Back to HomeBeta

ICD-10 Coding for Vaginal Cyst(N89.8)

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

Also known as:

Gartner's Duct CystVaginal Inclusion Cyst

Related ICD-10 Code Ranges

Complete code families applicable to Vaginal Cyst

N89-N90Primary Range

Noninflammatory disorders of female genital tract

This range includes codes for noninflammatory disorders of the vagina and vulva, including vaginal cysts.

Key Information: ICD-10 code for vaginal cyst

Essential facts and insights about Vaginal Cyst

The ICD-10 code for a vaginal cyst is N89.8, used for other specified noninflammatory disorders of the vagina.

Primary ICD-10-CM Code for vaginal cyst

Other specified noninflammatory disorders of vagina
Billable Code

Decision Criteria

clinical Criteria

  • Presence of a cyst in the vaginal area confirmed by imaging

documentation Criteria

  • Detailed description of cyst location and size

Applicable To

  • Vaginal cyst
  • Gartner's duct cyst

Excludes

Clinical Validation Requirements

  • Imaging confirmation of cyst
  • Symptoms such as dyspareunia or pelvic pain

Code-Specific Risks

  • Misclassification with vulvar cysts

Coding Notes

  • Ensure anatomical specificity in documentation to avoid confusion with vulvar cysts.

Ancillary Codes

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

Pelvic and perineal pain

R10.2
Use when the patient presents with pain associated with the vaginal cyst.

Differential Codes

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

Vulvar cyst

N90.7
Vulvar cysts are located externally on the vulva, whereas vaginal cysts are internal.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Vaginal Cyst to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N89.8.

Impact

Clinical: May lead to incorrect treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials.

Mitigation Strategy

Train staff on the importance of detailed documentation., Use templates to ensure all necessary information is captured.

Impact

Reimbursement: Incorrect coding can lead to denied claims., Compliance: Misclassification may result in compliance issues., Data Quality: Affects the accuracy of medical records.

Mitigation Strategy

Ensure documentation specifies the anatomical location as vaginal.

Impact

Risk of coding vaginal cysts as vulvar cysts.

Mitigation Strategy

Implement thorough documentation review processes.

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 Vaginal Cyst, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Vaginal Cyst

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

Excision of vaginal cyst

Specialty: Gynecology

Required Elements

  • Anatomical location
  • Size and characteristics of the cyst
  • Symptoms
  • Imaging findings

Examples: Poor vs. Good Documentation

Poor Documentation Example
Cyst noted on exam.
Good Documentation Example
3 cm complex cystic lesion on right vaginal wall with internal echoes, causing dyspareunia. Confirmed via transvaginal ultrasound (Report #123).
Explanation
The good example provides detailed information on the cyst's location, size, and imaging confirmation, which is necessary for accurate coding.

Need help with ICD-10 coding for Vaginal Cyst? Ask your questions below.

Ask about any ICD-10 CM code, or paste a medical note

We build tools for
clinician happiness.

Learn More at Freed.ai
Back to HomeBeta

Built by Freed

Try Freed for free for 7 days.

Learn more