ICD-10: Q52.6

The ICD-10 code Q52.6 refers to congenital malformation of the clitoris, which encompasses various conditions related to the abnormal development of this anatomical structure. Here are the clinical presentations, signs, symptoms, and patient characteristics associated with this diagnosis:

Clinical Presentation

• Congenital Nature: The malformation is present at birth and may be identified during a physical examination or imaging studies.
• Variability: The severity and type of malformation can vary significantly among individuals, ranging from complete absence (agenesis) to enlargement (clitoromegaly) of the clitoris.

Signs

• Physical Examination Findings:
• Absence of the clitoris (agenesis).
• Enlarged clitoris (clitoromegaly).
• Other associated genital anomalies may be present, which can indicate broader syndromic conditions.

Symptoms

• Potential Symptoms:
• In some cases, patients may experience discomfort or pain, particularly if there are associated conditions or if the malformation leads to functional issues.
• Psychological or emotional symptoms may arise due to the physical appearance or associated stigma.

Patient Characteristics

• Demographics:
• This condition can affect individuals of any gender, but it is most commonly identified in females.
• Associated Conditions:
• Congenital malformations of the clitoris may be part of broader syndromes, which can include other genital or endocrine abnormalities.
• Age of Diagnosis:
• Often diagnosed at birth or during early childhood, but some cases may not be identified until later due to mild presentations.

Additional Considerations

• Management: Treatment may involve surgical intervention for cosmetic or functional reasons, as well as psychological support for affected individuals and their families.
• Follow-Up: Regular follow-up is essential to monitor for any associated complications or psychological impacts.

This information provides a comprehensive overview of the clinical aspects related to the ICD-10 code Q52.6, highlighting the importance of early diagnosis and management for affected individuals.

The diagnosis for ICD-10 code Q52.6, which refers to congenital malformation of the clitoris, is based on specific criteria that include the following:

• Specificity of the Diagnosis: The code Q52.6 is a billable diagnosis code, meaning it is detailed enough to specify a medical diagnosis for reimbursement purposes. It is used to indicate various conditions related to the malformation of the clitoris, such as absence of the clitoris, agenesis (failure of development), and clitoromegaly (enlarged clitoris) [1][12].

• Clinical Evaluation: A thorough clinical evaluation is necessary to determine the presence of congenital malformations. This may involve physical examinations and imaging studies to assess the anatomical structure of the clitoris and surrounding areas [2].

• Documentation of Symptoms: The diagnosis should be supported by documented symptoms and clinical findings. This includes identifying any associated conditions or anomalies that may accompany the malformation [1].

• Exclusion of Other Conditions: It is important to rule out other potential causes of clitoral abnormalities, ensuring that the diagnosis specifically pertains to congenital malformations rather than acquired conditions or other syndromic presentations [1][4].

• Use of Personal History Codes: If a congenital malformation has been corrected, a personal history code may be used to indicate the history of the malformation, which is relevant for comprehensive medical records [4].

These criteria ensure that the diagnosis is accurate and reflects the patient's condition, facilitating appropriate treatment and management.