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ICD-10 Guide
ICD-10 CodesQ55.61

Q55.61

Billable

Curvature of penis (lateral)

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 Q55.61 is a billable code used to indicate a diagnosis of curvature of penis (lateral).

Key Diagnostic Point:

Curvature of the penis, specifically lateral curvature, is a congenital malformation that can occur in males. This condition may present at birth or become apparent during childhood. The curvature can vary in severity and may be associated with other congenital anomalies of the genital organs, such as hypospadias, where the urethral opening is located on the underside of the penis, or cryptorchidism, where one or both testicles fail to descend into the scrotum. In some cases, lateral curvature may be linked to underlying genetic syndromes or chromosomal abnormalities, necessitating a thorough evaluation. The condition can impact urinary function and sexual health, leading to potential psychological effects as the child matures. Accurate diagnosis often involves physical examination and may require imaging studies to assess the degree of curvature and any associated anomalies. Treatment options can range from observation to surgical intervention, depending on the severity and associated complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of curvature
  • Potential association with other congenital anomalies
  • Need for comprehensive documentation of associated conditions
  • Differentiation from acquired conditions

Audit Risk Factors

  • Inadequate documentation of associated congenital anomalies
  • Failure to specify the degree of curvature
  • Misclassification of congenital versus acquired conditions
  • Lack of genetic evaluation documentation

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Documentation should include detailed physical examination findings, any associated anomalies, and the impact on urinary and sexual function.

Common Clinical Scenarios

A pediatric patient presenting with lateral curvature of the penis during a routine examination or following parental concerns about urinary function.

Billing Considerations

Consideration of the psychosocial impact on the child and family, as well as the need for multidisciplinary care if associated anomalies are present.

Genetics

Documentation Requirements

Genetic counseling notes should document any family history of congenital anomalies and results of genetic testing if performed.

Common Clinical Scenarios

A child with lateral curvature of the penis presenting for genetic evaluation due to a family history of similar conditions or other congenital anomalies.

Billing Considerations

Awareness of syndromic associations and the need for genetic testing to rule out chromosomal abnormalities.

Coding Guidelines

Inclusion Criteria

Use Q55.61 When
  • Follow official ICD
  • 10 guidelines for coding congenital malformations, ensuring accurate documentation of associated conditions and the clinical significance of the curvature

Exclusion Criteria

Do NOT use Q55.61 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54125CPT Code

Penile curvature correction

Clinical Scenario

Surgical intervention for significant curvature impacting function or psychosocial well-being.

Documentation Requirements

Pre-operative assessment, surgical notes, and post-operative follow-up documentation.

Specialty Considerations

Urology specialists should provide detailed operative reports.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the ability to capture the complexity of cases like lateral curvature of the penis.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the ability to capture the complexity of cases like lateral curvature of the penis.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the ability to capture the complexity of cases like lateral curvature of the penis.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the significance of coding Q55.61?

Coding Q55.61 is crucial for accurately capturing congenital conditions affecting the genitalia, which can have implications for treatment, genetic counseling, and understanding associated anomalies.