ICD-10: | N89.6 |
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Short Description: | Tight hymenal ring |
Long Description: | Tight hymenal ring |
Oct 01, 2021 · Tight hymenal ring. N89.6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM N89.6 became effective on October 1, 2021. This is the American ICD-10-CM version of N89.6 - other international versions of ICD-10 N89.6 may differ.
Oct 01, 2021 · Imperforate hymen. Q52.3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Q52.3 became effective on October 1, 2021. This is the American ICD-10-CM version of Q52.3 - other international versions of ICD-10 Q52.3 may differ.
Oct 01, 2021 · N89.8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM N89.8 became effective on October 1, 2021. This is the American ICD-10-CM version of N89.8 - other international versions of ICD-10 N89.8 may differ. Applicable To.
The code Q52.4 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions. The ICD-10-CM code Q52.4 might also be used to specify conditions or terms like annular hymen, atresia of lower vagina, bicornuate uterus, congenital anomaly of mother complicating pregnancy, congenital anomaly of vagina , …
The hymen is a squamous tissue structure that invaginates from the perineum (urogenital sinus) to meet the longitudinal vaginal canal (a müllerian structure). With this juncture, there is usually complete canalization of the vaginal canal, and this membrane retracts with only a small remnant of circumferential, redundant tissue around the vaginal introitus. However, during this canalization process, the membrane can vary in its resolution, leaving a complete obstruction, imperforate hymen, or any number of partial remnants, such as the microperforate and septated hymen Figure 1. The presentation and management of clinically significant hymenal variations differs depending on the age of the patient at onset of symptoms and associated complications.
The imperforate hymen may present in the neonatal period as a hydrocolpos or mucocolpos. On examination, a bulging, translucent, or yellow mass is noted at the introitus. This situation rarely leads to obstruction of ureters, which can result in urinary tract infection or hydronephrosis, and respiratory distress. Surgical intervention is necessary only in symptomatic prepubertal patients. After confirmation of the diagnosis, surgical intervention usually is deferred until pubertal estrogenization has occurred because the imperforate hymen may open spontaneously at puberty 1.
The American College of Obstetricians and Gynecologists makes the following recommendations and conclusions: 1 The presentation and management of clinically significant hymenal variations differs depending on the age of the patient at onset of symptoms and associated complications. 2 On evaluation, the goal is to differentiate an imperforate hymen from other obstructing anatomic etiologies, such as labial adhesions, urogenital sinus, transverse vaginal septum, or distal vaginal atresia. 3 Typically, an imperforate hymen is an isolated issue and does not have long-term effects on fertility, sexual function, or obstetric outcomes. 4 Obstetrician–gynecologists should be aware that families may need education about the hymen and its role in sexual function. 5 Simple incision and drainage of an imperforate hymen in a patient with hematocolpos should be avoided because of the increased risk of ascending infection and sepsis. 6 If there is concern that the patient has a distal vaginal atresia or a transverse vaginal septum, the patient should be referred to a center with expertise in the management of these conditions.
It is important to note that a microperforate hymen or septate hymen may not present as an obstruction. Often there will be menstrual efflux; however, depending on the degree of perforation or efflux, there may be retained menstrual blood with malodorous discharge, particularly with a microperforate hymen.
Surgical intervention is necessary only in symptomatic prepubertal patients. After confirmation of the diagnosis, surgical intervention usually is deferred until pubertal estrogenization has occurred because the imperforate hymen may open spontaneously at puberty 1. At puberty, a patient with an imperforate hymen typically presents ...