ICD-10 Coding for Endometrial Cancer(C54.1)
Complete ICD-10-CM coding and documentation guide for Endometrial Cancer. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Endometrial Cancer
C54-C55Primary Range
Malignant neoplasms of corpus uteri
This range includes codes for malignant neoplasms of the endometrium, which is the primary site for endometrial cancer.
Other noninflammatory disorders of female genital tract
This range includes codes for conditions that may be related to or precede endometrial cancer, such as endometrial hyperplasia.
Key Information: ICD-10 code for endometrial cancer
Essential facts and insights about Endometrial Cancer
Primary ICD-10-CM Code for endometrial cancer
Decision Criteria
clinical Criteria
- Histological confirmation of endometrial carcinoma
documentation Criteria
- Detailed pathology report specifying endometrial origin
Applicable To
- Endometrial adenocarcinoma
Excludes
- C55 (Malignant neoplasm of uterus, part unspecified)
Clinical Validation Requirements
- Histopathological confirmation of endometrial carcinoma
- Imaging showing endometrial thickening in postmenopausal women
Code-Specific Risks
- Misclassification with C54.9 (Malignant neoplasm of uterus, unspecified)
Coding Notes
- Ensure documentation specifies endometrial origin to avoid unspecified coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Postmenopausal bleeding
N95.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Endometrial Cancer to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code C54.1.
Impact
Clinical: Impacts treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials.
Mitigation Strategy
Use standardized pathology report templates., Ensure all relevant details are included.
Impact
Reimbursement: May lead to denied claims due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Impacts accuracy of cancer registry data.
Mitigation Strategy
Ensure pathology reports specify endometrial origin.
Impact
Use of unspecified codes like C54.9 can trigger audits.
Mitigation Strategy
Ensure detailed documentation specifying the site and type of cancer.
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 Endometrial Cancer, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Endometrial Cancer
Use these documentation templates to ensure complete and accurate documentation for Endometrial Cancer. These templates include all required elements for proper coding and billing.
Endometrial cancer diagnosis and treatment
Specialty: Gynecologic OncologyRequired Elements
- Histological type
- Tumor grade
- Myometrial invasion depth
- Lymphovascular space invasion
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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