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ICD-10 Coding for Ovarian Cyst(N83.201, N83.202, N83.209)

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

Also known as:

Ovarian Follicular CystCorpus Luteum Cystovarian massfunctional cystfollicular cyst

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Related ICD-10 Code Ranges

Complete code families applicable to Ovarian Cyst

N83.20-N83.29Primary Range

Noninflammatory disorders of ovary, fallopian tube and broad ligament

This range includes codes for ovarian cysts, specifying laterality and type.

D27

Benign neoplasm of ovary

Used when histopathology confirms a benign neoplasm.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
N83.201Cyst of right ovaryUse when imaging confirms a cyst on the right ovary.
  • TVUS report with cyst size and laterality
  • Menstrual history
  • Contraceptive status
N83.202Cyst of left ovaryUse when imaging confirms a cyst on the left ovary.
  • TVUS report with cyst size and laterality
  • Menstrual history
  • Contraceptive status
N83.209Unspecified ovarian cystUse only when laterality is not documented.
  • Imaging report lacking laterality

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 ovarian cyst

Essential facts and insights about Ovarian Cyst

The ICD-10 code for an ovarian cyst is N83.20 for unspecified cysts, with specific codes like N83.201 for right ovarian cysts.

Primary ICD-10-CM Codes for ovarian cyst

N83.201
Cyst of right ovary
Billable Code

Decision Criteria

clinical Criteria

  • Cyst confirmed on right ovary via imaging

Applicable To

  • Right ovarian cyst

Excludes

  • Malignant neoplasm of ovary (C56.-)

Clinical Validation Requirements

  • TVUS report with cyst size and laterality
  • Menstrual history
  • Contraceptive status

Code-Specific Risks

  • Incorrect laterality documentation

Coding Notes

  • Ensure laterality is documented to avoid unspecified coding.
View Full Code Details

Ancillary Codes

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

Pelvic and perineal pain

R10.2
Use for associated pelvic pain.

Differential Codes

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

Endometriosis of ovary

N80.1
Presence of endometrial tissue on imaging or histology.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Ovarian Cyst to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N83.201.

Impact

Clinical: May lead to incorrect treatment decisions., Regulatory: Non-compliance with coding standards., Financial: Potential for reduced reimbursement.

Mitigation Strategy

Review imaging reports for laterality, Train staff on documentation requirements

Impact

Reimbursement: May result in reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases specificity and accuracy of health data.

Mitigation Strategy

Ensure imaging reports specify laterality and use the appropriate specific code.

Impact

Risk of audits due to unspecified coding when laterality is documented.

Mitigation Strategy

Ensure all imaging reports are reviewed and laterality is documented.

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

Documentation Templates for Ovarian Cyst

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

Ovarian Cyst Evaluation

Specialty: Gynecology

Required Elements

  • Menstrual history
  • Contraceptive use
  • Imaging findings
  • Cyst size and laterality

Example Documentation

Patient presents with a 3.5 cm simple cyst in the right ovary, confirmed by TVUS. LMP was 2 weeks ago, and the patient is on oral contraceptives.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Ovarian cyst noted.
Good Documentation Example
3.5 cm simple cyst in right ovary with thin walls and no internal echoes on TVUS. LMP 2/15/25. Oral contraceptive use.
Explanation
The good example provides specific details about the cyst, menstrual history, and contraceptive use, which are necessary for accurate coding.

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

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