Q52.3 is a billable diagnosis code used to specify a medical diagnosis of imperforate hymen. The code Q52.3 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
Imperforate hymen is not associated with concomitant uterine anomalies 3, and, therefore, in the absence of symptoms, postoperative uterine imaging usually is not required. Although stenosis and adhesions have been reported after hymenectomy, these complications are extremely rare.
The ICD-10-CM code Q52.3 might also be used to specify conditions or terms like imperforate hymen or lesion of hymen or occlusion of vagina or vaginal adhesions. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
After confirmation of the diagnosis, surgical intervention usually is deferred until pubertal estrogenization has occurred because the imperforate hymen may open spontaneously at puberty. It is important to complete an abdominal and a perineal examination.
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.
DRG Group #742-743 - Uterine and adnexa procedure for non-malignancy with CC or MCC.
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.
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.
ABSTRACT: At puberty, a patient with an imperforate hymen typically presents with a vaginal bulge of thin hymenal tissue with a dark or bluish hue caused by the hematocolpos behind it. Other findings that may be present include an abdominal mass, urinary retention, dysuria, constipation, and dyschezia. 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. 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. It is important to complete an abdominal and a perineal examination. If the physical examination reveals a bulging hymen and ultrasonography reveals hematocolpos, further imaging is not required. However, if the diagnosis is not certain or there is a concern for a distal vaginal atresia, cervical atresia, an obstructed uterine horn, or transverse or longitudinal vaginal septum, magnetic resonance imaging is recommended. The ideal time for surgical intervention on hymenal tissue is before the onset of pain and after onset of pubertal development, when the vaginal tissue is estrogenized. Surgical management of clinically significant hymenal variations involves excision of the hymenal tissue and rarely is associated with long-term sequelae. 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.
Figure 2. The septate hymen can be identified by tenting the tissue with a cotton swab. (Image courtesy of Anne-Marie E. Amies Oelschlager, MD, University of Washington, Seattle, Washington.)
At puberty, a patient with an imperforate hymen typically presents with a vaginal bulge of thin hymenal tissue with a dark or bluish hue caused by the hematocolpos behind it. This bulge will distend further with the Valsalva maneuver. Pain may be pelvic or abdominal, cyclic or acute.
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.
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.
The ideal time for surgical intervention on hymenal tissue is before the onset of pain and after onset ...