Congenital absence of vagina
ICD-10 Q52.0 is a billable code used to indicate a diagnosis of congenital absence of vagina.
Congenital absence of the vagina, also known as vaginal agenesis, is a rare condition that occurs when the vagina fails to develop properly during fetal development. This condition is often associated with other congenital anomalies, particularly those affecting the reproductive system. In females, the absence of the vagina can lead to significant psychosocial and physical challenges, including difficulties with menstruation and sexual intercourse. It is frequently linked with other malformations such as Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome, which may also involve renal anomalies and uterine malformations. Diagnosis is typically made through physical examination and imaging studies, such as ultrasound or MRI, which can help assess the presence of other reproductive structures. Treatment often involves surgical intervention to create a neovagina, along with psychological support to address the emotional aspects of the condition. Understanding the complexities of this condition is crucial for accurate coding and management in pediatric and genetic settings.
Detailed documentation of physical examination findings, imaging results, and any associated congenital anomalies.
Evaluation of newborns with ambiguous genitalia, assessment of adolescents with delayed menarche, and management of patients undergoing surgical reconstruction.
Consideration of the psychosocial impact on the patient and family, as well as the need for ongoing follow-up and support.
Genetic testing results, family history of congenital conditions, and any syndromic associations.
Genetic counseling for families with a history of congenital malformations, evaluation of patients with MRKH syndrome, and assessment of chromosomal abnormalities.
Understanding the genetic basis of congenital absence of vagina and its potential syndromic associations.
Performed for patients with congenital absence of vagina to create a neovagina.
Detailed operative report and pre-operative assessments.
Consideration of psychological support and counseling pre- and post-surgery.
Common associated conditions include renal anomalies, uterine malformations, and syndromic presentations such as MRKH syndrome. Accurate documentation of these conditions is essential for proper coding and management.
