Is Q52.11 a billable ICD-10-CM code?

Yes. Q52.11 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Q52.11 sit in the tabular list?

Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations of genital organs (Q50-Q56).

What cannot be coded together with Q52.11?

Q52.11 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above Q52.11 (Q52.1) and apply to it just the same.

Q52.11

Q52.11 — Transverse vaginal septum

Billable / specific codeICD-10-CMPOA exempt

Q52.11 is a billable, specific ICD-10-CM code for transverse vaginal septum. It is valid for submission on a claim.

Excludes1 inherited from the categories above Q52.11

These are not written on Q52.11, but they bind it: a note on a category applies to every code beneath it. Billing Q52.11 with anything listed here is a denial.

Written on Q52.1 — Doubling of vagina

doubling of vagina with doubling of uterus and cervix (Q51.1-)

Risk adjustment

Q52.11 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

Q52.11 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56421Billing and Coding: CT of the Abdomen and Pelvis

How Q52.11 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to Q52.11.

Septum, septate›vagina›transverse

Code history

Q52.11 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share Q52.1. If Q52.11 is not quite right, the correct code is usually one of these.

Questions about Q52.11

Is Q52.11 a billable ICD-10-CM code?: Yes. Q52.11 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Q52.11 sit in the tabular list?: Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations of genital organs (Q50-Q56).
What cannot be coded together with Q52.11?: Q52.11 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above Q52.11 (Q52.1) and apply to it just the same.