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v1.0.0
ICD-10 Guide
ICD-10 CodesQ51.828

Q51.828

Billable

Other congenital malformations of cervix

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

Code Description

ICD-10 Q51.828 is a billable code used to indicate a diagnosis of other congenital malformations of cervix.

Key Diagnostic Point:

Congenital malformations of the cervix can encompass a variety of structural abnormalities that may affect reproductive health and function. These malformations can arise from developmental disruptions during embryogenesis, leading to conditions such as cervical agenesis, hypoplasia, or abnormal positioning. In pediatric patients, these conditions may present with symptoms such as abnormal menstrual cycles, infertility, or complications during pregnancy. The cervix plays a crucial role in reproductive health, and its malformations can be associated with other congenital anomalies of the genital tract, including uterine malformations like unicornuate uterus or didelphys. Accurate diagnosis often involves imaging studies such as ultrasound or MRI, and management may require a multidisciplinary approach involving gynecologists, pediatricians, and geneticists to address both the physical and psychosocial aspects of these conditions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of malformations
  • Need for comprehensive documentation of associated anomalies
  • Potential overlap with other congenital codes
  • Requirement for detailed clinical history and imaging results

Audit Risk Factors

  • Inadequate documentation of the specific type of malformation
  • Failure to report associated congenital anomalies
  • Misuse of codes due to overlapping symptoms with other conditions
  • Lack of clarity in clinical notes regarding the patient's reproductive history

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed growth and development assessments, family history of congenital conditions, and any associated symptoms.

Common Clinical Scenarios

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

Billing Considerations

Consideration of psychosocial impacts on the child and family, as well as the need for genetic counseling.

Genetics

Documentation Requirements

Genetic testing results, family pedigree, and any chromosomal analysis performed.

Common Clinical Scenarios

Assessment of a child with a known genetic syndrome presenting with cervical malformations.

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use Q51.828 When
  • Follow the official ICD
  • CM coding guidelines for congenital conditions, ensuring that all relevant clinical information is documented and that codes accurately reflect the patient's diagnosis and any associated conditions

Exclusion Criteria

Do NOT use Q51.828 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58120CPT Code

Total abdominal hysterectomy

Clinical Scenario

Used in cases of severe cervical malformation requiring surgical intervention.

Documentation Requirements

Operative reports detailing the procedure and indications.

Specialty Considerations

Gynecological assessment and pediatric considerations for surgical risks.

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.

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.

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 common congenital malformations associated with Q51.828?

Common malformations include cervical agenesis, hypoplasia, and abnormal positioning, which may be associated with other genital tract anomalies.