ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesQ51.811

Q51.811

Billable

Hypoplasia of uterus

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

Code Description

ICD-10 Q51.811 is a billable code used to indicate a diagnosis of hypoplasia of uterus.

Key Diagnostic Point:

Hypoplasia of the uterus is a congenital condition characterized by an underdeveloped uterus, which can lead to various reproductive issues. This condition may be associated with other congenital malformations of the genital organs, such as Müllerian duct anomalies, which can affect the structure and function of the reproductive system. In females with uterine hypoplasia, the uterus may be smaller than normal, which can impact menstruation, fertility, and the ability to carry a pregnancy to term. The condition can be diagnosed through imaging studies such as ultrasound or MRI, and it may be part of a broader spectrum of disorders affecting the reproductive tract. It is essential for healthcare providers to assess for associated anomalies, including renal and skeletal abnormalities, as these can occur in conjunction with uterine hypoplasia. Management may involve a multidisciplinary approach, including gynecological evaluation and potential reproductive assistance, depending on the severity of the condition and the patient's reproductive goals.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of the condition.
  • Need for comprehensive documentation of associated congenital anomalies.
  • Potential overlap with other congenital codes, requiring careful differentiation.
  • Involvement of multiple specialties in diagnosis and management.

Audit Risk Factors

  • Inadequate documentation of associated congenital anomalies.
  • Failure to specify the severity of the hypoplasia.
  • Misclassification of the condition due to overlapping symptoms with other malformations.
  • Lack of clarity in the clinical rationale for the diagnosis.

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed history of the patient's congenital conditions, growth and development assessments, and any associated anomalies.

Common Clinical Scenarios

Evaluation of a newborn with ambiguous genitalia or a child presenting with delayed puberty.

Billing Considerations

Consideration of psychosocial factors and family history of congenital conditions.

Genetics

Documentation Requirements

Genetic testing results, family history of congenital anomalies, and any syndromic associations.

Common Clinical Scenarios

Genetic counseling for families with a history of uterine malformations or related syndromes.

Billing Considerations

Understanding the genetic basis of congenital malformations and their implications for family planning.

Coding Guidelines

Inclusion Criteria

Use Q51.811 When
  • Follow the official ICD
  • CM coding guidelines for congenital malformations, ensuring accurate documentation of the condition and any associated anomalies
  • Use additional codes as necessary to capture the full clinical picture

Exclusion Criteria

Do NOT use Q51.811 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58150CPT Code

Hysteroscopy, diagnostic

Clinical Scenario

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

Documentation Requirements

Document indications for the procedure and findings.

Specialty Considerations

Considerations for pediatric patients may differ from adult populations.

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, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

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

Reimbursement & Billing Impact

reimbursement processes.

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 is the difference between uterine hypoplasia and agenesis?

Uterine hypoplasia refers to an underdeveloped uterus, while agenesis indicates the complete absence of the uterus. Accurate coding requires careful documentation of the condition's specifics.