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ICD-10 Coding for Ovarian Cystadenoma(D27.0, D27.1, D27.9)

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

Also known as:

Benign Ovarian NeoplasmSerous CystadenomaMucinous Cystadenoma

Related ICD-10 Code Ranges

Complete code families applicable to Ovarian Cystadenoma

D27Primary Range

Benign neoplasm of ovary

This range includes all benign neoplasms of the ovary, including cystadenomas.

Non-inflammatory disorders of ovary, fallopian tube and broad ligament

Includes non-neoplastic ovarian cysts, used for differential diagnosis.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
D27.0Benign neoplasm of right ovaryUse when a benign cystadenoma is confirmed on the right ovary.
  • Histological confirmation of benign cystadenoma
  • Imaging showing unilocular/multilocular cyst with smooth walls
D27.1Benign neoplasm of left ovaryUse when a benign cystadenoma is confirmed on the left ovary.
  • Histological confirmation of benign cystadenoma
  • Imaging showing unilocular/multilocular cyst with smooth walls
D27.9Benign neoplasm of unspecified ovaryUse when laterality is not documented.
  • Histological confirmation of benign cystadenoma
  • Imaging showing unilocular/multilocular cyst with smooth walls

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 cystadenoma

Essential facts and insights about Ovarian Cystadenoma

The ICD-10 code for ovarian cystadenoma is D27.x, with specific codes for right (D27.0), left (D27.1), and unspecified (D27.9) ovary.

Primary ICD-10-CM Codes for ovarian cystadenoma

Benign neoplasm of right ovary
Billable Code

Decision Criteria

clinical Criteria

  • Histological confirmation of benign cystadenoma

documentation Criteria

  • Imaging findings consistent with benign cystadenoma

Applicable To

  • Serous cystadenoma of right ovary
  • Mucinous cystadenoma of right ovary

Excludes

  • Malignant neoplasm of ovary (C56.x)
  • Non-neoplastic ovarian cysts (N83.2xx)

Clinical Validation Requirements

  • Histological confirmation of benign cystadenoma
  • Imaging showing unilocular/multilocular cyst with smooth walls

Code-Specific Risks

  • Misclassification as a non-neoplastic cyst if not specified as neoplasm
  • Incorrect laterality documentation

Coding Notes

  • Ensure laterality is documented to avoid using unspecified codes.

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 pelvic pain is documented as a symptom.

Differential Codes

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

Other and unspecified ovarian cyst, right side

N83.201
Use when the cyst is not confirmed as a neoplasm.

Other and unspecified ovarian cyst, left side

N83.202
Use when the cyst is not confirmed as a neoplasm.

Other and unspecified ovarian cyst, unspecified side

N83.209
Use when the cyst is not confirmed as a neoplasm.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Ovarian Cystadenoma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D27.0.

Impact

Clinical: May lead to incorrect treatment decisions., Regulatory: Increases risk of audit discrepancies., Financial: Potential for denied claims due to insufficient documentation.

Mitigation Strategy

Ensure pathology reports are included in the medical record., Verify histological confirmation before final coding.

Impact

Reimbursement: Incorrect coding may lead to reduced reimbursement., Compliance: Misclassification can lead to compliance issues., Data Quality: Affects the accuracy of clinical data.

Mitigation Strategy

Ensure documentation specifies 'benign neoplasm' or 'cystadenoma' to use D27.x codes.

Impact

Reimbursement: Unspecified codes may result in lower reimbursement rates., Compliance: Increases risk of audit findings., Data Quality: Reduces specificity in clinical data.

Mitigation Strategy

Always document whether the cystadenoma is on the right or left ovary.

Impact

Failure to document laterality can lead to incorrect coding.

Mitigation Strategy

Implement a checklist for documentation review before coding.

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

Documentation Templates for Ovarian Cystadenoma

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

Ovarian Cystadenoma Diagnosis

Specialty: Gynecology

Required Elements

  • Patient history
  • Imaging findings
  • Surgical procedure details
  • Pathology report

Example Documentation

Patient presents with pelvic pain. Ultrasound shows a 7cm unilocular cyst on the right ovary. Laparoscopic cystectomy performed. Pathology confirms benign serous cystadenoma.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has ovarian cyst.
Good Documentation Example
Patient has a 7cm benign serous cystadenoma on the right ovary confirmed by pathology.
Explanation
The good example specifies the type, size, and confirmation of the cystadenoma, improving coding accuracy.

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

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