ICD-10 Coding for Adenomyosis(N80.03)
Complete ICD-10-CM coding and documentation guide for Adenomyosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Adenomyosis
Endometriosis
Adenomyosis is a specific type of endometriosis affecting the uterus, coded separately under N80.03.
N80.03Primary Range
Adenomyosis of uterus
Primary code for adenomyosis, specifying the condition within the uterus.
Key Information: ICD-10 code for adenomyosis
Essential facts and insights about Adenomyosis
Primary ICD-10-CM Code for adenomyosis
Decision Criteria
clinical Criteria
- MRI or ultrasound confirmation of adenomyosis
documentation Criteria
- Explicit documentation of adenomyosis and exclusion of leiomyomas
Applicable To
- Endometriosis interna
Clinical Validation Requirements
- MRI showing junctional zone thickness ≥12mm
- Transvaginal ultrasound indicating myometrial cysts
Code-Specific Risks
- Confusion with other forms of endometriosis
- Misclassification as leiomyoma
Coding Notes
- Ensure adenomyosis is confirmed via imaging and documented as distinct from other uterine conditions.
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 Adenomyosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N80.03.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to coding errors.
Mitigation Strategy
Always document imaging findings clearly., Specify absence of fibroids in reports.
Impact
Reimbursement: Incorrect DRG assignment may affect reimbursement., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Use N80.03 specifically for uterine adenomyosis.
Impact
Coding adenomyosis without proper imaging documentation.
Mitigation Strategy
Require imaging results before coding.
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 Adenomyosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Adenomyosis
Use these documentation templates to ensure complete and accurate documentation for Adenomyosis. These templates include all required elements for proper coding and billing.
Chronic pelvic pain with adenomyosis
Specialty: GynecologyRequired Elements
- Menstrual history
- Imaging results
- Differential diagnosis
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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