Q52.9 — Congenital malformation of female genitalia, unspecified
Q52.9 is a billable, specific ICD-10-CM code for congenital malformation of female genitalia, unspecified. It is valid for submission on a claim.
Risk adjustment
Q52.9 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
Q52.9 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 Q52.9 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 Q52.9.
- Anomaly, anomalous›genitalia, genital organ or system›female
- Anomaly, anomalous›genitourinary NEC›female
- Deformity›genitalia, genital organ or system NEC›female(congenital)
- Anomaly, anomalous›genitalia, genital organ or system›female›internal NOS
Related codes at this level
Codes that share Q52. If Q52.9 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
- Q52.3Imperforate hymen
- 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
Questions about Q52.9
- Is Q52.9 a billable ICD-10-CM code?
- Yes. Q52.9 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Q52.9 sit in the tabular list?
- Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations of genital organs (Q50-Q56).