
Hypoplastic left heart syndrome with mitral atresia
Revised Codes (1)
Q21.0
Ventricular septal defect - updated to include hemodynamic significance when known
Deleted Codes
No codes deleted in this range for FY 2026
Historical Changes
- •FY 2025: Routine maintenance updates with minor terminology clarifications
- •FY 2024: Enhanced specificity requirements for certain code ranges
- •FY 2023: Updated documentation guidelines for improved clarity
Upcoming Changes
- •Proposed updates pending review by Coordination and Maintenance Committee
- •Under consideration: Enhanced digital health integration codes
Implementation Guidance
- •Review all FY 2026 updates for Q60-Q66 codes before implementation
- •Always verify the most current codes in the ICD-10-CM manual
- •Ensure clinical documentation supports the selected diagnosis codes
- +3 more guidance items...
Range Overview
high priority
The ICD-10 code range Q60-Q66 pertains to congenital malformations of genital organs. These codes are used to document various types of congenital anomalies such as hypospadias, epispadias, undescended testicle, and other congenital malformations. The codes in this range are specific to the type of malformation and the organ affected.
Key Usage Points:
- •Always code to the highest level of specificity.
- •Use additional code(s) to identify any associated endocrine disorder.
- •Use additional code(s) from Chapter 16 to identify any associated congenital malformations.
- •For bilateral conditions, if no bilateral code is provided and the condition is bilateral, assign separate codes for both the left and right side.
- •If the patient has undergone surgical correction, use a personal history code.
Coding Guidelines
When to Use:
- ✓When a patient presents with a congenital malformation of the genital organs.
- ✓When a patient has a history of a congenital malformation of the genital organs.
- ✓When a patient is undergoing treatment for a congenital malformation of the genital organs.
- ✓When a patient is being evaluated for a suspected congenital malformation of the genital organs.
When NOT to Use:
- ✗When the patient's condition is acquired, not congenital.
- ✗When the patient's condition is due to an injury or trauma.
- ✗When the patient's condition is due to a disease or disorder, not a congenital malformation.
- ✗When the patient's condition is due to a surgical complication.
Code Exclusions
Always verify exclusions with the patient's medical record and the ICD-10-CM Official Guidelines for Coding and Reporting.
Documentation Requirements
Documentation for congenital malformations of genital organs should include a detailed description of the malformation, the organ affected, any associated conditions, and the patient's treatment plan. Documentation should also indicate whether the condition is bilateral.
Clinical Information:
- •Detailed description of the congenital malformation.
- •Organ affected by the malformation.
- •Any associated conditions or endocrine disorders.
- •Treatment plan for the malformation.
- •Indication of whether the condition is bilateral.
Supporting Evidence:
- •Medical history and physical examination findings.
- •Imaging studies, if applicable.
- •Laboratory test results, if applicable.
- •Surgical reports, if applicable.
Good Documentation Example:
Patient presents with congenital hypospadias of the penis. Condition is bilateral. No associated endocrine disorders. Plan is for surgical correction.
Poor Documentation Example:
Patient has a birth defect of the genital organs.
Common Documentation Errors:
- âš Not documenting the specific type of malformation.
- âš Not indicating whether the condition is bilateral.
- âš Not documenting any associated conditions or endocrine disorders.
- âš Not documenting the treatment plan.
Range Statistics
7
Total Codes
125
Billable
Complexity:
Medium
Primary Use:Clinical Documentation
Chapter:17
Coding Complexity
Medium
Complexity Rating
Coding for congenital malformations of genital organs can be moderately complex due to the need to identify the specific type of malformation, determine whether the condition is bilateral, identify any associated conditions or endocrine disorders, and apply the correct code after surgical correction.
Key Factors:
- â–¸Identifying the specific type of malformation.
- â–¸Determining whether the condition is bilateral.
- â–¸Identifying any associated conditions or endocrine disorders.
- â–¸Applying the correct code after surgical correction.
Specialty Focus
These codes are primarily used by urologists and pediatricians. They may also be used by endocrinologists if the patient has an associated endocrine disorder.
Primary Specialties:
Urology
60%
Pediatrics
30%
Endocrinology
10%
Clinical Scenarios:
- • A newborn is diagnosed with undescended testicle.
- • A child is undergoing surgical correction for hypospadias.
- • A patient with a history of epispadias presents for a follow-up visit.
- • A patient is being evaluated for a suspected congenital malformation of the genital organs.
Resources & References
Resources for coding congenital malformations of genital organs include the ICD-10-CM Official Guidelines for Coding and Reporting, medical dictionaries, and clinical textbooks.
Official Guidelines:
- ICD-10-CM Official Guidelines for Coding and Reporting
- American Medical Association's CPT Assistant
- American Hospital Association's Coding Clinic
Clinical References:
- Clinical textbooks
- Medical dictionaries
Educational Materials:
- Online coding courses
- Coding webinars
Frequently Asked Questions
How do I code for a congenital malformation of the genital organs that has been surgically corrected?
If the patient has undergone surgical correction, use a personal history code to indicate the history of the malformation.