ICD-10 Coding for Dermoid Cyst(D27.1, Q18.0)
Complete ICD-10-CM coding and documentation guide for Dermoid Cyst. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Dermoid Cyst
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D27.1 | Benign neoplasm of left ovary | Use when a dermoid cyst is confirmed in the left ovary. |
|
| Q18.0 | Sinus, fistula and cyst of branchial cleft | Use for congenital dermoid cysts in the cervical area. |
|
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 dermoid cyst
Essential facts and insights about Dermoid Cyst
Primary ICD-10-CM Codes for dermoid cyst
Decision Criteria
clinical Criteria
- Presence of ectodermal derivatives in cyst
documentation Criteria
- Operative report detailing cyst contents
Applicable To
- Mature cystic teratoma of left ovary
Excludes
- Malignant neoplasm of ovary
Clinical Validation Requirements
- Histopathology confirming mature cystic teratoma
- Imaging showing characteristic features
Code-Specific Risks
- Misclassification as a simple ovarian cyst
Coding Notes
- Ensure histopathological confirmation before coding as D27.1.
Q18.0 - Sinus, fistula and cyst of branchial cleft
Use for congenital dermoid cysts in the cervical area.
Applicable To
- Congenital dermoid cyst of cervical region
Excludes
- Acquired cysts of neck
Clinical Validation Requirements
- Imaging showing cystic mass in cervical region
- Surgical confirmation of congenital origin
Coding Notes
Confirm congenital nature through surgical or imaging evidence.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Intra-abdominal and pelvic swelling, mass and lump
R19.0Differential 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 Dermoid Cyst to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D27.1.
Impact
Clinical: Inadequate clinical information for future care., Regulatory: Potential non-compliance with documentation standards., Financial: Risk of denied claims due to insufficient documentation.
Mitigation Strategy
Ensure comprehensive operative notes are recorded, Include all relevant findings and procedures
Impact
Reimbursement: May result in lower reimbursement due to incorrect DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Ensure histopathological confirmation of dermoid features before coding.
Impact
Coding dermoid cysts without histological evidence.
Mitigation Strategy
Require histopathology reports before final coding.
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 Dermoid Cyst, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Dermoid Cyst
Use these documentation templates to ensure complete and accurate documentation for Dermoid Cyst. These templates include all required elements for proper coding and billing.
Laparoscopic ovarian cystectomy
Specialty: GynecologyRequired Elements
- Cyst laterality and size
- Contents and histopathology
- Ovarian preservation details
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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