ICD-10 Coding for Endometrial Intraepithelial Neoplasia(N85.02)
Complete ICD-10-CM coding and documentation guide for Endometrial Intraepithelial Neoplasia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Endometrial Intraepithelial Neoplasia
N85.0-N85.2Primary Range
Other noninflammatory disorders of uterus, except cervix
This range includes codes for various uterine disorders, with N85.02 specifically for EIN.
Key Information: ICD-10 code for endometrial intraepithelial neoplasia
Essential facts and insights about Endometrial Intraepithelial Neoplasia
Primary ICD-10-CM Code for endometrial intraepithelial neoplasia
Decision Criteria
clinical Criteria
- Pathology report confirms EIN with architectural complexity and cytologic atypia.
coding Criteria
- Do not code with C54.1 due to Excludes1 note.
Applicable To
- Endometrial hyperplasia with atypia
Excludes
- Malignant neoplasm of endometrium (C54.1)
Clinical Validation Requirements
- Pathology report confirming EIN
- Histologic features such as architectural complexity and cytologic atypia
Code-Specific Risks
- Confusion with benign hyperplasia or carcinoma
- Incorrect documentation leading to miscoding
Coding Notes
- Ensure pathology reports explicitly state 'endometrial intraepithelial neoplasia' to avoid miscoding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
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 Endometrial Intraepithelial Neoplasia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N85.02.
Impact
Clinical: Misdiagnosis or inappropriate treatment planning., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to insufficient documentation.
Mitigation Strategy
Use detailed pathology templates, Regular training on documentation standards
Impact
Reimbursement: Incorrect coding may lead to improper DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Ensure pathology report specifies 'endometrial intraepithelial neoplasia'.
Impact
Incomplete reports may lead to miscoding and audit flags.
Mitigation Strategy
Implement comprehensive report templates and regular audits.
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 Intraepithelial Neoplasia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Endometrial Intraepithelial Neoplasia
Use these documentation templates to ensure complete and accurate documentation for Endometrial Intraepithelial Neoplasia. These templates include all required elements for proper coding and billing.
Pathology Report for EIN
Specialty: PathologyRequired Elements
- Diagnosis of EIN
- Histologic features
- Exclusion of invasive carcinoma
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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