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v1.0.0
ICD-10 Guide
ICD-10 CodesQ52.79

Q52.79

Billable

Other congenital malformations of vulva

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

Code Description

ICD-10 Q52.79 is a billable code used to indicate a diagnosis of other congenital malformations of vulva.

Key Diagnostic Point:

Congenital malformations of the vulva encompass a range of conditions that can affect the external female genitalia. These malformations may include abnormalities such as labial fusion, agenesis of the labia, or other structural anomalies that can impact the function and appearance of the vulva. Such conditions can arise from genetic factors, environmental influences, or developmental disruptions during fetal growth. In pediatric patients, these malformations may present with symptoms such as discomfort, difficulty with hygiene, or complications during puberty. Accurate diagnosis often requires a thorough clinical examination, imaging studies, and sometimes genetic testing to identify underlying chromosomal abnormalities. Treatment may involve surgical intervention, counseling, and ongoing monitoring to address any associated complications or psychosocial impacts. Understanding the full spectrum of congenital vulvar malformations is crucial for effective management and care planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of malformations
  • Need for detailed clinical documentation to support coding
  • Potential overlap with other congenital conditions
  • Requirement for multidisciplinary care approaches

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify the type of malformation
  • Lack of supporting evidence for surgical interventions
  • Misclassification of congenital conditions

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation should include detailed descriptions of the malformation, associated symptoms, and any interventions performed. Growth and developmental assessments are also important.

Common Clinical Scenarios

Common scenarios include a newborn presenting with ambiguous genitalia or a child with labial adhesions requiring surgical intervention.

Billing Considerations

Considerations include the psychosocial impact on the child and family, as well as the need for age-appropriate counseling.

Genetics

Documentation Requirements

Genetic documentation should include family history, results of genetic testing, and any syndromic associations with the malformation.

Common Clinical Scenarios

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

Billing Considerations

Genetic considerations include the potential for chromosomal abnormalities and the need for comprehensive genetic evaluation.

Coding Guidelines

Inclusion Criteria

Use Q52.79 When
  • Official coding guidelines for congenital conditions emphasize the importance of specificity in documentation, the need for clinical correlation, and the requirement to report any associated conditions or procedures

Exclusion Criteria

Do NOT use Q52.79 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

15839CPT Code

Vulvoplasty

Clinical Scenario

Used for surgical correction of labial fusion in pediatric patients.

Documentation Requirements

Document the indication for surgery, pre-operative assessments, and post-operative care.

Specialty Considerations

Pediatric surgical considerations include anesthesia risks and post-operative monitoring.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital malformations, improving the ability to track and manage these conditions effectively.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital malformations, improving the ability to track and manage these conditions effectively.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    Congenital Malformations: A Guide for Clinicians

Coding & Billing References

  • •
    Congenital Malformations: A Guide for Clinicians

Frequently Asked Questions

What documentation is required for coding Q52.79?

Documentation should include a detailed clinical description of the malformation, any associated symptoms, results from imaging or genetic testing, and a treatment plan outlining any surgical interventions.