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ICD-10 Guide
ICD-10 CodesQ51.810

Q51.810

Billable

Arcuate uterus

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 Q51.810 is a billable code used to indicate a diagnosis of arcuate uterus.

Key Diagnostic Point:

An arcuate uterus is a congenital malformation characterized by a slight indentation at the fundus of the uterus, resulting in a normal external contour but a concave internal cavity. This condition is considered a mild form of uterine anomaly and is often asymptomatic. It may be discovered incidentally during imaging studies or surgical procedures. While an arcuate uterus is generally associated with a favorable reproductive outcome, it can be linked to complications such as recurrent pregnancy loss or preterm labor in some cases. The condition arises from incomplete resorption of the Müllerian ducts during embryonic development, leading to variations in uterine morphology. Accurate diagnosis typically involves imaging techniques such as hysterosalpingography or ultrasound. Understanding the implications of an arcuate uterus is crucial for managing reproductive health and counseling patients regarding potential risks during pregnancy.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for imaging studies for accurate diagnosis
  • Differentiation from other uterine anomalies
  • Potential for associated reproductive complications

Audit Risk Factors

  • Inconsistent documentation of imaging results
  • Failure to note associated reproductive complications
  • Misclassification with more severe uterine anomalies
  • Inadequate patient history regarding reproductive outcomes

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Documentation should include detailed patient history, imaging results, and any associated conditions. Pediatricians should note any developmental concerns or related congenital anomalies.

Common Clinical Scenarios

Common scenarios include evaluation of adolescents with menstrual irregularities or reproductive health concerns, where an arcuate uterus may be discovered.

Billing Considerations

Consideration should be given to the patient's age and developmental stage, as well as any psychosocial factors affecting reproductive health.

Genetics

Documentation Requirements

Genetic counseling documentation should include family history, potential genetic syndromes associated with uterine anomalies, and any chromosomal evaluations performed.

Common Clinical Scenarios

Scenarios may involve counseling families with a history of congenital anomalies or recurrent pregnancy loss, where genetic factors may play a role.

Billing Considerations

Geneticists should consider the potential for syndromic associations and the implications for future pregnancies.

Coding Guidelines

Inclusion Criteria

Use Q51.810 When
  • Follow official ICD
  • 10 guidelines for coding congenital malformations, ensuring accurate documentation of the condition and any associated complications
  • Use additional codes as necessary to capture related conditions

Exclusion Criteria

Do NOT use Q51.810 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58300CPT Code

Hysterosalpingography

Clinical Scenario

Used to evaluate uterine anomalies including arcuate uterus.

Documentation Requirements

Document indications for the procedure and findings.

Specialty Considerations

Radiologists should provide detailed imaging reports.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital conditions like arcuate uterus, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions like arcuate uterus, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Coding & Billing References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Frequently Asked Questions

What is the clinical significance of an arcuate uterus?

An arcuate uterus is generally considered a mild uterine anomaly with a low risk of complications. However, it can be associated with reproductive challenges such as recurrent pregnancy loss or preterm labor, necessitating careful monitoring and counseling.