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ICD-10 Coding for Hydrosalpinx(N70.11)

Complete ICD-10-CM coding and documentation guide for Hydrosalpinx. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Fluid-filled fallopian tubeTubal occlusion

Related ICD-10 Code Ranges

Complete code families applicable to Hydrosalpinx

N70-N77Primary Range

Inflammatory diseases of female pelvic organs

This range includes codes for inflammatory conditions of the female reproductive system, including hydrosalpinx.

Key Information: ICD-10 code for hydrosalpinx

Essential facts and insights about Hydrosalpinx

The ICD-10 code for hydrosalpinx is N70.11, covering chronic salpingitis and hydrosalpinx. Ensure documentation includes imaging confirmation and laterality.

Primary ICD-10-CM Code for hydrosalpinx

Chronic salpingitis and hydrosalpinx
Billable Code

Decision Criteria

clinical Criteria

  • Presence of chronic pelvic pain and imaging confirmation

documentation Criteria

  • Detailed imaging findings and symptom documentation

Applicable To

  • Chronic hydrosalpinx

Excludes

  • Acute salpingitis (N70.0)
  • Other noninflammatory disorders of ovary, fallopian tube and broad ligament (N83.8)

Clinical Validation Requirements

  • Imaging findings such as tubular structure with incomplete septa on transvaginal ultrasound
  • Symptoms like chronic pelvic pain or infertility

Code-Specific Risks

  • Misclassification with N83.8, which excludes hydrosalpinx

Coding Notes

  • Ensure laterality is documented even though not required by the code.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Pelvic and perineal pain

R10.2
Use when documenting associated pelvic pain.

Female infertility, unspecified

N97.9
Use when hydrosalpinx is associated with infertility.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Other noninflammatory disorders of ovary, fallopian tube and broad ligament

N83.8
N83.8 excludes hydrosalpinx, which should be coded under N70.11.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Hydrosalpinx to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N70.11.

Impact

Clinical: May lead to incomplete clinical records., Regulatory: Could result in non-compliance with documentation standards., Financial: Potential delays in reimbursement due to incomplete documentation.

Mitigation Strategy

Always document laterality in clinical notes., Use templates that prompt for laterality.

Impact

Reimbursement: Incorrect coding can lead to claim denials., Compliance: Misclassification may result in non-compliance with coding guidelines., Data Quality: Affects the accuracy of clinical data and statistics.

Mitigation Strategy

Always use N70.11 for hydrosalpinx to ensure correct classification.

Impact

Lack of detailed imaging findings and laterality can trigger audits.

Mitigation Strategy

Ensure comprehensive documentation of all clinical findings.

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 Hydrosalpinx, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Hydrosalpinx

Use these documentation templates to ensure complete and accurate documentation for Hydrosalpinx. These templates include all required elements for proper coding and billing.

Chronic pelvic pain with hydrosalpinx

Specialty: Gynecology

Required Elements

  • Chief complaint
  • Imaging findings
  • Symptom correlation
  • Surgical history
  • Plan

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has hydrosalpinx. Plan: Laparoscopy.
Good Documentation Example
40yo F c/o chronic left lower quadrant pain x8mo. TVUS reveals 4cm left hydrosalpinx with cogwheel sign. History of PID in 2022. Plan: Diagnostic laparoscopy with left salpingectomy.
Explanation
The good example provides detailed clinical context, imaging findings, and a clear plan.

Need help with ICD-10 coding for Hydrosalpinx? Ask your questions below.

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