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ICD-10 Guide
ICD-10 CodesQ51.5

Q51.5

Billable

Agenesis and aplasia of cervix

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

Code Description

ICD-10 Q51.5 is a billable code used to indicate a diagnosis of agenesis and aplasia of cervix.

Key Diagnostic Point:

Agenesis and aplasia of the cervix is a rare congenital malformation characterized by the complete or partial absence of the cervix, which can lead to significant reproductive and urinary complications. This condition is often associated with other congenital anomalies of the reproductive system, such as Müllerian duct anomalies, which can affect the uterus and vagina. Patients may present with symptoms such as primary amenorrhea, pelvic pain, or infertility. Diagnosis typically involves imaging studies such as ultrasound or MRI to assess the anatomy of the reproductive tract. Management may require a multidisciplinary approach, including gynecological, urological, and possibly surgical interventions to address associated anomalies and improve reproductive outcomes. Understanding the implications of this condition is crucial for pediatricians and geneticists, as early diagnosis and intervention can significantly impact the quality of life and reproductive health of affected individuals.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and associated anomalies
  • Need for comprehensive documentation of related conditions
  • Potential for misdiagnosis with similar conditions
  • Complexity in surgical coding if interventions are performed

Audit Risk Factors

  • Inadequate documentation of associated congenital anomalies
  • Failure to specify the type of agenesis (complete vs. partial)
  • Misalignment between diagnosis and procedure codes
  • Lack of clarity in clinical notes regarding the patient's reproductive health

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation should include detailed growth and development assessments, family history of congenital conditions, and any associated symptoms or complications.

Common Clinical Scenarios

Common scenarios include evaluation of primary amenorrhea in adolescent females, assessment of pelvic pain, and referral for fertility evaluation.

Billing Considerations

Pediatric coders must be aware of the developmental implications of congenital malformations and the need for long-term follow-up.

Genetics

Documentation Requirements

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

Common Clinical Scenarios

Genetic counseling for families with a history of congenital malformations, evaluation of chromosomal abnormalities, and syndromic presentations.

Billing Considerations

Genetic coders should ensure accurate coding of any chromosomal abnormalities that may be associated with agenesis and aplasia of the cervix.

Coding Guidelines

Inclusion Criteria

Use Q51.5 When
  • According to ICD
  • 10 coding guidelines, congenital malformations should be coded based on the specific anatomical and functional implications
  • Documentation must clearly indicate the diagnosis and any associated conditions to ensure accurate coding

Exclusion Criteria

Do NOT use Q51.5 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58150CPT Code

Total abdominal hysterectomy

Clinical Scenario

Used in cases where surgical intervention is necessary due to severe malformations.

Documentation Requirements

Documentation must include indications for surgery and any associated findings.

Specialty Considerations

Gynecological specialists should ensure that all relevant anatomical details are documented.

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 diagnoses and facilitating better patient management. Q51.5 provides a clear classification for cervix agenesis, which was less defined in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital malformations, improving the accuracy of diagnoses and facilitating better patient management. Q51.5 provides a clear classification for cervix agenesis, which was less defined in ICD-9.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of congenital malformations, improving the accuracy of diagnoses and facilitating better patient management. Q51.5 provides a clear classification for cervix agenesis, which was less defined in ICD-9.

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 common associated conditions with agenesis of the cervix?

Common associated conditions include Müllerian duct anomalies, which can affect the uterus and vagina, as well as other congenital malformations of the genital tract. Genetic syndromes may also be present, necessitating thorough evaluation.