Congenital malformation of clitoris
ICD-10 Q52.6 is a billable code used to indicate a diagnosis of congenital malformation of clitoris.
Congenital malformation of the clitoris refers to a range of developmental anomalies affecting the clitoral structure, which can manifest as an enlarged clitoris (clitoromegaly), a hypoplastic clitoris, or abnormal positioning. These malformations can be associated with other genital anomalies, such as hypospadias, cryptorchidism, or ambiguous genitalia, and may be indicative of underlying chromosomal abnormalities, such as Turner syndrome or androgen insensitivity syndrome. The clinical presentation can vary widely, and diagnosis often involves a thorough physical examination, imaging studies, and genetic testing to determine the presence of associated conditions. Management may include surgical intervention, hormonal therapy, and multidisciplinary care involving pediatricians, urologists, and geneticists to address both the physical and psychosocial aspects of the condition.
Detailed physical examination findings, family history, and any associated anomalies must be documented.
Evaluation of newborns with ambiguous genitalia, follow-up of patients with known congenital malformations, and preoperative assessments for surgical correction.
Pediatric coders should be aware of the developmental implications of genital malformations and the importance of a multidisciplinary approach.
Genetic testing results, family pedigree, and any syndromic associations must be clearly documented.
Genetic counseling for families with a history of congenital malformations, evaluation of patients with suspected syndromic conditions, and interpretation of chromosomal studies.
Genetic coders should ensure that all relevant genetic findings are captured to support the diagnosis and management plan.
Used in cases where surgical intervention is required for associated conditions.
Operative report detailing the procedure and indication.
Pediatric urologists should ensure that all relevant findings are documented.
Accurate coding of congenital malformations is crucial for appropriate reimbursement, tracking of public health trends, and ensuring that patients receive the necessary multidisciplinary care. It also aids in research and understanding the epidemiology of these conditions.
