ICD-10 Coding for Dysfunctional Uterine Bleeding(N93.8)
Complete ICD-10-CM coding and documentation guide for Dysfunctional Uterine Bleeding. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Dysfunctional Uterine Bleeding
N93-N93.9Primary Range
Other abnormal uterine and vaginal bleeding
This range includes codes for various types of abnormal uterine bleeding, with N93.8 specifically used for DUB when no structural cause is identified.
Excessive, frequent and irregular menstruation
This range includes codes for menorrhagia and other menstrual disorders, which may be considered in differential diagnosis.
Key Information: ICD-10 code for dysfunctional uterine bleeding
Essential facts and insights about Dysfunctional Uterine Bleeding
Primary ICD-10-CM Code for dysfunctional uterine bleeding
Decision Criteria
clinical Criteria
- No structural abnormalities found on imaging.
coding Criteria
- Exclude pregnancy-related bleeding.
documentation Criteria
- Document negative pregnancy test and normal imaging.
Applicable To
- Dysfunctional uterine bleeding
Excludes
- Pregnancy-related bleeding
- Postmenopausal bleeding
Clinical Validation Requirements
- No structural abnormalities on transvaginal ultrasound
- Negative pregnancy test
- Exclusion of coagulopathy with PT/INR, von Willebrand panel
Code-Specific Risks
- Incorrect use if structural causes like fibroids are present
- Misuse in pregnancy-related bleeding
Coding Notes
- Ensure exclusion of structural causes before using N93.8.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Acute posthemorrhagic anemia
D62Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Dysfunctional Uterine Bleeding to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N93.8.
Impact
Clinical: Misdiagnosis risk if pregnancy is not ruled out., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials due to incomplete documentation.
Mitigation Strategy
Always include pregnancy test results in the documentation., Use a checklist to ensure all exclusion criteria are documented.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data reporting.
Mitigation Strategy
Use N95.0 for postmenopausal bleeding.
Impact
Using N93.8 without excluding structural causes.
Mitigation Strategy
Implement a checklist for exclusion criteria.
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 Dysfunctional Uterine Bleeding, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Dysfunctional Uterine Bleeding
Use these documentation templates to ensure complete and accurate documentation for Dysfunctional Uterine Bleeding. These templates include all required elements for proper coding and billing.
Emergency Department Visit for DUB
Specialty: GynecologyRequired Elements
- Menstrual history
- Imaging results
- Lab results
- Diagnosis
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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