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ICD-10 Coding for Ruptured Ovarian Cyst(N83.0, N83.1, N83.20)

Complete ICD-10-CM coding and documentation guide for Ruptured Ovarian Cyst. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Ovarian Cyst RuptureBurst Ovarian Cyst

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Related ICD-10 Code Ranges

Complete code families applicable to Ruptured Ovarian Cyst

N83.0-N83.20Primary Range

Non-neoplastic ovarian cysts

This range includes codes for various types of non-neoplastic ovarian cysts, including ruptured cysts.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
N83.0Follicular cyst of ovaryUse when a ruptured follicular cyst is confirmed by imaging and clinical documentation.
  • Ultrasound showing simple cyst <3cm
  • Documentation of 'follicular cyst' or 'Graafian follicle rupture'
N83.1Corpus luteum cyst of ovaryUse when a ruptured corpus luteum cyst is confirmed by imaging and clinical documentation.
  • Post-ovulatory timing
  • Ultrasound showing hemorrhagic cyst
N83.20Unspecified ovarian cystUse when a ruptured ovarian cyst is confirmed but not further specified.
  • Imaging shows cyst rupture without specific type identified

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 ruptured ovarian cyst

Essential facts and insights about Ruptured Ovarian Cyst

The ICD-10 code for a ruptured ovarian cyst varies by type: N83.0 for follicular, N83.1 for corpus luteum, and N83.20 for unspecified cysts.

Primary ICD-10-CM Codes for ruptured ovarian cyst

N83.0
Follicular cyst of ovary
Non-billable Code

Decision Criteria

clinical Criteria

  • Ultrasound confirms simple cyst <3cm

Applicable To

  • Ruptured follicular cyst

Excludes

  • Neoplastic cysts (D27-)

Clinical Validation Requirements

  • Ultrasound showing simple cyst <3cm
  • Documentation of 'follicular cyst' or 'Graafian follicle rupture'

Code-Specific Risks

  • Confusion with neoplastic cysts

Coding Notes

  • Ensure documentation specifies the type of cyst and confirms rupture.
View Full Code Details

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Hemoperitoneum

K66.1
Use when hemoperitoneum is confirmed and linked to the cyst rupture.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Benign neoplasm of ovary

D27
Use D27 when pathology confirms a neoplastic cyst.

Polycystic ovarian syndrome

E28.2
Use E28.2 for chronic anovulation and multiple cysts.

Developmental ovarian cyst

Q50.1
Use Q50.1 for congenital cysts.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Ruptured Ovarian Cyst to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N83.0.

Impact

Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials or reduced reimbursement.

Mitigation Strategy

Ensure detailed documentation of cyst characteristics., Use imaging and pathology reports to confirm cyst type.

Impact

Reimbursement: Incorrect coding may lead to denied claims., Compliance: May result in non-compliance with coding guidelines., Data Quality: Affects accuracy of medical records.

Mitigation Strategy

Require explicit documentation linking hemoperitoneum to cyst rupture.

Impact

Incomplete documentation of cyst characteristics can lead to audit issues.

Mitigation Strategy

Implement thorough documentation practices 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 Ruptured Ovarian Cyst, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Ruptured Ovarian Cyst

Use these documentation templates to ensure complete and accurate documentation for Ruptured Ovarian Cyst. These templates include all required elements for proper coding and billing.

Emergency Department Note

Specialty: Emergency Medicine

Required Elements

  • History of present illness
  • Physical examination findings
  • Imaging results
  • Laboratory results
  • Assessment and plan

Example Documentation

[HPI] 32yo F c/o sudden RLQ pain 10/10, onset during intercourse. [PE] Cervical motion tenderness negative, adnexal fullness left > right. [Imaging] TVUS: 4cm complex left adnexal cyst with free fluid in posterior cul-de-sac. [Labs] β-hCG <1, WBC 12.3k, Hgb 13.2 → 11.8 (2hr delta). [Assessment] Ruptured hemorrhagic ovarian cyst with hemoperitoneum.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Cyst rupture noted
Good Documentation Example
3.5cm hemorrhagic corpus luteum cyst with 200mL hemoperitoneum visualized laparoscopically
Explanation
The good example provides specific details about the cyst type, size, and associated findings, which are crucial for accurate coding.

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