ICD-10 Coding for Bartholin Cyst(N75.0, N75.1)
Complete ICD-10-CM coding and documentation guide for Bartholin Cyst. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Bartholin Cyst
N75.0-N75.1Primary Range
Disorders of Bartholin's gland
This range includes codes for Bartholin's cyst and abscess, which are the primary conditions related to Bartholin's gland disorders.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N75.0 | Cyst of Bartholin's gland | Use when the patient presents with a non-tender, asymptomatic mass in the Bartholin's gland area. |
|
| N75.1 | Abscess of Bartholin's gland | Use when the patient presents with symptoms of infection in the Bartholin's gland area. |
|
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 Bartholin cyst
Essential facts and insights about Bartholin Cyst
Primary ICD-10-CM Codes for bartholin cyst
Decision Criteria
clinical Criteria
- Presence of a non-tender, asymptomatic mass
Applicable To
- Asymptomatic Bartholin's cyst
Excludes
- Abscess of Bartholin's gland (N75.1)
Clinical Validation Requirements
- Asymptomatic fluctuant mass
- No erythema or purulence
- Confirmed via pelvic exam or imaging
Code-Specific Risks
- Misclassification if symptoms of infection are present
Coding Notes
- Ensure documentation specifies the absence of infection or symptoms.
N75.1 - Abscess of Bartholin's gland
Use when the patient presents with symptoms of infection in the Bartholin's gland area.
Applicable To
- Infected Bartholin's gland
Excludes
- Cyst of Bartholin's gland (N75.0)
Clinical Validation Requirements
- Pain, erythema, purulent drainage
- Fever, elevated WBC
- Confirmed infection
Coding Notes
Ensure documentation includes symptoms of infection and any culture results.
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 Bartholin Cyst to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N75.0.
Impact
Clinical: Leads to incomplete clinical records., Regulatory: May result in audit issues., Financial: Can affect reimbursement rates.
Mitigation Strategy
Always include laterality in notes, Use templates to ensure completeness
Impact
Reimbursement: Incorrect coding can lead to reduced reimbursement., Compliance: May result in compliance issues during audits., Data Quality: Affects the accuracy of clinical data.
Mitigation Strategy
Use 56420 for Bartholin's-specific procedures.
Impact
Using non-specific codes for Bartholin's procedures.
Mitigation Strategy
Educate staff on specific codes for Bartholin's conditions.
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 Bartholin Cyst, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bartholin Cyst
Use these documentation templates to ensure complete and accurate documentation for Bartholin Cyst. These templates include all required elements for proper coding and billing.
Incision and drainage of Bartholin's abscess
Specialty: GynecologyRequired Elements
- Location and size of mass
- Symptoms and findings
- Procedure details
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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