2024 ICD-10-CM Diagnosis Code Q52.4

Other congenital malformations of vagina

ICD-10-CM Code:
Q52.4
ICD-10 Code for:
Other congenital malformations of vagina
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Chronic
Code Navigator:

Code Classification

  • Congenital malformations, deformations and chromosomal abnormalities
    (Q00-Q99)
    • Congenital malformations of genital organs
      (Q50-Q56)
      • Other congenital malformations of female genitalia
        (Q52)

Q52.4 is a billable diagnosis code used to specify a medical diagnosis of other congenital malformations of vagina. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

This code is applicable to female patients only. It is clinically and virtually impossible to use this code on a non-female patient.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Annular hymen
  • Atresia of lower vagina
  • Bicornuate uterus
  • Congenital abnormal shape of fallopian tube
  • Congenital anomaly of mother complicating pregnancy
  • Congenital anomaly of vagina
  • Congenital anomaly of vagina in mother complicating pregnancy
  • Congenital atresia of vagina
  • Congenital cyst of canal of Nuck
  • Congenital duplication of cervix
  • Congenital duplication of uterus
  • Congenital malformation of uterus and cervix
  • Congenital stenosis of vagina
  • Congenital stenosis of vagina
  • Congenital stenosis of vagina affecting pregnancy
  • Cyst of vagina
  • Double uterus, hemivagina, renal agenesis syndrome
  • Embryonic cyst of Gartner's duct
  • Embryonic cyst of left Gartner's duct
  • Embryonic cyst of right Gartner's duct
  • Embryonic cyst of vagina
  • Finding of shape of hymen
  • Finding of shape of hymen
  • Horseshoe shape hymen
  • Hypoplasia of vagina
  • Septate hymen
  • Septate vagina
  • Stenosis of vagina
  • Stenosis of vagina
  • Uterus bicornis bicollis
  • Uterus bicornis bicollis with blind hemi-vagina
  • Vaginal septum

Clinical Classification

Clinical Information

  • Bicornuate Uterus

    a congenital uterine anomaly in which the uterus is divided into two uterine horns with a significant cleft at the uterine fundus due to partial fusion of the mullerian ducts. bicornuate uterus is sometimes associated with a longitudinal vaginal septum and abnormal development of renal tracts.

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Canal of Nuck cyst, congenital
  • Congenital malformation of vagina NOS
  • Embryonic vaginal cyst
  • Gartner's duct cyst

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10-CM Code Edits are applicable to this code:

  • Diagnoses for females only - The Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, these edits apply to FEMALES only .

Present on Admission (POA)

Q52.4 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.

CMS POA Indicator Options and Definitions

POA IndicatorReason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert Q52.4 to ICD-9-CM

  • ICD-9-CM Code: 752.41 - Embryon cyst fem gen NEC
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.
  • ICD-9-CM Code: 752.49 - Cervix/fem gen anom NEC
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.