Q52.3 — Imperforate hymen
Q52.3 is a billable, specific ICD-10-CM code for imperforate hymen. It is valid for submission on a claim.
Other codes that can never be billed with Q52.3
These codes carry an Excludes1 note pointing at Q52.3. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Q52.3 alone.
- N89.6Tight hymenal ring
Risk adjustment
Q52.3 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.
How Q52.3 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 Q52.3.
- Cribriform hymen
- Atresia, atretic›hymen
- Fusion, fused›hymen
- Imperforate›hymen
- Occlusion, occluded›hymen›congenital
Related codes at this level
Codes that share Q52. If Q52.3 is not quite right, the correct code is usually one of these.
- Q52.0Congenital absence of vagina
- Q52.1Doubling of vagina
- Q52.2Congenital rectovaginal fistula
- Q52.4Other congenital malformations of vagina
- Q52.5Fusion of labia
- Q52.6Congenital malformation of clitoris
- Q52.7Other and unspecified congenital malformations of vulva
- Q52.8Other specified congenital malformations of female genitalia
- Q52.9Congenital malformation of female genitalia, unspecified
Questions about Q52.3
- Is Q52.3 a billable ICD-10-CM code?
- Yes. Q52.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Q52.3 sit in the tabular list?
- Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations of genital organs (Q50-Q56).