ICD-10 Coding for Bleeding Per Vagina(N93.9, N93.0)
Complete ICD-10-CM coding and documentation guide for Bleeding Per Vagina. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Bleeding Per Vagina
N93Primary Range
Abnormal uterine and vaginal bleeding
This range includes codes for various types of abnormal bleeding from the uterus and vagina, including unspecified, postcoital, and pre-pubertal bleeding.
Other maternal disorders predominantly related to pregnancy
This range includes codes for bleeding related to pregnancy, such as antepartum hemorrhage.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N93.9 | Unspecified abnormal uterine and vaginal bleeding | Use when the cause of bleeding is unknown and no specific diagnosis is made. |
|
| N93.0 | Postcoital and contact bleeding | Use when bleeding is specifically noted after sexual intercourse. |
|
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 bleeding per vagina
Essential facts and insights about Bleeding Per Vagina
Primary ICD-10-CM Codes for bleeding per vagina
Decision Criteria
clinical Criteria
- Bleeding with no identified cause after initial evaluation
Applicable To
- Heavy menstrual bleeding
- Irregular menstrual bleeding
Excludes
- Bleeding in pregnancy (O20-O29)
Clinical Validation Requirements
- Documentation of bleeding without a known cause
- Exclusion of pregnancy-related bleeding
Code-Specific Risks
- Overuse of unspecified codes can lead to audit risks.
Coding Notes
- Ensure documentation supports the use of an unspecified code.
N93.0 - Postcoital and contact bleeding
Use when bleeding is specifically noted after sexual intercourse.
Applicable To
- Bleeding after intercourse
Excludes
- Trauma-related bleeding
Clinical Validation Requirements
- Documentation of bleeding temporally related to intercourse
Coding Notes
Document the temporal relationship to intercourse clearly.
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 Bleeding Per Vagina to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N93.9.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Increases risk of audits., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Provide detailed descriptions of bleeding patterns., Include associated symptoms and relevant history.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Increases risk of audits and compliance issues., Data Quality: Reduces the quality of healthcare data.
Mitigation Strategy
Ensure documentation supports the use of specific codes whenever possible.
Impact
Frequent use of unspecified codes can trigger audits.
Mitigation Strategy
Encourage detailed documentation to support specific 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 Bleeding Per Vagina, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bleeding Per Vagina
Use these documentation templates to ensure complete and accurate documentation for Bleeding Per Vagina. These templates include all required elements for proper coding and billing.
Emergency Department Visit for Vaginal Bleeding
Specialty: Emergency MedicineRequired Elements
- Onset and duration of bleeding
- Amount and frequency of bleeding
- Associated symptoms
- Pregnancy status
- Relevant medical history
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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