ICD-10 Coding for Cyst(G93.0, Q04.6, N83.2)
Complete ICD-10-CM coding and documentation guide for Cyst. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Cyst
G93.0-G93.9Primary Range
Other disorders of brain
Includes acquired cerebral cysts, differentiating from congenital forms.
Noninflammatory disorders of ovary, fallopian tube and broad ligament
Includes ovarian cysts, distinguishing from neoplastic conditions.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| G93.0 | Cerebral cyst | Use for acquired cerebral cysts confirmed by imaging. |
|
| Q04.6 | Congenital cerebral cyst | Use for congenital cerebral cysts confirmed by imaging/history. |
|
| N83.2 | Ovarian cyst, unspecified | Use when imaging confirms a simple ovarian cyst. |
|
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 acquired cerebral cyst
Essential facts and insights about Cyst
Primary ICD-10-CM Codes for cyst
Decision Criteria
clinical Criteria
- Imaging confirms acquired cyst without congenital features.
Applicable To
- Acquired cerebral cyst
Excludes
- Congenital cerebral cyst (Q04.6)
Clinical Validation Requirements
- MRI showing arachnoid cyst without congenital anomalies.
Code-Specific Risks
- Misclassification as congenital if history is not reviewed.
Coding Notes
- Ensure documentation specifies acquired nature.
Q04.6 - Congenital cerebral cyst
Use for congenital cerebral cysts confirmed by imaging/history.
Applicable To
- Porencephaly
Excludes
- Acquired cerebral cyst (G93.0)
Clinical Validation Requirements
- Fetal MRI showing porencephaly.
Coding Notes
Document congenital nature explicitly.
N83.2 - Ovarian cyst, unspecified
Use when imaging confirms a simple ovarian cyst.
Applicable To
- Simple ovarian cyst
Excludes
- Ovarian neoplasm (D27.9)
Clinical Validation Requirements
- Ultrasound showing simple cyst without solid components.
Coding Notes
Ensure imaging supports cystic nature.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Cyst to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G93.0.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Potential for audit issues., Financial: Risk of denied claims.
Mitigation Strategy
Use templates to ensure all details are captured.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Review patient history and imaging to confirm etiology.
Impact
Failure to document specific cyst details can lead to audit issues.
Mitigation Strategy
Use structured templates to capture all necessary information.
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 Cyst, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Cyst
Use these documentation templates to ensure complete and accurate documentation for Cyst. These templates include all required elements for proper coding and billing.
Ovarian cyst management
Specialty: GynecologyRequired Elements
- Patient history
- Imaging findings
- Planned intervention
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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