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ICD-10 Coding for Oophorectomy(0UT20ZZ)

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

Also known as:

Ovarian removal surgeryBilateral salpingo-oophorectomyBSO

Related ICD-10 Code Ranges

Complete code families applicable to Oophorectomy

0UT20ZZPrimary Range

ICD-10-PCS code for resection of bilateral ovaries

This code is used for the surgical removal of both ovaries.

ICD-10-PCS code for resection of bilateral fallopian tubes

This code is used when the fallopian tubes are removed along with the ovaries.

Key Information: ICD-10 code for bilateral oophorectomy

Essential facts and insights about Oophorectomy

The ICD-10 code for bilateral oophorectomy is 0UT20ZZ, used for the surgical removal of both ovaries.

Primary ICD-10-CM Code for oophorectomy

Resection of bilateral ovaries
Non-billable Code

Decision Criteria

clinical Criteria

  • Both ovaries are surgically removed.

Applicable To

  • Bilateral oophorectomy

Excludes

  • Unilateral oophorectomy

Clinical Validation Requirements

  • Operative report indicating bilateral removal
  • Pathology report confirming ovarian tissue

Code-Specific Risks

  • Incorrect laterality documentation

Coding Notes

  • Ensure documentation specifies bilateral removal.

Ancillary Codes

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

Resection of bilateral fallopian tubes

0UT70ZZ
Use when fallopian tubes are also removed.

Differential Codes

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

Resection of unilateral ovary

0UT10ZZ
Use when only one ovary is removed.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Oophorectomy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code 0UT20ZZ.

Impact

Clinical: Inaccurate medical records., Regulatory: Non-compliance with coding guidelines., Financial: Potential claim denials.

Mitigation Strategy

Review operative notes for completeness.

Impact

Reimbursement: May result in denied claims., Compliance: Non-compliance with coding standards., Data Quality: Inaccurate patient records.

Mitigation Strategy

Verify operative report for laterality details.

Impact

Audits may focus on correct laterality coding.

Mitigation Strategy

Ensure operative reports specify laterality.

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

Documentation Templates for Oophorectomy

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

Laparoscopic bilateral salpingo-oophorectomy

Specialty: Gynecology

Required Elements

  • Procedure details
  • Specimen description
  • Surgical approach

Example Documentation

Laparoscopic bilateral salpingo-oophorectomy performed with intact extraction via umbilical port.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Removed ovaries via laparoscopy.
Good Documentation Example
Laparoscopic bilateral salpingo-oophorectomy performed with intact extraction via umbilical port. Specimens: left ovary (3cm), right ovary (2.5cm), bilateral fallopian tubes.
Explanation
The good example provides specific details about the procedure and specimens.

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

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