ICD-10 Coding for Pelvic Adhesions(N73.6, O65.5)
Complete ICD-10-CM coding and documentation guide for Pelvic Adhesions. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Pelvic Adhesions
N73-N73.6Primary Range
Female pelvic inflammatory disorders
This range includes codes for pelvic adhesions, specifically N73.6, which is used for female pelvic peritoneal adhesions.
Obstructed labor due to abnormality of maternal pelvic organs
O65.5 is used when pelvic adhesions complicate labor or delivery, such as during a cesarean section.
Other disorders of peritoneum
K66.0 is used for peritoneal adhesions when 'pelvic' is not specified in the documentation.
Postprocedural disorders of genitourinary system
N99.4 is used for postprocedural pelvic adhesions, such as those following surgery.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N73.6 | Female pelvic peritoneal adhesions (postinfective) | Use when adhesions are documented as pelvic and postinfective. |
|
| O65.5 | Obstructed labor due to pelvic adhesions | Use when adhesions are documented as complicating labor or delivery. |
|
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 pelvic adhesions
Essential facts and insights about Pelvic Adhesions
Primary ICD-10-CM Codes for pelvic adhesions
Decision Criteria
documentation Criteria
- Documentation must specify 'pelvic' adhesions.
Applicable To
- Pelvic adhesions
- Postinfective pelvic peritoneal adhesions
Excludes
- Postprocedural adhesions (N99.4)
Clinical Validation Requirements
- Laparoscopic findings of pelvic adhesions
- Imaging showing adhesions in pelvic region
Code-Specific Risks
- Incorrectly coding as K66.0 without 'pelvic' specification
Coding Notes
- Ensure 'pelvic' is specified in documentation to use N73.6.
O65.5 - Obstructed labor due to pelvic adhesions
Use when adhesions are documented as complicating labor or delivery.
Applicable To
- Adhesions complicating labor
Clinical Validation Requirements
- Operative report indicating adhesions during cesarean section
Coding Notes
Sequence O65.5 first in obstetric cases.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Pelvic Adhesions to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N73.6.
Impact
Clinical: Misrepresentation of condition severity, Regulatory: Potential audit issues, Financial: Incorrect reimbursement
Mitigation Strategy
Use templates that prompt for specific location, Educate staff on documentation importance
Impact
Reimbursement: Potential underpayment due to incorrect code, Compliance: Non-compliance with ICD-10 guidelines, Data Quality: Inaccurate clinical data representation
Mitigation Strategy
Ensure documentation specifies 'pelvic' to use N73.6.
Impact
Risk of audits due to non-specific documentation.
Mitigation Strategy
Ensure all documentation specifies 'pelvic' when applicable.
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 Pelvic Adhesions, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Pelvic Adhesions
Use these documentation templates to ensure complete and accurate documentation for Pelvic Adhesions. These templates include all required elements for proper coding and billing.
Laparoscopic lysis of pelvic adhesions
Specialty: GynecologyRequired Elements
- Preoperative diagnosis
- Operative findings
- Procedure details
- Postoperative diagnosis
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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