ICD-10 Coding for Bilateral Ovarian Cyst(N83.201, N83.202)
Complete ICD-10-CM coding and documentation guide for Bilateral Ovarian Cyst. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Bilateral Ovarian Cyst
N83.2Primary Range
Noninflammatory disorders of ovary, fallopian tube and broad ligament
This range includes codes for ovarian cysts, specifying laterality and type.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N83.201 | Other ovarian cyst, right side | Use when a right ovarian cyst is confirmed via imaging. |
|
| N83.202 | Other ovarian cyst, left side | Use when a left ovarian cyst is confirmed via imaging. |
|
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: How do you code bilateral ovarian cysts in ICD-10?
Essential facts and insights about Bilateral Ovarian Cyst
Primary ICD-10-CM Codes for bilateral ovarian cyst
Decision Criteria
clinical Criteria
- Imaging confirms right ovarian cyst
Applicable To
- Right ovarian cyst
Excludes
- Malignant neoplasm of ovary (C56._)
Clinical Validation Requirements
- Ultrasound confirming right ovarian cyst
- Clinical documentation of cyst size and characteristics
Code-Specific Risks
- Incorrectly coding as unspecified when laterality is known
Coding Notes
- Ensure laterality is documented to avoid unspecified coding.
N83.202 - Other ovarian cyst, left side
Use when a left ovarian cyst is confirmed via imaging.
Applicable To
- Left ovarian cyst
Excludes
- Malignant neoplasm of ovary (C56._)
Clinical Validation Requirements
- Ultrasound confirming left ovarian cyst
- Clinical documentation of cyst size and characteristics
Coding Notes
Ensure laterality is documented to avoid unspecified coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Bilateral Ovarian Cyst 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 claim denials.
Mitigation Strategy
Use structured templates for documentation, Regular training on documentation standards
Impact
Reimbursement: May result in denied claims or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of health data.
Mitigation Strategy
Always document and code the specific side of the cyst.
Impact
Risk of using unspecified codes when laterality is documented.
Mitigation Strategy
Ensure all imaging and clinical documentation specify laterality.
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 Bilateral Ovarian Cyst, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bilateral Ovarian Cyst
Use these documentation templates to ensure complete and accurate documentation for Bilateral Ovarian Cyst. These templates include all required elements for proper coding and billing.
Bilateral ovarian cysts found during routine exam
Specialty: GynecologyRequired Elements
- Patient history
- Imaging results
- Clinical findings
- Plan of care
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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