Other and unspecified doubling of uterus
ICD-10 Q51.28 is a billable code used to indicate a diagnosis of other and unspecified doubling of uterus.
Q51.28 refers to congenital malformations characterized by the presence of two uteri, a condition known as uterine didelphys or other forms of uterine duplication. This anomaly arises during embryonic development when the Müllerian ducts, which form the female reproductive tract, fail to fuse properly. As a result, the individual may have two separate uterine cavities, each potentially with its own cervix and, in some cases, a vaginal septum. While some individuals with this condition may remain asymptomatic, others may experience complications such as recurrent pregnancy loss, preterm labor, or difficulties during labor due to the abnormal uterine structure. The diagnosis is typically made through imaging studies such as ultrasound or MRI, which can visualize the anatomical differences. It is essential for healthcare providers to recognize and document this condition accurately, as it can significantly impact reproductive health and management strategies.
Pediatric documentation should include detailed birth history, any prenatal complications, and developmental milestones. It is crucial to document any associated congenital anomalies.
Common scenarios include evaluation of ambiguous genitalia, assessment of cryptorchidism, and management of hypospadias in pediatric patients.
Special considerations include understanding the implications of congenital malformations on future reproductive health and the need for multidisciplinary care.
Genetic documentation should include family history of congenital anomalies, results of genetic testing, and any chromosomal abnormalities identified.
Common scenarios include genetic counseling for families with a history of uterine malformations and assessment of chromosomal abnormalities in patients with ambiguous genitalia.
Considerations include the potential for syndromic associations and the need for comprehensive genetic evaluation.
Used for evaluation of uterine anomalies in patients with reproductive issues.
Document indications for hysteroscopy and findings.
Considerations for pediatric patients may include the need for sedation and specialized equipment.
Doubling of the uterus can lead to complications such as recurrent pregnancy loss, preterm labor, and difficulties during labor. It is essential for patients to receive comprehensive care and counseling regarding their reproductive options.
