ICD-10-CM 2027
ICD-10 code for Unicornate uterus
From the official ICD-10-CM alphabetic index entry “Unicornate uterus”. Page updated September 29, 2026.
About coding Unicornate uterus
The ICD-10-CM code for Unicornate uterus is Q51.4 (Unicornate uterus). The official index lists 1 more specific code, so check the documentation for details such as type, cause, site or severity before settling on Q51.4.
Within Q51 (congenital malformations of uterus and cervix), Q51.4 is specifically for Unicornate uterus. Related codes cover agenesis and aplasia of uterus (Q51.0), doubling of uterus with doubling of cervix and vagina (Q51.1), other doubling of uterus (Q51.2), Bicornate uterus (Q51.3), agenesis and aplasia of cervix (Q51.5), Embryonic cyst of cervix (Q51.6), congenital fistulae between uterus and digestive and urinary tracts (Q51.7), other congenital malformations of uterus and cervix (Q51.8) 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 Unicornate uterus codes (official index)
- in pregnancy or childbirth O34.00 — Maternal care for unspecified congenital malformation of uterus, unspecified trimester
Common questions about Unicornate uterus ICD-10 codes
What is the ICD-10 code for Unicornate uterus?
- Q51.4 — Unicornate uterus. More specific codes apply when the documentation supports them: O34.00.
Is Q51.4 billable?
- Yes. Q51.4 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can Q51.4 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict Q51.4 as a principal diagnosis.
Is Q51.4 a CC or MCC?
- No. Q51.4 is neither a CC nor an MCC under MS-DRG v44.0.