ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesQ52.8

Q52.8

Billable

Other specified congenital malformations of female genitalia

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

Code Description

ICD-10 Q52.8 is a billable code used to indicate a diagnosis of other specified congenital malformations of female genitalia.

Key Diagnostic Point:

Congenital malformations of the female genitalia encompass a variety of conditions that can affect the structure and function of the reproductive organs. These malformations may include abnormalities such as vaginal agenesis, uterine malformations (e.g., unicornuate uterus, septate uterus), and other structural anomalies that do not fit into more specific categories. These conditions can lead to complications such as infertility, menstrual irregularities, and increased risk of pregnancy complications. Diagnosis often involves imaging studies such as ultrasound or MRI, and management may require surgical intervention or hormonal therapy. The complexity of these conditions necessitates a thorough understanding of the anatomical and functional implications, as well as the potential for associated chromosomal abnormalities, such as Turner syndrome or Androgen Insensitivity Syndrome, which may present with ambiguous genitalia or other reproductive anomalies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of malformations
  • Need for detailed anatomical descriptions in documentation
  • Potential for associated chromosomal abnormalities
  • Differential diagnosis considerations

Audit Risk Factors

  • Inadequate documentation of the specific malformation
  • Failure to document associated conditions or syndromes
  • Misclassification of the malformation type
  • Lack of clarity in the clinical rationale for the diagnosis

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed history of the patient's congenital condition, including prenatal history and family history of congenital anomalies.

Common Clinical Scenarios

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

Billing Considerations

Consideration of growth and development milestones, as well as psychosocial aspects of congenital conditions.

Genetics

Documentation Requirements

Genetic testing results, family pedigree, and any chromosomal analysis performed.

Common Clinical Scenarios

Genetic counseling for families with a history of congenital malformations, evaluation of patients with Turner syndrome or other chromosomal abnormalities.

Billing Considerations

Understanding the implications of genetic findings on management and prognosis.

Coding Guidelines

Inclusion Criteria

Use Q52.8 When
  • Follow the official ICD
  • CM coding guidelines for congenital malformations, ensuring specificity in documentation and adherence to coding conventions
  • Use additional codes to capture associated conditions or complications

Exclusion Criteria

Do NOT use Q52.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58150CPT Code

Hysterectomy, abdominal, total

Clinical Scenario

Used in cases of severe uterine malformations requiring surgical intervention.

Documentation Requirements

Operative report detailing the indication for surgery and findings.

Specialty Considerations

Pediatric surgeons may have specific protocols for managing congenital malformations.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding congenital malformations, improving data accuracy and enhancing the ability to track outcomes and resource utilization.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding congenital malformations, improving data accuracy and enhancing the ability to track outcomes and resource utilization.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding congenital malformations, improving data accuracy and enhancing the ability to track outcomes and resource utilization.

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 are the common congenital malformations coded under Q52.8?

Common malformations include uterine anomalies, vaginal agenesis, and other structural abnormalities of the female genitalia that do not fit into more specific categories.