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v1.0.0
ICD-10 Guide
ICD-10 CodesQ51.820

Q51.820

Billable

Cervical duplication

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

Code Description

ICD-10 Q51.820 is a billable code used to indicate a diagnosis of cervical duplication.

Key Diagnostic Point:

Cervical duplication is a rare congenital malformation characterized by the presence of two cervical canals or cervices, which can occur due to abnormal embryonic development during the formation of the reproductive system. This condition may lead to complications such as obstructed menstrual flow, infertility, or complications during pregnancy and delivery. It is often associated with other congenital anomalies of the genital tract, including uterine malformations, which can further complicate clinical management. Diagnosis typically involves imaging studies such as ultrasound or MRI to visualize the anatomy of the cervix and surrounding structures. Treatment may vary based on the severity of symptoms and associated conditions, ranging from monitoring to surgical intervention to correct anatomical abnormalities. Understanding the implications of cervical duplication is crucial for pediatricians and gynecologists, particularly in the context of reproductive health and developmental assessments in affected individuals.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and associated anomalies
  • Need for detailed imaging studies for accurate diagnosis
  • Potential overlap with other congenital conditions
  • Documentation of clinical findings and treatment plans

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to report associated congenital anomalies
  • Misinterpretation of imaging results
  • Inconsistent coding of related procedures

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed history of the patient's congenital condition, including any associated anomalies and developmental milestones.

Common Clinical Scenarios

Evaluation of a newborn with ambiguous genitalia or a child presenting with recurrent urinary tract infections.

Billing Considerations

Consideration of the psychosocial impact on the family and the need for genetic counseling.

Genetics

Documentation Requirements

Genetic testing results, family history of congenital conditions, and any chromosomal abnormalities.

Common Clinical Scenarios

Counseling for families with a history of congenital malformations and discussing the implications of genetic findings.

Billing Considerations

Awareness of syndromic associations and the need for comprehensive genetic evaluation.

Coding Guidelines

Inclusion Criteria

Use Q51.820 When
  • Follow the official ICD
  • CM guidelines for coding congenital malformations, ensuring accurate documentation of associated conditions and any surgical interventions

Exclusion Criteria

Do NOT use Q51.820 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58150CPT Code

Hysteroscopy, diagnostic

Clinical Scenario

Used to evaluate the uterine cavity in cases of cervical duplication.

Documentation Requirements

Document indications for the procedure and findings.

Specialty Considerations

Gynecological evaluation may require collaboration with pediatric specialists.

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 are the implications of cervical duplication for reproductive health?

Cervical duplication can lead to complications such as obstructed menstrual flow and may affect fertility. It is important for affected individuals to receive comprehensive gynecological care and counseling regarding reproductive options.