Hypospadias, unspecified

This code represents a congenital anomaly of the male urethra where the opening is located on the underside of the penis, rather than at the tip, without further specification of its type or location. It is a birth defect affecting the development of the urethra and foreskin.

Use this code when documentation indicates a diagnosis of hypospadias but lacks specific details regarding the exact location (e.g., glandular, coronal, penile, penoscrotal) or type. This code is appropriate when the provider simply states "hypospadias" without further elaboration.

• Avoid using this code if more specific documentation regarding the type or location of hypospadias is available (e.g., Q54.0 for balanic hypospadias).
• Always query the provider for greater specificity if the documentation only states "hypospadias" to allow for more precise coding.
• This code is typically a primary diagnosis for the initial evaluation and surgical correction of the condition.