ICD-10 Coding for Pelvic Floor Weakness(N81.84, R27.8)
Complete ICD-10-CM coding and documentation guide for Pelvic Floor Weakness. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Pelvic Floor Weakness
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N81.84 | Pelvic muscle wasting (disuse atrophy) | Use when pelvic muscle atrophy is confirmed by imaging or physical exam. |
|
| R27.8 | Other lack of coordination | Use for coordination deficits without muscle atrophy. |
|
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 floor weakness
Essential facts and insights about Pelvic Floor Weakness
Primary ICD-10-CM Codes for pelvic floor weakness
Decision Criteria
clinical Criteria
- MRI findings of H-line >5 cm
documentation Criteria
- Digital exam showing muscle atrophy
Applicable To
- Pelvic floor muscle atrophy
Excludes
- Neurogenic bladder (N31.9)
Clinical Validation Requirements
- MRI showing H-line >5 cm
- Digital exam indicating muscle atrophy
Code-Specific Risks
- Misclassification as general muscle weakness
Coding Notes
- Ensure documentation specifies 'disuse atrophy' to avoid misclassification.
R27.8 - Other lack of coordination
Use for coordination deficits without muscle atrophy.
Applicable To
- Pelvic floor dyscoordination
Excludes
- Cerebellar ataxia (G11.1)
Clinical Validation Requirements
- Failed Berg Balance Scale item #12
Coding Notes
Document specific coordination tests to validate use.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Stress urinary incontinence
N39.3Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Pelvic Floor Weakness to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N81.84.
Impact
Clinical: Leads to misdiagnosis or incorrect treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Use specific clinical terms., Include objective findings.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data reporting.
Mitigation Strategy
Ensure documentation specifies 'disuse atrophy' for N81.84.
Impact
Inaccurate documentation can lead to audit findings.
Mitigation Strategy
Regular training on documentation standards.
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 Floor Weakness, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Pelvic Floor Weakness
Use these documentation templates to ensure complete and accurate documentation for Pelvic Floor Weakness. These templates include all required elements for proper coding and billing.
Pelvic floor assessment
Specialty: UrogynecologyRequired Elements
- Muscle tone
- Voluntary contraction
- Endurance
- Coordination
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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