ICD-10 code for prostate malformation

The ICD-10-CM code for prostate malformation is Q55.4 (Other congenital malformations of vas deferens, epididymis, seminal vesicles and prostate).

Within Q55, choose Q55.4 (Other congenital malformations of vas deferens, epididymis, seminal vesicles and prostate) only when documentation doesn't support a more specific option: absence and aplasia of testis (Q55.0), hypoplasia of testis and scrotum (Q55.1), other and unspecified congenital malformations of testis and scrotum (Q55.2), atresia of vas deferens (Q55.3), congenital absence and aplasia of penis (Q55.5), other congenital malformations of penis (Q55.6), congenital vasocutaneous fistula (Q55.7), other specified congenital malformations of male genital organs (Q55.8) and 1 more.

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 729 (Other Male Reproductive System Diagnoses with CC/MCC, relative weight 1.0544) and DRG 730 (Other Male Reproductive System Diagnoses without CC/MCC, relative weight 0.6597), in MDC 12 (Diseases and Disorders of the Male Reproductive System), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.