ICD-10 Coding for Left Adnexal Cyst(N83.292)
Complete ICD-10-CM coding and documentation guide for Left Adnexal Cyst. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Left Adnexal Cyst
N83.2-N83.29Primary Range
Noninflammatory disorders of ovary, fallopian tube and broad ligament
This range includes codes for ovarian cysts, which are the primary concern for left adnexal cysts.
Key Information: ICD-10 code for left adnexal cyst
Essential facts and insights about Left Adnexal Cyst
Primary ICD-10-CM Code for left adnexal cyst
Decision Criteria
clinical Criteria
- Confirmed left ovarian cyst via imaging
documentation Criteria
- Documentation of cyst size and features
Applicable To
- Left ovarian cyst
- Left adnexal cyst
Excludes
- Malignant neoplasm of ovary (C56.-)
Clinical Validation Requirements
- Ultrasound confirmation of cyst on left ovary
- Documentation of cyst size and characteristics
Code-Specific Risks
- Incorrect laterality documentation can lead to coding errors.
Coding Notes
- Ensure documentation specifies the side and characteristics of the cyst to avoid unspecified coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other specified symptoms and signs involving the digestive system and abdomen
R19.091Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Left Adnexal Cyst to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N83.292.
Impact
Clinical: Impacts treatment decisions and follow-up care., Regulatory: May lead to coding audits., Financial: Can affect reimbursement if coding is incorrect.
Mitigation Strategy
Always include cyst size in documentation., Use templates to ensure completeness.
Impact
Reimbursement: May result in lower reimbursement rates., Compliance: Increases risk of audit due to lack of specificity., Data Quality: Reduces accuracy of clinical data.
Mitigation Strategy
Always verify and code the specific side of the cyst.
Impact
Failure to document the side of the cyst can lead to coding errors.
Mitigation Strategy
Implement mandatory fields in EHR for laterality.
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 Left Adnexal Cyst, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Left Adnexal Cyst
Use these documentation templates to ensure complete and accurate documentation for Left Adnexal Cyst. These templates include all required elements for proper coding and billing.
Gynecological Evaluation of Ovarian Cyst
Specialty: GynecologyRequired Elements
- Patient history including LMP
- Imaging findings
- Cyst characteristics
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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