Q52.4 — Other congenital malformations of vagina
Is Q52.4 billable?
Yes — Q52.4 is billable for FY2027. Q52.4 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Q52.4 may be submitted for encounters from October 1, 2026 through September 30, 2027.
Q52.4 at a glance
| Code | Q52.4 |
|---|---|
| Description | Other congenital malformations of vagina |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does Q52.4 group to?
Q52.4 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 Q52.4 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to Q52.4. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Absence › hymen (of) (organ or part) (complete or partial)
- Accessory › hymen (congenital)
- Agenesis › hymen
- Anomaly, anomalous › canal of Nuck (congenital) (unspecified type)
- Anomaly, anomalous › Gartner's duct (congenital) (unspecified type)
- Anomaly, anomalous › hymen (congenital) (unspecified type)
- Anomaly, anomalous › vagina (congenital) (unspecified type)
- Atresia, atretic › vagina
- Cyst › Gartner's duct (colloid) (mucous) (simple) (retention)
- Displacement, displaced › hymen
- Distortion › hymen (s) (congenital)
- Distortion › vagina (s) (congenital)
Inclusion terms
Alternative wording in documentation that is classified to Q52.4.
- Canal of Nuck cyst, congenital
- Congenital malformation of vagina NOS
- Embryonic vaginal cyst
- Gartner's duct cyst
Excludes1 — never code together — inherited from Q50-Q56
The conditions below can never be reported together with Q52.4 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes2 — not included here — inherited from Chapter 17
The conditions below are not part of Q52.4, but a patient may have both at the same time. When documentation supports it, Q52.4 and the excluded code may both be reported.
- inborn errors of metabolism (E70-E88)
How long has Q52.4 existed?
Q52.4 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 Q52.4?
ICD-10-CM declares these codes mutually exclusive with Q52.4 — exactly one of each pair can be correct for a given encounter.
Which conditions are coded to Q52.4?
What other codes are in the Q52 family? (9)
- Q52.0Congenital absence of vagina
- Q52.1Doubling of vaginanot billable
- Q52.2Congenital rectovaginal fistula
- Q52.3Imperforate hymen
- Q52.5Fusion of labia
- Q52.6Congenital malformation of clitoris
- Q52.7Other and unspecified congenital malformations of vulvanot billable
- Q52.8Other specified congenital malformations of female genitalia
- Q52.9Congenital malformation of female genitalia, unspecified