ICD-10 Coding for Adnexal Cyst(N83.291, N83.292, N83.299)
Complete ICD-10-CM coding and documentation guide for Adnexal Cyst. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Adnexal Cyst
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N83.291 | Right ovarian cyst | Use when imaging confirms a benign cyst on the right ovary. |
|
| N83.292 | Left ovarian cyst | Use when imaging confirms a benign cyst on the left ovary. |
|
| N83.299 | Unspecified ovarian cyst | Use when the laterality of the cyst cannot be determined. |
|
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 right ovarian cyst
Essential facts and insights about Adnexal Cyst
Primary ICD-10-CM Codes for adnexal cyst
Decision Criteria
clinical Criteria
- Ultrasound confirms simple cyst with no solid components.
Applicable To
- Right ovarian cyst
Excludes
- Malignant neoplasm of right ovary (C56.1)
Clinical Validation Requirements
- Ultrasound showing simple cyst >1 cm, no solid components, right side documented
Code-Specific Risks
- Missing laterality can lead to incorrect coding.
Coding Notes
- Ensure laterality is documented in the medical record.
N83.292 - Left ovarian cyst
Use when imaging confirms a benign cyst on the left ovary.
Applicable To
- Left ovarian cyst
Excludes
- Malignant neoplasm of left ovary (C56.2)
Clinical Validation Requirements
- Left-sided pelvic pain, cyst confirmed on transvaginal US with smooth walls
Coding Notes
Ensure laterality is documented in the medical record.
N83.299 - Unspecified ovarian cyst
Use when the laterality of the cyst cannot be determined.
Applicable To
- Ovarian cyst, unspecified
Excludes
- Malignant neoplasm of ovary, unspecified (C56.9)
Clinical Validation Requirements
- Documentation states 'ovarian cyst' without side specificity
Coding Notes
Use only when laterality cannot be determined.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Pelvic and perineal pain
R10.2Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Adnexal Cyst to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N83.291.
Impact
Clinical: May affect treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Always include cyst size in imaging reports., Train staff on documentation standards.
Impact
Reimbursement: May lead to incorrect DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data reporting.
Mitigation Strategy
Query provider to specify left or right.
Impact
Reimbursement: Incorrect coding can affect reimbursement rates., Compliance: Potential for audit and compliance issues., Data Quality: Misrepresentation of patient condition.
Mitigation Strategy
Verify pathology report for malignancy confirmation.
Impact
Failure to document laterality can lead to audit findings.
Mitigation Strategy
Implement mandatory fields for laterality in EHR.
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 Adnexal Cyst, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Adnexal Cyst
Use these documentation templates to ensure complete and accurate documentation for Adnexal Cyst. These templates include all required elements for proper coding and billing.
Routine gynecological exam with incidental cyst finding
Specialty: GynecologyRequired Elements
- Patient history
- Menopausal status
- Imaging results
- Pathology findings if applicable
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Adnexal Cyst? Ask your questions below.