Longitudinal vaginal septum, obstructing, right side
ICD-10 Q52.121 is a billable code used to indicate a diagnosis of longitudinal vaginal septum, obstructing, right side.
A longitudinal vaginal septum is a congenital malformation characterized by the presence of a fibrous or muscular band that divides the vaginal canal into two separate compartments. When this septum is obstructing on the right side, it can lead to various complications, including obstructive symptoms such as dyspareunia, dysmenorrhea, or urinary issues. This condition is often diagnosed during adolescence or early adulthood when patients present with symptoms related to menstrual flow or sexual activity. The presence of a longitudinal vaginal septum can also be associated with other congenital anomalies of the reproductive tract, such as uterine malformations, which may complicate the clinical picture. Management typically involves surgical intervention to excise the septum and restore normal vaginal anatomy, which can significantly improve the quality of life for affected individuals. Understanding the implications of this condition is crucial for pediatricians and gynecologists alike, as early diagnosis and treatment can prevent further complications.
Pediatric documentation should include detailed history, physical examination findings, and any imaging studies that support the diagnosis of a longitudinal vaginal septum.
Common scenarios include a young female presenting with pelvic pain, abnormal menstrual cycles, or urinary symptoms, prompting evaluation for congenital anomalies.
Pediatric coders must be aware of the developmental implications and potential psychosocial impacts of congenital genital malformations.
Genetic documentation should include family history, genetic counseling notes, and any chromosomal studies that may indicate syndromic associations.
Scenarios may involve genetic counseling for families with a history of congenital malformations or syndromes associated with genital anomalies.
Genetic coders should consider the potential for chromosomal abnormalities that may accompany congenital genital malformations.
When surgical intervention is required for severe obstructive symptoms due to a vaginal septum.
Operative report detailing the procedure and findings.
Gynecologists should ensure proper coding for surgical interventions related to congenital anomalies.
Common symptoms include pelvic pain, dysmenorrhea, dyspareunia, and urinary issues. Patients may also experience complications related to menstrual flow due to obstruction.
