ICD-10 Coding for Endometrial Carcinoma(C54.1)
Complete ICD-10-CM coding and documentation guide for Endometrial Carcinoma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Endometrial Carcinoma
Key Information: ICD-10 code for endometrial carcinoma
Essential facts and insights about Endometrial Carcinoma
Primary ICD-10-CM Code for endometrial carcinoma
Decision Criteria
clinical Criteria
- Biopsy confirms endometrial adenocarcinoma
documentation Criteria
- Include histological grade and invasion depth
Applicable To
- Endometrial adenocarcinoma
- Endometrial carcinosarcoma
Excludes
- Carcinoma in situ of endometrium (D07.0)
Clinical Validation Requirements
- Biopsy report confirming endometrial malignancy
- Imaging showing endometrial mass with invasion
Code-Specific Risks
- Misclassification with other uterine neoplasms
- Omission of histological grade
Coding Notes
- Ensure histological confirmation and specify grade when coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Secondary malignant neoplasm of genital organs
C79.82Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Carcinoma in situ of endometrium
D07.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Endometrial Carcinoma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code C54.1.
Impact
Clinical: Impacts treatment decisions and prognosis., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to incomplete documentation.
Mitigation Strategy
Use synoptic reporting templates, Regular audits of pathology reports
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data reporting.
Mitigation Strategy
Ensure proper documentation of the primary site as endometrium.
Impact
Failure to document histological grade and type can lead to audit flags.
Mitigation Strategy
Implement mandatory fields in electronic health records for histology details.
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 Endometrial Carcinoma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Endometrial Carcinoma
Use these documentation templates to ensure complete and accurate documentation for Endometrial Carcinoma. These templates include all required elements for proper coding and billing.
Endometrial carcinoma with lymph node involvement
Specialty: Gynecologic OncologyRequired Elements
- Histological type and grade
- Tumor size and invasion depth
- Lymphovascular space invasion (LVSI)
- Lymph node status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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