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Q52.3

Billable

Imperforate hymen

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A birth defect where the hymen (tissue at the vaginal opening) is completely closed, blocking menstrual flow and normal passage.

Coding Tips

  • •This condition typically presents with primary amenorrhea and hematometra (blood accumulation in the uterus)
  • •Surgical intervention (hymenotomy) is usually required; document the clinical presentation and treatment plan

Code Hierarchy

└Q52Other congenital malformations of female genitalia└Q52.3Imperforate hymen
└Q52.3Imperforate hymen

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