ICD-10 Coding for Complex Ovarian Cyst(N83.291, N83.292, N83.299)
Complete ICD-10-CM coding and documentation guide for Complex Ovarian Cyst. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Complex Ovarian Cyst
N83.2Primary Range
Noninflammatory disorders of ovary, fallopian tube and broad ligament
This range includes codes for various types of ovarian cysts, including complex ovarian cysts.
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 | Other ovarian cyst, right side | Use when imaging confirms a complex cyst on the right ovary. |
|
| N83.292 | Other ovarian cyst, left side | Use when imaging confirms a complex cyst on the left ovary. |
|
| N83.299 | Other ovarian cyst, unspecified side | Use when laterality is not specified but complex features are present. |
|
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 complex ovarian cyst
Essential facts and insights about Complex Ovarian Cyst
Primary ICD-10-CM Codes for complex ovarian cyst
Decision Criteria
clinical Criteria
- Imaging confirms complex features on the right ovary.
Applicable To
- Complex right ovarian cyst
Excludes
- Malignant neoplasm of ovary (C56.x)
Clinical Validation Requirements
- Ultrasound showing complex features such as septations or solid components
- Documentation of right-sided location
Code-Specific Risks
- Failure to specify laterality can lead to incorrect coding.
Coding Notes
- Ensure documentation includes laterality and complex features.
N83.292 - Other ovarian cyst, left side
Use when imaging confirms a complex cyst on the left ovary.
Applicable To
- Complex left ovarian cyst
Excludes
- Malignant neoplasm of ovary (C56.x)
Clinical Validation Requirements
- Ultrasound showing complex features such as septations or solid components
- Documentation of left-sided location
Coding Notes
Ensure documentation includes laterality and complex features.
N83.299 - Other ovarian cyst, unspecified side
Use when laterality is not specified but complex features are present.
Applicable To
- Complex ovarian cyst, unspecified
Excludes
- Malignant neoplasm of ovary (C56.x)
Clinical Validation Requirements
- Ultrasound showing complex features without specified laterality
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 Complex Ovarian 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 lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials or reduced reimbursement.
Mitigation Strategy
Use structured templates for documentation, Ensure imaging reports detail complexity features
Impact
Reimbursement: Incorrect laterality can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Reduces accuracy of patient records.
Mitigation Strategy
Always document and code the specific side (right or left) of the ovarian cyst.
Impact
Failure to document laterality can lead to audit flags.
Mitigation Strategy
Implement mandatory fields for laterality in EHR systems.
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 Complex Ovarian Cyst, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Complex Ovarian Cyst
Use these documentation templates to ensure complete and accurate documentation for Complex Ovarian Cyst. These templates include all required elements for proper coding and billing.
Complex ovarian cyst with pelvic pain
Specialty: GynecologyRequired Elements
- Patient history
- Imaging results
- Symptom correlation
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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