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ICD-10 Guide
ICD-10 CodesQ52.71

Q52.71

Billable

Congenital absence of vulva

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

Code Description

ICD-10 Q52.71 is a billable code used to indicate a diagnosis of congenital absence of vulva.

Key Diagnostic Point:

Congenital absence of the vulva, classified under Q52.71, refers to a rare condition where the external female genitalia are either partially or completely absent at birth. This condition can occur as an isolated anomaly or as part of a syndrome involving other congenital malformations. The absence of the vulva can lead to significant implications for sexual development, urinary function, and psychosocial well-being. It is essential to evaluate the patient for associated anomalies, particularly in the context of other genital malformations such as hypospadias, cryptorchidism, or ambiguous genitalia. The diagnosis is typically made through physical examination and may require imaging studies to assess internal structures. Management often involves a multidisciplinary approach, including pediatric urology, gynecology, and genetics, to address both the physical and emotional needs of the patient. Early intervention and appropriate surgical options can improve outcomes and quality of life for affected individuals.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and associated anomalies
  • Need for comprehensive evaluation for syndromic conditions
  • Potential for multiple surgical interventions
  • Documentation of associated conditions and their management

Audit Risk Factors

  • Inadequate documentation of associated congenital anomalies
  • Failure to capture the full scope of surgical interventions
  • Misclassification of the condition with similar codes
  • Lack of genetic counseling documentation

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed history of the patient's congenital condition, including any associated anomalies and interventions.

Common Clinical Scenarios

Evaluation of newborns with ambiguous genitalia, management of hypospadias, and follow-up care for patients with congenital absence of vulva.

Billing Considerations

Consideration of psychosocial impacts on the patient and family, as well as the need for ongoing monitoring of growth and development.

Genetics

Documentation Requirements

Genetic testing results, family history of congenital conditions, and any syndromic associations.

Common Clinical Scenarios

Genetic counseling for families with a history of congenital malformations, assessment of chromosomal abnormalities in patients with genital anomalies.

Billing Considerations

Understanding the genetic basis of congenital absence of vulva and its potential syndromic associations.

Coding Guidelines

Inclusion Criteria

Use Q52.71 When
  • Follow official ICD
  • CM coding guidelines for congenital conditions, ensuring accurate documentation of the diagnosis and any associated anomalies
  • Use additional codes to capture related conditions and interventions

Exclusion Criteria

Do NOT use Q52.71 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58150CPT Code

Vulvectomy, partial or complete

Clinical Scenario

Used in surgical management of congenital absence of vulva.

Documentation Requirements

Document the indication for surgery and any associated findings.

Specialty Considerations

Pediatric urologists and gynecologists should collaborate on surgical planning.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

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

ICD-9 vs ICD-10

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

Reimbursement & Billing Impact

reimbursement processes for congenital absence of vulva and related anomalies.

Resources

Clinical References

  • •
    Congenital Anomalies: A Guide for Clinicians

Coding & Billing References

  • •
    Congenital Anomalies: A Guide for Clinicians

Frequently Asked Questions

What are the common associated conditions with congenital absence of vulva?

Common associated conditions include hypospadias, cryptorchidism, and other genital malformations. A thorough evaluation is necessary to identify any syndromic associations.