Longitudinal vaginal septum
ICD-10 Q52.12 is a billable code used to indicate a diagnosis of longitudinal vaginal septum.
A longitudinal vaginal septum is a congenital malformation characterized by the presence of a fibrous or muscular band that divides the vaginal canal longitudinally. This condition can lead to various complications, including obstructed menstrual flow, dyspareunia, and difficulties during childbirth. The septum can vary in thickness and length, and its presence may be associated with other congenital anomalies of the reproductive system, such as uterine malformations. Diagnosis is typically made through pelvic examination, imaging studies like ultrasound or MRI, and sometimes hysteroscopy. Treatment often involves surgical resection of the septum to alleviate symptoms and restore normal vaginal anatomy. It is essential for healthcare providers to be aware of this condition, as it can significantly impact a patient's reproductive health and quality of life.
Documentation should include detailed descriptions of the patient's symptoms, any associated congenital anomalies, and the impact on the patient's health and development.
Common scenarios include a pediatric patient presenting with recurrent urinary tract infections or menstrual irregularities due to the septum.
Consideration should be given to the age of the patient and the potential for future reproductive health issues.
Genetic counseling documentation should include family history, potential genetic syndromes associated with the septum, and any chromosomal abnormalities.
Scenarios may involve genetic evaluation of patients with longitudinal vaginal septum and other congenital anomalies.
Genetic testing may be warranted to rule out syndromic causes of the septum.
Used when evaluating the vaginal septum and associated anomalies.
Document indications for hysteroscopy and findings.
Pediatric and gynecological specialties may require different documentation standards.
Common symptoms include obstructed menstrual flow, dyspareunia, and recurrent urinary tract infections. Patients may also present with abdominal pain or complications during childbirth.
