ICD-10 Coding for Pelvic Pressure(R10.2, N94.89)
Complete ICD-10-CM coding and documentation guide for Pelvic Pressure. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Pelvic Pressure
R10-R19Primary Range
Symptoms and signs involving the digestive system and abdomen
Includes codes for abdominal and pelvic pain, which may encompass pelvic pressure when no specific cause is identified.
Noninflammatory disorders of female genital tract
Includes codes for gynecological conditions that may cause pelvic pressure, such as uterine fibroids or pelvic organ prolapse.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R10.2 | Pelvic and perineal pain | Use when pelvic pressure is documented without a specific underlying cause. |
|
| N94.89 | Other specified conditions associated with female genital organs and menstrual cycle | Use when pelvic pressure is associated with gynecological conditions. |
|
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 pressure
Essential facts and insights about Pelvic Pressure
Primary ICD-10-CM Codes for pelvic pressure
Decision Criteria
clinical Criteria
- Pelvic pressure without specific cause
coding Criteria
- No specific gynecological condition identified
Applicable To
- Pelvic pressure described as discomfort or heaviness
Excludes
- Pain due to specific gynecological conditions
Clinical Validation Requirements
- Documentation of pelvic pressure without identified organ pathology
Code-Specific Risks
- Risk of incorrect use if a specific cause is identified
Coding Notes
- Ensure documentation specifies 'pressure' rather than 'pain' if using R10.2.
N94.89 - Other specified conditions associated with female genital organs and menstrual cycle
Use when pelvic pressure is associated with gynecological conditions.
Applicable To
- Pelvic pressure linked to menstrual cycle or dyspareunia
Excludes
- Pelvic pain due to non-gynecological causes
Clinical Validation Requirements
- Documentation linking pressure to menstrual cycle or gynecological conditions
Coding Notes
Document the relationship between pressure and gynecological conditions clearly.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Pelvic Pressure to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R10.2.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims or audits.
Mitigation Strategy
Use detailed descriptors for symptoms, Link symptoms to clinical findings
Impact
Reimbursement: Incorrect DRG assignment may affect reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use O26.89 for pregnancy-related conditions.
Impact
Using R10.2 without identifying specific cause when one exists.
Mitigation Strategy
Ensure thorough clinical evaluation and documentation.
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 Pressure, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Pelvic Pressure
Use these documentation templates to ensure complete and accurate documentation for Pelvic Pressure. These templates include all required elements for proper coding and billing.
Pelvic pressure in a gynecological exam
Specialty: GynecologyRequired Elements
- Patient description of pressure
- Associated symptoms
- Imaging findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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