ICD-10 Coding for Retained Intrauterine Device(T83.31XA, T83.32XA, T83.39XA, O26.87-, Z30.432)
Complete ICD-10-CM coding and documentation guide for Retained Intrauterine Device. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Retained Intrauterine Device
T83.3-Primary Range
Complications of intrauterine contraceptive device
This range covers complications related to retained IUDs, including mechanical breakdown, displacement, and other complications.
Pregnancy related conditions with retained IUD
Used when a retained IUD complicates pregnancy.
Encounter for removal of intrauterine contraceptive device
Used for routine removal attempts without complications.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| T83.31XA | Breakdown (mechanical) of intrauterine contraceptive device, initial encounter | Use when the IUD is mechanically broken, such as fractured arms or stem. |
|
| T83.32XA | Displacement of intrauterine contraceptive device, initial encounter | Use when the IUD is displaced, such as migration or partial expulsion. |
|
| T83.39XA | Other complications of intrauterine contraceptive device, initial encounter | Use for other complications such as embedded or fragmented IUD. |
|
| O26.87- | Pregnancy related conditions with retained IUD | Use when a retained IUD complicates pregnancy. |
|
| Z30.432 | Encounter for removal of intrauterine contraceptive device | Use for routine removal attempts without complications. |
|
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 retained IUD
Essential facts and insights about Retained Intrauterine Device
Primary ICD-10-CM Codes for retained intrauterine device
Decision Criteria
clinical Criteria
- Imaging confirms broken IUD fragments
documentation Criteria
- Operative report details mechanical breakdown
Applicable To
- Broken IUD fragments
Excludes
- Displacement of IUD (T83.32XA)
Clinical Validation Requirements
- Imaging showing broken IUD fragments
- Operative report detailing mechanical breakdown
Code-Specific Risks
- Misidentifying displacement as breakdown
Coding Notes
- Ensure documentation specifies mechanical breakdown with imaging confirmation.
T83.32XA - Displacement of intrauterine contraceptive device, initial encounter
Use when the IUD is displaced, such as migration or partial expulsion.
Applicable To
- Partial expulsion
- Migration of IUD
Excludes
- Breakdown of IUD (T83.31XA)
Clinical Validation Requirements
- Imaging showing IUD migration or partial expulsion
- Clinical notes describing displacement
Coding Notes
Ensure documentation specifies displacement with imaging confirmation.
T83.39XA - Other complications of intrauterine contraceptive device, initial encounter
Use for other complications such as embedded or fragmented IUD.
Applicable To
- Embedded IUD
- Fragmented retrieval
Excludes
- Breakdown of IUD (T83.31XA)
- Displacement of IUD (T83.32XA)
Clinical Validation Requirements
- Imaging showing embedded IUD
- Operative report detailing complications
Coding Notes
Ensure documentation specifies the type of complication with imaging confirmation.
O26.87- - Pregnancy related conditions with retained IUD
Use when a retained IUD complicates pregnancy.
Applicable To
- Retained IUD complicating pregnancy
Clinical Validation Requirements
- Pregnancy confirmed with retained IUD
Coding Notes
Ensure pregnancy is documented alongside IUD retention.
Z30.432 - Encounter for removal of intrauterine contraceptive device
Use for routine removal attempts without complications.
Applicable To
- Routine removal attempt
Excludes
- Complicated removal (T83.3-)
Clinical Validation Requirements
- Routine removal attempt documented
Coding Notes
Ensure removal attempt is documented as routine.
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 Retained Intrauterine Device to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code T83.31XA.
Impact
Clinical: Inadequate information for clinical decision-making., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to lack of specificity.
Mitigation Strategy
Use specific terms like 'embedded' or 'fragmented', Include imaging and procedural details
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on complication rates.
Mitigation Strategy
Replace Z30.432 with T83.3- codes when complications are present.
Impact
Reimbursement: Claims may be denied due to insufficient detail., Compliance: Failure to meet documentation standards., Data Quality: Inaccurate clinical records.
Mitigation Strategy
Specify the location of retained IUD fragments.
Impact
Improper use of modifiers -22 and -53 can lead to audits.
Mitigation Strategy
Ensure detailed documentation supports modifier use.
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 Retained Intrauterine Device, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Retained Intrauterine Device
Use these documentation templates to ensure complete and accurate documentation for Retained Intrauterine Device. These templates include all required elements for proper coding and billing.
Retained IUD with Complications
Specialty: GynecologyRequired Elements
- IUD type and insertion date
- Imaging findings
- Removal attempts and outcomes
- Symptoms and clinical findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Retained Intrauterine Device? Ask your questions below.