Q52.3 — Imperforate hymen

Billable

Is Q52.3 billable?

Yes — Q52.3 is billable for FY2027. Q52.3 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Q52.3 may be submitted for encounters from October 1, 2026 through September 30, 2027.

Q52.3 at a glance

Code	Q52.3
Description	Imperforate hymen
Billable	Yes
Code set	ICD-10-CM FY2027
Valid for encounters	October 1, 2026 – September 30, 2027

Which MS-DRGs does Q52.3 group to?

Q52.3 sits in MDC 13 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

742Uterine and Adnexa Procedures for Non-Malignancy with CC/MCCsurgical
743Uterine and Adnexa Procedures for Non-Malignancy without CC/MCCsurgical

How is Q52.3 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to Q52.3. They show the wording a clinician may have documented, which often differs from the Tabular description.

Cribriform hymen
Atresia, atretic › hymen
Fusion, fused › hymen (congenital)
Imperforate › hymen (congenital)
Occlusion, occluded › hymen › congenital

Excludes1 — never code together — inherited from Q50-Q56

The conditions below can never be reported together with Q52.3 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

androgen insensitivity syndrome (E34.5-)
syndromes associated with anomalies in the number and form of chromosomes (Q90-Q99)

Excludes2 — not included here — inherited from Chapter 17

The conditions below are not part of Q52.3, but a patient may have both at the same time. When documentation supports it, Q52.3 and the excluded code may both be reported.

inborn errors of metabolism (E70-E88)

How long has Q52.3 existed?

Q52.3 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

Which codes are confused with Q52.3?

ICD-10-CM declares these codes mutually exclusive with Q52.3 — exactly one of each pair can be correct for a given encounter.

vs N89.6Tight hymenal ring