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ICD-10 Guide
ICD-10 CodesQ52.129

Q52.129

Billable

Other and unspecified longitudinal vaginal septum

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

Code Description

ICD-10 Q52.129 is a billable code used to indicate a diagnosis of other and unspecified longitudinal vaginal septum.

Key Diagnostic Point:

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. This condition can lead to various complications, including obstructive symptoms, difficulties with menstruation, and challenges during childbirth. The septum may vary in thickness and length, and in some cases, it may be associated with other congenital anomalies of the genital tract, such as uterine malformations or abnormalities in the external genitalia. Diagnosis is typically made through imaging studies, such as ultrasound or MRI, and may require surgical intervention for correction. The presence of a longitudinal vaginal septum can also be linked to syndromic conditions, necessitating a thorough evaluation for associated anomalies. Understanding the implications of this condition is crucial for pediatricians and gynecologists, as it can impact reproductive health and overall quality of life.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of the septum
  • Potential association with other congenital anomalies
  • Need for imaging studies for accurate diagnosis
  • Surgical intervention may be required, complicating coding

Audit Risk Factors

  • Inadequate documentation of associated anomalies
  • Failure to specify the type of septum present
  • Misclassification with other vaginal malformations
  • Lack of imaging reports in the medical record

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation should include detailed descriptions of the patient's symptoms, any associated congenital anomalies, and the results of imaging studies.

Common Clinical Scenarios

Common scenarios include a pediatric patient presenting with obstructive symptoms or recurrent urinary tract infections, prompting evaluation for congenital anomalies.

Billing Considerations

Consideration must be given to the age of the patient and the potential for future reproductive health issues.

Genetics

Documentation Requirements

Genetic documentation should include family history, any syndromic associations, and results from genetic testing if applicable.

Common Clinical Scenarios

Scenarios may involve genetic counseling for families with a history of congenital malformations or syndromes associated with vaginal septum.

Billing Considerations

Genetic implications should be assessed, especially if the septum is part of a broader syndrome.

Coding Guidelines

Inclusion Criteria

Use Q52.129 When
  • According to ICD
  • 10 coding guidelines, congenital conditions should be coded based on the specific anatomical and clinical details provided in the documentation
  • It is essential to capture any associated conditions and the severity of the malformation

Exclusion Criteria

Do NOT use Q52.129 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58150CPT Code

Hysterectomy, abdominal, total

Clinical Scenario

May be performed if associated uterine anomalies require surgical intervention.

Documentation Requirements

Document indications for surgery and any associated findings.

Specialty Considerations

Considerations for pediatric patients may differ from adult patients.

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, including longitudinal vaginal septum, which enhances the ability to capture the complexity of these cases and improves data accuracy for research and treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, including longitudinal vaginal septum, which enhances the ability to capture the complexity of these cases and improves data accuracy for research and treatment planning.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    Congenital Anomalies of the Female Genital Tract

Coding & Billing References

  • •
    Congenital Anomalies of the Female Genital Tract

Frequently Asked Questions

What is the significance of coding Q52.129 accurately?

Accurate coding of Q52.129 is crucial as it impacts patient management, surgical planning, and the understanding of associated congenital anomalies. It also affects data collection for research and epidemiological studies related to congenital conditions.