Longitudinal vaginal septum, microperforate, right side
ICD-10 Q52.123 is a billable code used to indicate a diagnosis of longitudinal vaginal septum, microperforate, 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. In the case of a microperforate septum on the right side, the septum is not fully formed, resulting in a small opening that may lead to complications such as obstruction or difficulty with menstruation. This condition can be associated with other congenital anomalies of the genital tract, including uterine malformations, and may present with symptoms such as pelvic pain, dyspareunia, or abnormal menstrual flow. Diagnosis is typically made through imaging studies such as ultrasound or MRI, and management may involve surgical intervention to remove the septum or create a more functional vaginal canal. Understanding the implications of this condition is crucial for pediatricians and gynecologists, as it can affect reproductive health and quality of life.
Pediatric documentation should include growth and development assessments, family history of congenital conditions, and detailed descriptions of symptoms.
Common scenarios include referrals for pelvic pain in adolescents, evaluation of menstrual irregularities, and assessment of urinary symptoms.
Consideration must be given to the psychosocial impact of congenital conditions on pediatric patients and their families.
Genetic documentation should include family history, genetic testing results, and any syndromic associations with the septum.
Genetic counseling for families with a history of congenital malformations and discussions regarding recurrence risks.
Geneticists must consider the potential for chromosomal abnormalities that may accompany congenital malformations.
Used when surgical intervention is required to correct the septum.
Operative report detailing the procedure and findings.
Gynecologists must ensure accurate coding of the procedure in relation to the diagnosis.
Common symptoms include pelvic pain, difficulty with menstruation, and dyspareunia. Patients may also experience urinary symptoms if there is associated obstruction.
