Imperforate hymen
ICD-10 Q52.3 is a billable code used to indicate a diagnosis of imperforate hymen.
Imperforate hymen is a congenital malformation characterized by the absence of an opening in the hymen, which can obstruct menstrual flow and lead to complications such as hematocolpos. This condition is typically diagnosed in adolescence when menstruation begins, but it can also be identified earlier if there are signs of urinary obstruction or abdominal pain. The hymen is a thin membrane that partially covers the vaginal opening, and its absence or malformation can lead to various clinical issues. Treatment usually involves surgical intervention to create an appropriate opening, allowing for normal menstrual flow and reducing the risk of infection or other complications. It is essential for healthcare providers to assess for associated anomalies, particularly in the context of other congenital malformations of the genital organs, such as hypospadias, cryptorchidism, and uterine malformations, which may co-occur in patients with similar developmental issues.
Detailed history of symptoms, physical examination findings, and any imaging studies performed.
A pediatric patient presenting with abdominal pain and difficulty menstruating, leading to the diagnosis of imperforate hymen.
Consideration of the patient's age and developmental stage is crucial for accurate coding and management.
Family history of congenital anomalies, genetic counseling notes, and any chromosomal studies performed.
A patient with imperforate hymen presenting with other congenital anomalies, requiring genetic evaluation.
Understanding the potential genetic syndromes associated with genital malformations is essential for accurate coding.
Performed to correct imperforate hymen.
Operative report detailing the procedure and indication.
Pediatric surgical notes should include details on the patient's age and any associated conditions.
Common symptoms include abdominal pain, difficulty menstruating, and urinary obstruction. Diagnosis is typically made during adolescence when menstruation begins.