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ICD-10 Guide
ICD-10 CodesQ55.62

Q55.62

Billable

Hypoplasia of penis

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

Code Description

ICD-10 Q55.62 is a billable code used to indicate a diagnosis of hypoplasia of penis.

Key Diagnostic Point:

Hypoplasia of the penis is a congenital condition characterized by an underdeveloped penis, which can vary in severity from a slight reduction in size to a complete absence of the organ (agenesis). This condition may be associated with other congenital malformations 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, hypoplasia of the penis may occur in conjunction with ambiguous genitalia, where the external genitalia do not clearly present as male or female. Uterine malformations may also be present in female patients, indicating a broader spectrum of developmental anomalies. The etiology of hypoplasia of the penis can be multifactorial, including genetic factors, hormonal influences during fetal development, and environmental exposures. Accurate diagnosis often requires a multidisciplinary approach, including urologic evaluation and genetic counseling, to assess for associated anomalies and to guide management and treatment options.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of the condition
  • Potential for associated congenital anomalies
  • Need for multidisciplinary evaluation and documentation
  • Differentiation from other similar conditions (e.g., hypospadias)

Audit Risk Factors

  • Inadequate documentation of associated anomalies
  • Failure to specify the severity of hypoplasia
  • Misclassification with other genital malformations
  • Lack of genetic evaluation documentation

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation should include growth parameters, developmental milestones, and any associated congenital anomalies.

Common Clinical Scenarios

Common scenarios include newborn assessments revealing genital anomalies, referrals for surgical correction, and follow-up evaluations for growth and development.

Billing Considerations

Considerations include the age of the patient, potential psychological impacts, and the need for parental counseling.

Genetics

Documentation Requirements

Genetic documentation should include family history, genetic testing results, and any syndromic associations.

Common Clinical Scenarios

Scenarios may involve genetic counseling for families with a history of congenital anomalies or syndromes associated with hypoplasia.

Billing Considerations

Considerations include the potential for chromosomal abnormalities and the need for comprehensive genetic evaluation.

Coding Guidelines

Inclusion Criteria

Use Q55.62 When
  • 10 guidelines for congenital conditions emphasize the need for specificity in coding, including the documentation of associated anomalies and the clinical significance of the condition

Exclusion Criteria

Do NOT use Q55.62 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54150CPT Code

Circumcision, surgical excision of prepuce

Clinical Scenario

Often performed in conjunction with correction of penile anomalies.

Documentation Requirements

Document the indication for the procedure and any associated conditions.

Specialty Considerations

Urology may have specific protocols for documenting surgical interventions.

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 accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 difference between hypoplasia of the penis and hypospadias?

Hypoplasia of the penis refers to an underdeveloped penis, while hypospadias is a condition where the urethral opening is located on the underside of the penis. Both conditions can occur together, but they are distinct diagnoses.