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ICD-10 Coding for Benign Cystic Ovarian Mass(N83.201, N83.292, D27.0)

Complete ICD-10-CM coding and documentation guide for Benign Cystic Ovarian Mass. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Ovarian CystBenign Ovarian Neoplasm

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Related ICD-10 Code Ranges

Complete code families applicable to Benign Cystic Ovarian Mass

N83.20-N83.29Primary Range

Non-inflammatory disorders of ovary, fallopian tube and broad ligament

This range includes codes for ovarian cysts, specifying laterality and complexity.

D27

Benign neoplasm of ovary

This range is used when a benign neoplasm is confirmed histologically.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
N83.201Right ovarian cyst, unspecifiedUse when a simple cyst is identified on the right ovary without complications.
  • Ultrasound showing simple cyst <5 cm
  • No solid components on imaging
N83.292Other specified ovarian cyst, left sideUse when a complex cyst is identified on the left ovary.
  • Ultrasound showing complex features such as septations or solid areas
  • CA-125 levels within normal range for benign conditions
D27.0Benign neoplasm of ovaryUse when a benign neoplasm is confirmed by histology.
  • Histological confirmation of benign neoplasm
  • Pathology report indicating benign features

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for benign cystic ovarian mass

Essential facts and insights about Benign Cystic Ovarian Mass

The ICD-10 code for a benign cystic ovarian mass varies by laterality and complexity, such as N83.201 for a simple right ovarian cyst.

Primary ICD-10-CM Codes for benign cystic ovarian mass

N83.201
Right ovarian cyst, unspecified
Billable Code

Decision Criteria

clinical Criteria

  • Cyst is simple, <5 cm, and located on the right ovary.

Applicable To

  • Simple right ovarian cyst

Excludes

  • Malignant ovarian neoplasm (C56)

Clinical Validation Requirements

  • Ultrasound showing simple cyst <5 cm
  • No solid components on imaging

Code-Specific Risks

  • Risk of using unspecified laterality when right is documented

Coding Notes

  • Ensure laterality is documented to avoid unspecified codes.
View Full Code Details

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Abnormal findings on diagnostic imaging of other body structures

R93.2
Use when imaging shows abnormal findings that require further investigation.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Benign neoplasm of ovary

D27.0
Use D27.0 if histological confirmation of a benign neoplasm is present.

Ovarian cyst

N83.2-
Use N83.2- for cysts without histological confirmation of neoplasm.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Benign Cystic Ovarian Mass to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N83.201.

Impact

Clinical: May lead to inappropriate management decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.

Mitigation Strategy

Use standardized templates for documenting cyst characteristics.

Impact

Reimbursement: May lead to reduced reimbursement due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.

Mitigation Strategy

Ensure documentation specifies laterality and use the appropriate code.

Impact

Reimbursement: Incorrect DRG assignment affecting payment., Compliance: Potential audit risk., Data Quality: Misrepresentation of patient condition.

Mitigation Strategy

Verify pathology reports before finalizing the code.

Impact

Failure to document laterality can lead to incorrect coding.

Mitigation Strategy

Implement EHR prompts for laterality documentation.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Benign Cystic Ovarian Mass, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Benign Cystic Ovarian Mass

Use these documentation templates to ensure complete and accurate documentation for Benign Cystic Ovarian Mass. These templates include all required elements for proper coding and billing.

Complex Ovarian Cyst Evaluation

Specialty: Gynecology

Required Elements

  • Patient history
  • Ultrasound findings
  • CA-125 levels
  • Pathology report

Example Documentation

Patient presents with a 5 cm complex cyst on the left ovary. Ultrasound shows septations. CA-125 is 32 U/mL. Pathology confirms benign cystadenoma.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has ovarian cyst.
Good Documentation Example
Patient has a 5 cm complex cyst on the left ovary with septations. CA-125 is 32 U/mL.
Explanation
The good example provides specific details necessary for accurate coding.

Need help with ICD-10 coding for Benign Cystic Ovarian Mass? Ask your questions below.

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