ICD-10 Coding for Endocervical Polyp(N84.1)
Complete ICD-10-CM coding and documentation guide for Endocervical Polyp. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Endocervical Polyp
N84-N84.9Primary Range
Noninflammatory disorders of female genital tract
This range includes codes for various types of polyps in the female genital tract, with N84.1 specifically for cervical polyps.
Key Information: ICD-10 code for endocervical polyp
Essential facts and insights about Endocervical Polyp
Primary ICD-10-CM Code for endocervical polyp
Decision Criteria
clinical Criteria
- Presence of a cervical polyp confirmed by examination or imaging
documentation Criteria
- Detailed description of polyp characteristics and symptoms
Applicable To
- Endocervical polyp
Excludes
- Benign neoplasm of cervix uteri (D26.0)
Clinical Validation Requirements
- Confirmed presence of cervical polyp via examination or imaging
- Documentation of symptoms such as bleeding if present
Code-Specific Risks
- Incorrectly coding as a neoplasm if histology is not confirmed
Coding Notes
- Ensure documentation specifies the polyp's location, size, and associated symptoms.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential 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 Endocervical Polyp to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N84.1.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Use detailed and specific language in documentation., Ensure all relevant clinical details are recorded.
Impact
Reimbursement: Incorrect coding can lead to denied claims or reduced reimbursement., Compliance: May result in non-compliance with coding guidelines., Data Quality: Affects the accuracy of medical records and data reporting.
Mitigation Strategy
Use 57500 for cervical polyp removal, and consider 58999 if the procedure is atypical.
Impact
Failure to document the procedure details can lead to audit issues.
Mitigation Strategy
Ensure comprehensive documentation of the procedure, including method and outcome.
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 Endocervical Polyp, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Endocervical Polyp
Use these documentation templates to ensure complete and accurate documentation for Endocervical Polyp. These templates include all required elements for proper coding and billing.
Endocervical Polyp Removal
Specialty: GynecologyRequired Elements
- Patient age and presenting symptoms
- Polyp size, location, and characteristics
- Procedure details and outcome
- Pathology results if available
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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