N89.5 vs Q52.4
N89.5 (Stricture and atresia of vagina) compared with Q52.4 (Other congenital malformations of vagina), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. N89.5 carries an Excludes1 note covering Q52.4: “congenital atresia or stricture (Q52.4)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| N89.5Stricture and atresia of vagina | Q52.4Other congenital malformations of vagina | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | N00-N99 — Diseases of the Genitourinary System (N00-N99) | Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99) |
| Definition | Stricture and atresia of vagina is a billable ICD-10-CM diagnosis code (N89.5). | Other congenital malformations of vagina is a billable ICD-10-CM diagnosis code (Q52.4). |
| Includes | Vaginal adhesions Vaginal stenosis | Canal of Nuck cyst, congenital Congenital malformation of vagina NOS Embryonic vaginal cyst Gartner's duct cyst |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources