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ICD-10-CM Code Q52.4
Other congenital malformations of vagina

BILLABLE
Billable Code
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.
POA Exempt
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
Female Only
Code is only used for female patients.
| ICD-10 from 2011 - 2016

Q52.4 is a billable ICD code used to specify a diagnosis of other congenital malformations of vagina. A 'billable code' is detailed enough to be used to specify a medical diagnosis.

POA Indicators on CMS form 4010A are as follows:

IndicatorMeaningCMS Will Pay CC/MCC DRG Costs
YDiagnosis was present at time of inpatient admissionYes
NDiagnosis was not present at time of inpatient admissionNo
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.No
WClinically undetermined. Provider unable to clinically determine whether the condition was present at the time of inpatient admission.Yes
1Exempt from POA reportingNo


The ICD code Q524 is used to code Gartner's duct cyst

a gartner's duct cyst (sometimes incorrectly referred to as vaginal inclusion cyst) is a benign vaginal cystic lesion that arises from the vestigial remnant of a mesonephric duct or gartner's duct. they are typically small asymptomatic cysts that occur along the lateral walls of the vagina, following the course of the duct. they can, however, enlarge to substantial proportions and be mistaken for urethral diverticulum or other structures.

Specialty: Medical Genetics
ICD 9 Code: 752.41

Gross pathology of Gartner's duct cyst

Source: Wikipedia

Coding Notes for Q52.4 Info for medical coders on how to properly use this ICD-10 code

Inclusion Terms:
Inclusion Terms
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.
Canal of Nuck cyst, congenital
Congenital malformation of vagina NOS
Embryonic vaginal cyst
Gartner's duct cyst

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.

Related Concepts SNOMET-CT

  • Embryonal cyst of vagina (disorder)
  • Embryonic cyst of Gartner's duct (disorder)

Equivalent ICD-9 Codes GENERAL EQUIVALENCE MAPPINGS (GEM)

Embryonic cyst of cervix, vagina, and external female genitalia (approximate match)
Other anomalies of cervix, vagina, and external female genitalia (approximate match)

This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code Q52.4 and a single ICD9 code, 752.49 is an approximate match for comparison and conversion purposes.


Parent Code: Q52 - Other congenital malformations of female genitalia

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/Q524