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ICD-10 Guide
ICD-10 CodesQ52.70

Q52.70

Billable

Unspecified congenital malformations of vulva

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 Q52.70 is a billable code used to indicate a diagnosis of unspecified congenital malformations of vulva.

Key Diagnostic Point:

Congenital malformations of the vulva encompass a range of developmental anomalies that can affect the external female genitalia. These malformations may present as structural abnormalities, such as labial fusion, agenesis, or other deformities that can impact the function and appearance of the vulva. In pediatric patients, these conditions may be associated with other congenital anomalies, including those of the urinary tract or reproductive system. Common examples include hypospadias, where the urethral opening is located on the underside of the penis, and cryptorchidism, where one or both testes fail to descend into the scrotum. Ambiguous genitalia, which can arise from chromosomal abnormalities such as Turner syndrome or androgen insensitivity syndrome, may also be classified under this code. Uterine malformations, while primarily affecting the internal reproductive organs, can also have implications for vulvar development and function. Accurate diagnosis and coding are essential for appropriate management and treatment planning, as these conditions can have significant implications for the patient's health and reproductive potential.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of malformations
  • Need for comprehensive clinical documentation to support coding
  • Potential overlap with other congenital conditions
  • Requirement for multidisciplinary evaluation and management

Audit Risk Factors

  • Insufficient documentation of clinical findings
  • Inconsistent use of terminology in medical records
  • Failure to document associated conditions or syndromes
  • Lack of clarity regarding the specific type of malformation

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed physical examination findings, including descriptions of any observed malformations, associated symptoms, and family history of congenital conditions.

Common Clinical Scenarios

Evaluation of a newborn with ambiguous genitalia, management of a child with hypospadias, or follow-up care for a patient with cryptorchidism.

Billing Considerations

Pediatric coders must be aware of the developmental implications of these conditions and the potential need for surgical intervention.

Genetics

Documentation Requirements

Genetic testing results, family history of genetic disorders, and any syndromic associations with the congenital malformations.

Common Clinical Scenarios

Genetic counseling for families with a history of congenital malformations, evaluation of chromosomal abnormalities in patients with ambiguous genitalia.

Billing Considerations

Genetic coders should ensure that all relevant genetic syndromes are documented to support accurate coding.

Coding Guidelines

Inclusion Criteria

Use Q52.70 When
  • Coders should adhere to the official ICD
  • CM guidelines for coding congenital conditions, ensuring that all relevant clinical information is documented and that codes are assigned based on the most specific diagnosis available

Exclusion Criteria

Do NOT use Q52.70 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54160CPT Code

Circumcision, surgical excision of prepuce

Clinical Scenario

Used in cases of hypospadias repair where circumcision is indicated.

Documentation Requirements

Document the indication for the procedure and any associated findings.

Specialty Considerations

Pediatric urologists should ensure that all relevant clinical details are captured.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital malformations, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital malformations, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What should I document to support the use of code Q52.70?

To support the use of code Q52.70, document specific findings related to the congenital malformation, any associated conditions, and the clinical implications for treatment. Include details from physical examinations, imaging studies, and genetic testing results.