October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

Q52 Other congenital malformations of female genitalia

All 19 codes in the Q52 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

19

Can lead a claim

17

Cannot lead a claim

2

What CMS assigns to Q52

17 of the 19 codes group to MMTA - Other; 2 are assigned no clinical group. None of the 19 is assigned a comorbidity subgroup. 17 of the 19 can lead a claim.

Every code in Q52

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
Q52.0Congenital absence of vaginaCan lead a claimANone
Q52.1 Doubling of vagina
Q52.10Doubling of vagina, unspecifiedCan lead a claimANone
Q52.11Transverse vaginal septumCan lead a claimANone
Q52.12 Longitudinal vaginal septum
Q52.120Longitudinal vaginal septum, nonobstructingCan lead a claimANone
Q52.121Longitudinal vaginal septum, obstructing, right sideCan lead a claimANone
Q52.122Longitudinal vaginal septum, obstructing, left sideCan lead a claimANone
Q52.123Longitudinal vaginal septum, microperforate, right sideCan lead a claimANone
Q52.124Longitudinal vaginal septum, microperforate, left sideCan lead a claimANone
Q52.129Other and unspecified longitudinal vaginal septumCan lead a claimANone
Q52.2Congenital rectovaginal fistulaCan lead a claimANone
Q52.3Imperforate hymenCan lead a claimANone
Q52.4Other congenital malformations of vaginaCan lead a claimANone
Q52.5Fusion of labiaCan lead a claimANone
Q52.6Congenital malformation of clitorisCan lead a claimANone
Q52.7 Other and unspecified congenital malformations of vulva
Q52.70Unspecified congenital malformations of vulvaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Q52.71Congenital absence of vulvaCan lead a claimANone
Q52.79Other congenital malformations of vulvaCan lead a claimANone
Q52.8Other specified congenital malformations of female genitaliaCan lead a claimANone
Q52.9Congenital malformation of female genitalia, unspecifiedCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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