2025 ICD-10-CM code Q52.4
Other congenital malformations of vagina.
Medical necessity is determined by the impact of the malformation on the patient's health and function.Surgical intervention is typically justified for symptomatic or obstructing lesions.
Diagnosis and management of congenital vaginal malformations typically fall under the purview of gynecologists, pediatric surgeons, or urologists, depending on the specific nature of the malformation.
In simple words: This code refers to birth defects affecting the vagina, such as cysts or other structural abnormalities.
This code encompasses other congenital malformations of the vagina, including Canal of Nuck cyst, congenital; Congenital malformation of vagina NOS; Embryonic vaginal cyst; Gartner's duct cyst.
Example 1: A newborn female is found to have a Gartner's duct cyst during her initial physical examination., An adolescent female presents with recurrent vaginal infections and is subsequently diagnosed with a longitudinal vaginal septum., A prenatal ultrasound reveals a Canal of Nuck cyst in a female fetus.
Documentation should include detailed clinical findings, imaging results (e.g., ultrasound, MRI), and operative reports if surgical intervention is performed.
** Excludes2: inborn errors of metabolism (E70-E88)Excludes1: syndromes associated with anomalies in the number and form of chromosomes (Q90-Q99)androgen insensitivity syndrome (E34.5)
- Payment Status: Active
- Specialties:Gynecology, Pediatric Surgery, Urology
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Office