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ICD-10-CM 2027

ICD-10 code for vagina anomaly

Q52.4

Other congenital malformations of vagina

✓ Billable / specificFemale only

From the official ICD-10-CM alphabetic index entry “Anomaly, anomalous (congenital) (unspecified type) › vagina”. Page updated September 29, 2026.

About coding vagina anomaly

The ICD-10-CM code for vagina anomaly is Q52.4 (Other congenital malformations of vagina).

Within Q52, choose Q52.4 (Other congenital malformations of vagina) only when documentation doesn't support a more specific option: congenital absence of vagina (Q52.0), doubling of vagina (Q52.1), congenital rectovaginal fistula (Q52.2), Imperforate hymen (Q52.3), 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.

Common questions about vagina anomaly ICD-10 codes

What is the ICD-10 code for vagina anomaly?

Q52.4 — Other congenital malformations of vagina.

Is Q52.4 billable?

Yes. Q52.4 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can Q52.4 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict Q52.4 as a principal diagnosis.

Is Q52.4 a CC or MCC?

No. Q52.4 is neither a CC nor an MCC under MS-DRG v44.0.