ICD-10 Coding for Polyp of Corpus Uteri(N84.0)
Complete ICD-10-CM coding and documentation guide for Polyp of Corpus Uteri. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Polyp of Corpus Uteri
N84-N85Primary Range
Noninflammatory disorders of female genital tract
This range includes codes for various noninflammatory disorders of the female genital tract, including polyps and hyperplasia.
Key Information: ICD-10 code for polyp of corpus uteri
Essential facts and insights about Polyp of Corpus Uteri
Primary ICD-10-CM Code for polyp of corpus uteri
Decision Criteria
clinical Criteria
- Confirmed endometrial polyp via imaging or histology
coding Criteria
- Do not use with N85.0 for hyperplasia
Applicable To
- Endometrial polyp
Excludes
- Polypoid endometrial hyperplasia (N85.0)
Clinical Validation Requirements
- Transvaginal ultrasound showing hyperechoic lesion
- Hysteroscopy confirming pedunculated mass
- Biopsy showing fibrous stroma and benign glands
Code-Specific Risks
- Confusion with cervical polyps
- Misclassification as hyperplasia
Coding Notes
- Ensure documentation specifies the polyp's location in the corpus uteri.
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 Polyp of Corpus Uteri to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N84.0.
Impact
Clinical: May lead to incorrect diagnosis and treatment., Regulatory: Potential audit issues., Financial: Denial of claims due to insufficient documentation.
Mitigation Strategy
Use specific terms like 'endometrial polyp'., Confirm with imaging and pathology.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Use N84.1 for cervical polyps.
Impact
Inadequate documentation of polyp location and confirmation.
Mitigation Strategy
Ensure detailed imaging and pathology reports are included.
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 Polyp of Corpus Uteri, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Polyp of Corpus Uteri
Use these documentation templates to ensure complete and accurate documentation for Polyp of Corpus Uteri. These templates include all required elements for proper coding and billing.
Polyp removal via hysteroscopy
Specialty: OB/GYNRequired Elements
- Patient history
- Imaging results
- Procedure details
- Pathology findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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