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ICD-10-CM 2027 diagnosis code

Q64.72Congenital prolapse of urinary meatus

✓ Billable / specificPOA exempt

Q64.72 is a valid, billable ICD-10-CM code for congenital prolapse of urinary meatus. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About Q64.72

Q64.72 is the ICD-10-CM diagnosis code for congenital prolapse of urinary meatus. It belongs to category Q64 (other congenital malformations of urinary system), block Q60-Q64 (congenital malformations of the urinary system) and chapter 17 (congenital malformations, deformations, chromosomal abnormalities, and genetic disorders). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within Q64.7 (other and unspecified congenital malformations of bladder and urethra), Q64.72 is specifically for congenital prolapse of urinary meatus. Related codes cover unspecified congenital malformation of bladder and urethra (Q64.70), congenital prolapse of urethra (Q64.71), congenital urethrorectal fistula (Q64.73), Double urethra (Q64.74), Double urinary meatus (Q64.75) and other congenital malformations of bladder and urethra (Q64.79).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 698 (Other Kidney and Urinary Tract Diagnoses with MCC, relative weight 1.6398), DRG 699 (Other Kidney and Urinary Tract Diagnoses with CC, relative weight 1.0003) and DRG 700 (Other Kidney and Urinary Tract Diagnoses without CC/MCC, relative weight 0.6741), in MDC 11 (Diseases and Disorders of the Kidney and Urinary Tract), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 753.8 (other specified anomalies of bladder and urethra).

Notes that apply from higher levels

Instructions written at a parent level also apply to Q64.72.

› From Q64.7 Other and unspecified congenital malformations of bladder and urethra
Excludes1
  • congenital prolapse of bladder (mucosa) (Q79.4)

Broader instructions also apply from Chapter 17: Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders.

Alphabetic index entries

1 entries

Terms in the official ICD-10-CM index that lead to Q64.72.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

ICD-9-CM equivalent

Converter →
  • 753.8Other specified anomalies of bladder and urethraapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about Q64.72

Is Q64.72 billable?

Yes. Q64.72 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can Q64.72 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict Q64.72 as a principal diagnosis.

Is Q64.72 a CC or MCC?

No. Q64.72 is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does Q64.72 group to?

Q64.72 is used in the MS-DRG v44.0 logic for MS-DRG 698 (Other Kidney and Urinary Tract Diagnoses with MCC), MS-DRG 699 (Other Kidney and Urinary Tract Diagnoses with CC) and MS-DRG 700 (Other Kidney and Urinary Tract Diagnoses without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for Q64.72?

The CMS General Equivalence Mappings map Q64.72 to ICD-9-CM 753.8.