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v1.0.0
ICD-10 Guide
ICD-10 CodesQ51.22

Q51.22

Billable

Partial doubling of uterus

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

Code Description

ICD-10 Q51.22 is a billable code used to indicate a diagnosis of partial doubling of uterus.

Key Diagnostic Point:

Partial doubling of the uterus, also known as uterine didelphys, is a congenital malformation characterized by the presence of two uterine cavities and two cervices, resulting from incomplete fusion of the Müllerian ducts during embryonic development. This condition can lead to various reproductive challenges, including complications during pregnancy, such as preterm labor, miscarriage, and abnormal fetal positioning. Patients may also experience menstrual irregularities and pelvic pain. Diagnosis is typically made through imaging studies, such as ultrasound or MRI, which can visualize the anatomical structure of the uterus. Management may involve monitoring during pregnancy and addressing any associated complications. It is essential for healthcare providers to recognize this condition early to provide appropriate care and counseling to affected individuals, particularly in pediatric populations where early intervention can be crucial for future reproductive health.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and symptoms among patients
  • Need for imaging studies for accurate diagnosis
  • Potential for associated anomalies in other organ systems
  • Differentiation from other uterine malformations

Audit Risk Factors

  • Inadequate documentation of imaging results
  • Failure to note associated congenital anomalies
  • Misclassification of uterine malformations
  • Lack of clarity in patient history regarding reproductive health

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed documentation of growth and development, reproductive history, and any associated congenital anomalies.

Common Clinical Scenarios

Evaluation of a pediatric patient with suspected uterine malformation during routine examinations or due to presenting symptoms such as abdominal pain.

Billing Considerations

Consideration of the psychological impact on young patients and the importance of family counseling regarding reproductive health.

Genetics

Documentation Requirements

Genetic counseling notes, family history of congenital anomalies, and results from genetic testing if applicable.

Common Clinical Scenarios

Referral for genetic evaluation in cases of uterine malformations associated with syndromic conditions.

Billing Considerations

Understanding the genetic basis of Müllerian duct anomalies and their implications for family planning.

Coding Guidelines

Inclusion Criteria

Use Q51.22 When
  • Follow the official ICD
  • CM coding guidelines for congenital malformations, ensuring accurate documentation of the condition, associated anomalies, and any relevant clinical findings

Exclusion Criteria

Do NOT use Q51.22 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58120CPT Code

Hysteroscopy, diagnostic

Clinical Scenario

Used to evaluate uterine anomalies in patients with suspected congenital malformations.

Documentation Requirements

Document indications for the procedure and findings.

Specialty Considerations

Ensure that the procedure is linked to the diagnosis of partial doubling of the uterus.

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 accuracy of data collection and reimbursement processes for conditions like partial doubling of the uterus.

ICD-9 vs ICD-10

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

Reimbursement & Billing Impact

reimbursement processes for conditions like partial doubling of the uterus.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the implications of partial doubling of the uterus for future pregnancies?

Women with partial doubling of the uterus may face increased risks during pregnancy, including preterm labor and complications related to fetal positioning. It is crucial for these patients to receive specialized care and monitoring throughout their pregnancies to manage these risks effectively.