ICD-10 Coding for Left Ovarian Mass(N83.202, D27.1, C56.2)
Complete ICD-10-CM coding and documentation guide for Left Ovarian Mass. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Left Ovarian Mass
N83-N83.9Primary Range
Noninflammatory disorders of ovary, fallopian tube and broad ligament
This range includes codes for ovarian cysts and other noninflammatory ovarian disorders.
Benign neoplasm of ovary
This range covers benign ovarian tumors, including teratomas and cystadenomas.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N83.202 | Unspecified ovarian cyst, left side | Use for a simple or unspecified cyst on the left ovary. |
|
| D27.1 | Benign neoplasm of ovary, left side | Use for confirmed benign neoplasms of the left ovary. |
|
| C56.2 | Malignant neoplasm of ovary, left side | Use for confirmed malignant neoplasms of the left ovary. |
|
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 left ovarian mass
Essential facts and insights about Left Ovarian Mass
Primary ICD-10-CM Codes for left ovarian mass
Decision Criteria
clinical Criteria
- Presence of a simple cyst on ultrasound
Applicable To
- Left ovarian cyst
Excludes
- Malignant neoplasm of ovary (C56.2)
Clinical Validation Requirements
- Ultrasound showing simple cyst on left ovary
- Cyst size ≥6cm persisting for two cycles
Code-Specific Risks
- Risk of using unspecified code when laterality is known.
Coding Notes
- Ensure laterality is documented to avoid unspecified codes.
D27.1 - Benign neoplasm of ovary, left side
Use for confirmed benign neoplasms of the left ovary.
Applicable To
- Left ovarian teratoma
- Left ovarian dermoid cyst
Excludes
- Malignant neoplasm of ovary (C56.2)
Clinical Validation Requirements
- Histopathology confirming benign neoplasm
- Imaging showing benign characteristics
Coding Notes
Histopathological confirmation is crucial for accurate coding.
C56.2 - Malignant neoplasm of ovary, left side
Use for confirmed malignant neoplasms of the left ovary.
Applicable To
- Left ovarian carcinoma
Excludes
- Benign neoplasm of ovary (D27.1)
Clinical Validation Requirements
- Histopathology confirming malignancy
- Elevated CA-125 levels
Coding Notes
Ensure malignancy is confirmed through histopathology before coding.
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 Left Ovarian Mass to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N83.202.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to lack of specificity.
Mitigation Strategy
Ensure imaging reports include mass size., Train staff on documentation standards for ovarian masses.
Impact
Reimbursement: May lead to denied claims or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of health records.
Mitigation Strategy
Always document and code the specific side (left or right).
Impact
Reimbursement: Incorrect coding can lead to overpayment or underpayment., Compliance: Risk of audit and penalties., Data Quality: Affects clinical data integrity.
Mitigation Strategy
Ensure histopathology confirms the nature of the mass before coding.
Impact
High risk of audit if unspecified codes are used when laterality is known.
Mitigation Strategy
Always document and code the specific side of the ovarian mass.
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 Left Ovarian Mass, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Left Ovarian Mass
Use these documentation templates to ensure complete and accurate documentation for Left Ovarian Mass. These templates include all required elements for proper coding and billing.
Benign Ovarian Mass Removal
Specialty: GynecologyRequired Elements
- Laterality
- Size of mass
- Histopathology results
- Operative findings
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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