ICD-10 Coding for Bartholin Gland Cyst(N75.0)
Complete ICD-10-CM coding and documentation guide for Bartholin Gland Cyst. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Bartholin Gland Cyst
N75-N77Primary Range
Diseases of Bartholin's gland
This range includes conditions related to Bartholin's gland, including cysts and abscesses.
Key Information: ICD-10 code for Bartholin gland cyst
Essential facts and insights about Bartholin Gland Cyst
Primary ICD-10-CM Code for bartholin gland cyst
Decision Criteria
clinical Criteria
- Cyst confirmed by imaging and physical exam without infection
Applicable To
- Bartholin's duct cyst
Excludes
- Abscess of Bartholin's gland (N75.1)
Clinical Validation Requirements
- Physical examination showing a fluctuant mass
- Ultrasound confirming cystic structure
Code-Specific Risks
- Misclassification if abscess is present
Coding Notes
- Ensure documentation specifies laterality and absence of infection.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for gynecological examination
Z01.419Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Abscess of Bartholin's gland
N75.1Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Bartholin Gland 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: May affect treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Always include laterality in clinical notes.
Impact
Reimbursement: Incorrect code may lead to lower reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on procedure types.
Mitigation Strategy
Use CPT code 56420 for Bartholin-specific procedures.
Impact
Inadequate documentation of procedures can lead to audit risks.
Mitigation Strategy
Ensure detailed procedure notes are maintained.
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 Gland Cyst, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bartholin Gland Cyst
Use these documentation templates to ensure complete and accurate documentation for Bartholin Gland Cyst. These templates include all required elements for proper coding and billing.
Post-Procedure Documentation
Specialty: GynecologyRequired Elements
- Patient's subjective report
- Objective findings
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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