ICD-10-CM Code Q52.3
Imperforate hymen
Billable Code
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.POA Exempt Code
The Center for Medicare & Medicaid Services (CMS) requires medical coders to indicate whether or not a condition was present at the time of admission, in order to properly assign MS-DRG codes. This "Present On Admission" (POA) indicator is recorded on CMS form 4010A.Female Only
Code is only used for female patients.Q52.3 is a billable ICD code used to specify a diagnosis of imperforate hymen. A 'billable code' is detailed enough to be used to specify a medical diagnosis.
POA Indicators on CMS form 4010A are as follows:
| Indicator | Meaning | CMS Will Pay CC/MCC DRG Costs |
|---|---|---|
| Y | Diagnosis was present at time of inpatient admission | Yes |
| N | Diagnosis was not present at time of inpatient admission | No |
| U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | No |
| W | Clinically undetermined. Provider unable to clinically determine whether the condition was present at the time of inpatient admission. | Yes |
| 1 | Exempt from POA reporting | No |
The ICD code Q523 is used to code Imperforate hymen
An imperforate hymen is a congenital disorder where a hymen without an opening completely obstructs the vagina. It is caused by a failure of the hymen to perforate during fetal development. It is most often diagnosed in adolescent girls when menstrual blood accumulates in the vagina and sometimes also in the uterus. It is treated by surgical incision of the hymen.
| ICD 9 Code: | 752.42 |
MS-DRG Mapping
- DRG Group #742-743 - Uterine and adnexa procedure for non-malignancy with CC or MCC.
- DRG Group #742-743 - Uterine and adnexa procedure for non-malignancy without CC or MCC.
- DRG Group #760-761 - Menstrual and other female reproductive system disorders with CC or MCC.
- DRG Group #760-761 - Menstrual and other female reproductive system disorders without CC or MCC.
ICD-10-CM Alphabetical Index References for 'Q52.3 - Imperforate hymen'
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code Q52.3. Click on any term below to browse the alphabetical index.
Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)
This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that in all cases where the ICD9 code 752.42 was previously used, Q52.3 is the appropriate modern ICD10 code.
Parent Code: Q52 - Other congenital malformations of female genitalia