ICD-10 Coding for Tarlov Cyst(G96.191)
Complete ICD-10-CM coding and documentation guide for Tarlov Cyst. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Tarlov Cyst
G96.1-G96.19Primary Range
Disorders of meninges, not elsewhere classified
This range includes specific codes for meningeal disorders, with G96.191 specifically for Tarlov cysts.
Key Information: ICD-10 code for Tarlov cyst
Essential facts and insights about Tarlov Cyst
Primary ICD-10-CM Code for tarlov cyst
Decision Criteria
clinical Criteria
- MRI confirmation of a sacral cyst with nerve root involvement.
documentation Criteria
- Detailed documentation of cyst size and symptoms.
Clinical Validation Requirements
- MRI or CT confirmation of cyst
- Documentation of cyst size and location
- Symptoms correlating with cyst location
Code-Specific Risks
- Incorrectly coding as G96.19 without specifying 'Tarlov' or 'perineural'.
Coding Notes
- Ensure documentation specifies 'Tarlov' or 'perineural' to avoid miscoding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Tarlov Cyst to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G96.191.
Impact
Clinical: Inadequate assessment of cyst impact., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Always document cyst size in imaging reports.
Impact
Reimbursement: Potential denial due to incorrect coding., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on meningeal disorders.
Mitigation Strategy
Ensure documentation specifies 'Tarlov' or 'perineural'.
Impact
Lack of detailed imaging reports can lead to audit issues.
Mitigation Strategy
Ensure all imaging reports are detailed and included in the patient record.
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 Tarlov Cyst, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Tarlov Cyst
Use these documentation templates to ensure complete and accurate documentation for Tarlov Cyst. These templates include all required elements for proper coding and billing.
Chronic sacral pain with Tarlov cyst
Specialty: NeurosurgeryRequired Elements
- Pain distribution
- Neurological deficits
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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