Longitudinal vaginal septum, obstructing, left side
ICD-10 Q52.122 is a billable code used to indicate a diagnosis of longitudinal vaginal septum, obstructing, left side.
A longitudinal 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. When this septum is obstructing, it can lead to complications such as obstructed menstruation, dyspareunia, and potential infertility. This condition typically arises during embryonic development when the Müllerian ducts fail to fuse properly, resulting in a septum that can be unilateral or bilateral. In the case of a left-sided obstructing septum, the right vaginal canal may be patent, while the left side is obstructed, leading to a range of clinical symptoms. Diagnosis is often made through imaging studies such as ultrasound or MRI, and treatment may involve surgical resection of the septum to restore normal vaginal anatomy and function. This condition is part of a broader category of congenital malformations of the genital organs, which can include conditions like hypospadias, cryptorchidism, and uterine malformations, each presenting unique challenges in diagnosis and management.
Documentation should include detailed patient history, physical examination findings, and any imaging results that support the diagnosis of a longitudinal vaginal septum.
Common scenarios include a pediatric patient presenting with recurrent urinary tract infections or menstrual irregularities due to obstructive anatomy.
Consideration must be given to the age of the patient and the potential for future reproductive health issues.
Genetic counseling notes should document any family history of congenital anomalies and the results of genetic testing if performed.
Scenarios may include a family history of congenital malformations prompting genetic evaluation of the child.
Genetic syndromes associated with Müllerian duct anomalies should be considered, and coding should reflect any identified syndromic conditions.
Used when surgical intervention is required to correct the obstructing septum.
Surgical notes must detail the procedure performed and the indication for surgery.
Pediatric surgeons should ensure that the coding reflects the age and developmental considerations of the patient.
Common symptoms include obstructed menstruation, pelvic pain, and dyspareunia. Patients may also present with recurrent urinary tract infections due to anatomical abnormalities.
