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ICD-10 Guide
ICD-10 CodesQ52.11

Q52.11

Billable

Transverse vaginal septum

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

Code Description

ICD-10 Q52.11 is a billable code used to indicate a diagnosis of transverse vaginal septum.

Key Diagnostic Point:

Transverse vaginal septum is a congenital malformation characterized by the presence of a fibrous or muscular band that divides the vaginal canal into two separate compartments. This condition can lead to various clinical manifestations, including obstructed menstruation, dyspareunia, and complications during childbirth. The septum can vary in thickness and length, and its presence may be associated with other congenital anomalies of the reproductive system, such as uterine malformations. Diagnosis is typically made through imaging studies, such as ultrasound or MRI, and may require surgical intervention for correction. Understanding the implications of transverse vaginal septum is crucial for pediatric patients, as early diagnosis and management can significantly improve quality of life and reproductive outcomes in later years.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of the condition
  • Potential association with other congenital anomalies
  • Need for multidisciplinary approach in management
  • Variations in surgical intervention techniques

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to document associated congenital anomalies
  • Misclassification of the type of vaginal malformation
  • Lack of clarity in surgical intervention details

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed history of symptoms, physical examination findings, and imaging results are essential for accurate coding.

Common Clinical Scenarios

Pediatric patients presenting with obstructive symptoms or recurrent urinary tract infections may require evaluation for transverse vaginal septum.

Billing Considerations

Consideration of the patient's age and developmental stage is crucial for appropriate management and coding.

Genetics

Documentation Requirements

Genetic counseling notes and family history documentation are important for understanding potential hereditary patterns.

Common Clinical Scenarios

Patients with transverse vaginal septum may be evaluated for syndromic associations, necessitating genetic testing.

Billing Considerations

Awareness of chromosomal abnormalities that may co-occur with congenital malformations is vital for accurate coding.

Coding Guidelines

Inclusion Criteria

Use Q52.11 When
  • Follow official ICD
  • CM guidelines for coding congenital malformations, ensuring specificity in documentation and coding based on clinical findings and imaging results

Exclusion Criteria

Do NOT use Q52.11 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58550CPT Code

Vaginal septum resection

Clinical Scenario

Used in cases where surgical intervention is required for transverse vaginal septum.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Ensure alignment with pediatric surgical standards and guidelines.

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, improving the accuracy of data collection and reimbursement processes for transverse vaginal septum and related anomalies.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes for transverse vaginal septum and related anomalies.

Reimbursement & Billing Impact

reimbursement processes for transverse vaginal septum and related anomalies.

Resources

Clinical References

  • •
    Congenital Anomalies: A Guide for Clinicians

Coding & Billing References

  • •
    Congenital Anomalies: A Guide for Clinicians

Frequently Asked Questions

What are the common symptoms of transverse vaginal septum?

Common symptoms include obstructed menstruation, dyspareunia, and recurrent urinary tract infections. Diagnosis often requires imaging studies to confirm the presence of the septum.