ICD-10-CM 2027
ICD-10 code for hymen atresia
From the official ICD-10-CM alphabetic index entry “Atresia, atretic › hymen”. Page updated September 29, 2026.
About coding hymen atresia
The ICD-10-CM code for hymen atresia is Q52.3 (Imperforate hymen). The official index lists 1 more specific code, so check the documentation for details such as type, cause, site or severity before settling on Q52.3.
Within Q52 (other congenital malformations of female genitalia), Q52.3 is specifically for Imperforate hymen. Related codes cover congenital absence of vagina (Q52.0), doubling of vagina (Q52.1), congenital rectovaginal fistula (Q52.2), other congenital malformations of vagina (Q52.4), fusion of labia (Q52.5), congenital malformation of clitoris (Q52.6), other and unspecified congenital malformations of vulva (Q52.7), other specified congenital malformations of female genitalia (Q52.8) and 1 more.
It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.
In MS-DRG v44.0, it is part of the grouping logic for DRG 742 (Uterine and Adnexa Procedures for Non-Malignancy with CC/MCC, relative weight 1.8456), DRG 743 (Uterine and Adnexa Procedures for Non-Malignancy without CC/MCC, relative weight 1.2974), DRG 760 (Menstrual and Other Female Reproductive System Disorders with CC/MCC, relative weight 1.0129) and DRG 761 (Menstrual and Other Female Reproductive System Disorders without CC/MCC, relative weight 0.7041), in MDC 13 (Diseases and Disorders of the Female Reproductive System), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
More specific hymen atresia codes (official index)
- acquired (postinfective) N89.6 — Tight hymenal ring
Common questions about hymen atresia ICD-10 codes
What is the ICD-10 code for hymen atresia?
- Q52.3 — Imperforate hymen. More specific codes apply when the documentation supports them: N89.6.
What is the ICD-10 code for acquired hymen atresia?
- N89.6 — Tight hymenal ring.
Is Q52.3 billable?
- Yes. Q52.3 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can Q52.3 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict Q52.3 as a principal diagnosis.
Is Q52.3 a CC or MCC?
- No. Q52.3 is neither a CC nor an MCC under MS-DRG v44.0.