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ICD-10 Guide
ICD-10 CodesQ52.10

Q52.10

Billable

Doubling of vagina, unspecified

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

Code Description

ICD-10 Q52.10 is a billable code used to indicate a diagnosis of doubling of vagina, unspecified.

Key Diagnostic Point:

Doubling of the vagina, also known as vaginal duplication, is a rare congenital malformation characterized by the presence of two vaginas. This condition can occur as an isolated anomaly or as part of a more complex syndrome involving other genital or urinary tract malformations. The condition may present with various symptoms, including abnormal menstrual flow, pain, or complications during childbirth. It is essential to differentiate this condition from other congenital anomalies of the genital tract, such as uterine malformations, which may also present with similar symptoms. The diagnosis is typically made through imaging studies, such as ultrasound or MRI, which can visualize the anatomical structures. Management may involve surgical intervention, especially if the duplication leads to obstructive symptoms or complications. Understanding the implications of this condition is crucial for pediatricians and gynecologists, as it may affect future reproductive health and requires careful monitoring and management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and associated anomalies
  • Need for imaging studies for accurate diagnosis
  • Potential for surgical intervention and follow-up
  • Differentiation from other congenital malformations

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings
  • Failure to specify associated congenital anomalies
  • Misclassification of the condition with similar codes
  • Lack of imaging study documentation

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed history of the patient's symptoms, physical examination findings, and any imaging studies performed.

Common Clinical Scenarios

A pediatric patient presenting with abdominal pain and abnormal menstrual cycles may require evaluation for vaginal duplication.

Billing Considerations

Pediatric coders should be aware of the developmental implications and potential need for multidisciplinary care.

Genetics

Documentation Requirements

Genetic counseling notes, family history, and any genetic testing results that may indicate syndromic associations.

Common Clinical Scenarios

A patient with vaginal duplication may be evaluated for genetic syndromes that include this anomaly, necessitating thorough documentation.

Billing Considerations

Genetic coders should consider the implications of chromosomal abnormalities that may co-occur with congenital malformations.

Coding Guidelines

Inclusion Criteria

Use Q52.10 When
  • Coders should adhere to the official ICD
  • CM guidelines for congenital malformations, ensuring accurate documentation of the condition, associated anomalies, and any surgical interventions performed

Exclusion Criteria

Do NOT use Q52.10 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58150CPT Code

Hysterectomy, abdominal, total

Clinical Scenario

May be used if surgical intervention is required for associated complications.

Documentation Requirements

Surgical notes detailing the procedure and indications for surgery.

Specialty Considerations

Gynecologists should ensure that the surgical necessity is well-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 conditions, improving the accuracy of diagnoses and treatment tracking for conditions like vaginal duplication.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of diagnoses and treatment tracking for conditions like vaginal duplication.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of diagnoses and treatment tracking for conditions like vaginal duplication.

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 symptoms of vaginal duplication?

Common symptoms include abnormal menstrual flow, pelvic pain, and complications during childbirth. Patients may also experience urinary issues if associated anomalies are present.