Is Q52.4 a billable ICD-10-CM code?

Yes. Q52.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Q52.4 sit in the tabular list?

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

Q52.4

Q52.4 — Other congenital malformations of vagina

Billable / specific codeICD-10-CMPOA exempt

Q52.4 is a billable, specific ICD-10-CM code for other congenital malformations of vagina. It is valid for submission on a claim.

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Canal of Nuck cyst, congenital
Congenital malformation of vagina NOS
Embryonic vaginal cyst
Gartner's duct cyst

Other codes that can never be billed with Q52.4

These codes carry an Excludes1 note pointing at Q52.4. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Q52.4 alone.

N89.5Stricture and atresia of vagina
D28Benign neoplasm of other and unspecified female genital organs

Risk adjustment

Q52.4 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 Q52.4 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 Q52.4.

Absence›hymen(congenital)
Accessory›hymen
Agenesis›hymen
Anomaly, anomalous›canal of Nuck
Anomaly, anomalous›Gartner's duct
Anomaly, anomalous›hymen
Anomaly, anomalous›vagina
Atresia, atretic›vagina(congenital)
Cyst›Gartner's duct
Displacement, displaced›hymen(upward) (congenital)
Distortion›hymen
Distortion›vagina

Related codes at this level

Codes that share Q52. If Q52.4 is not quite right, the correct code is usually one of these.

Questions about Q52.4

Is Q52.4 a billable ICD-10-CM code?: Yes. Q52.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Q52.4 sit in the tabular list?: Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations of genital organs (Q50-Q56).