ICD-10 Coding for History of Ovarian Cyst(Z87.42)
Complete ICD-10-CM coding and documentation guide for History of Ovarian Cyst. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Ovarian Cyst
Z87.4Primary Range
Personal history of diseases of the female genital tract
This range includes codes for documenting a patient's history of diseases affecting the female genital tract, such as ovarian cysts.
Other and unspecified ovarian cysts
This range is used for current ovarian cysts, not for historical cases.
Key Information: ICD-10 code for history of ovarian cyst
Essential facts and insights about History of Ovarian Cyst
Primary ICD-10-CM Code for history of ovarian cyst
Decision Criteria
clinical Criteria
- Patient has a documented history of an ovarian cyst that is no longer present.
coding Criteria
- Do not use for active ovarian cysts.
Applicable To
- History of ovarian cyst
Excludes
- Current ovarian cyst (N83.2xx)
Clinical Validation Requirements
- Past medical records indicating resolved ovarian cyst
- Surgical reports such as cystectomy
Code-Specific Risks
- Incorrectly using this code for active ovarian cysts
Coding Notes
- Ensure documentation clearly states the cyst is historical and resolved.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Pelvic and peritoneal pain
R10.2Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of Ovarian Cyst to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z87.42.
Impact
Clinical: Leads to confusion about the patient's current condition., Regulatory: May result in incorrect coding and billing., Financial: Potential claim denials due to lack of specificity.
Mitigation Strategy
Always document the resolution status of the cyst., Use templates to ensure completeness.
Impact
Reimbursement: May lead to claim denials if the cyst is not current., Compliance: Incorrect coding can result in compliance issues., Data Quality: Affects the accuracy of patient medical records.
Mitigation Strategy
Use Z87.42 for resolved ovarian cysts.
Impact
Using active cyst codes for historical conditions.
Mitigation Strategy
Educate coders on the correct use of Z87.42.
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 History of Ovarian Cyst, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Ovarian Cyst
Use these documentation templates to ensure complete and accurate documentation for History of Ovarian Cyst. These templates include all required elements for proper coding and billing.
Follow-up for resolved ovarian cyst
Specialty: GynecologyRequired Elements
- Patient history of ovarian cyst
- Resolution method and date
- Current status and follow-up results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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