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N70.13
ICD-10-CM
Hydrosalpinx

Find comprehensive information on hydrosalpinx diagnosis, including clinical documentation, medical coding (ICD-10), and treatment options. Learn about the causes, symptoms, and impact of hydrosalpinx on fertility. Explore resources for healthcare professionals on ultrasound diagnosis, laparoscopic findings, and management of this fallopian tube condition. This resource provides accurate and up-to-date information on hydrosalpinx for patients and medical professionals alike.

Also known as

Fluid-filled fallopian tube
Tubal occlusion

Diagnosis Snapshot

Key Facts
  • Definition : Fluid-filled fallopian tube, often due to prior infection.
  • Clinical Signs : Often asymptomatic, but can cause infertility, pelvic pain, or abnormal vaginal discharge.
  • Common Settings : Gynecology clinics, fertility centers, reproductive endocrinology.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC N70.13 Coding
N70-N77

Diseases of female genital organs

Covers various female reproductive system disorders, including hydrosalpinx.

N83-N98

Noninflammatory disorders of female genital tract

Includes conditions like hydrosalpinx not primarily caused by inflammation.

Z30-Z39

Monitoring of pregnancy

May be relevant when hydrosalpinx affects fertility or pregnancy.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the hydrosalpinx unilateral?

  • Yes

    Is it right side?

  • No

    Code N28.10

Code Comparison

Related Codes Comparison

When to use each related code

Description
Fluid-filled fallopian tube
Blocked fallopian tube
Fallopian tube inflammation

Documentation Best Practices

Documentation Checklist
  • Hydrosalpinx diagnosis: Laterality (unilateral/bilateral)
  • Hydrosalpinx: Ultrasound or HSG confirmation required
  • Document hydrosalpinx size and location
  • Symptoms impacting fertility? Specify details
  • Prior treatments or surgeries documented?

Coding and Audit Risks

Common Risks
  • Laterality Coding

    Incorrect coding for laterality (right, left, bilateral) can lead to inaccurate billing and claims rejection. Proper documentation of affected side(s) is crucial.

  • Specificity of Diagnosis

    Coding hydrosalpinx without specifying cause (e.g., post-inflammatory, congenital) can impact data analysis and reimbursement. CDI can clarify etiology.

  • Unilateral vs. Bilateral

    Miscoding unilateral hydrosalpinx as bilateral, or vice versa, can result in overpayment or underpayment. Accurate documentation and coding are essential.

Mitigation Tips

Best Practices
  • Document laterality (unilateral/bilateral) for accurate ICD-10 coding (N70.1).
  • CDI: Specify if hydrosalpinx is due to infection or other causes for correct coding.
  • For tubal surgery, clearly document procedure intent (diagnosis/treatment) for compliance.
  • Use precise clinical terminology (e.g., "fimbrial occlusion," not just "blocked tube").
  • Document hydrosalpinx impact on fertility status for accurate reporting and treatment.

Clinical Decision Support

Checklist
  • 1. Verify dilated fallopian tube on imaging (ICD-10 N70.1)
  • 2. Confirm fluid-filled tube, not solid mass (SNOMED CT 12454007)
  • 3. Correlate with patient symptoms: pelvic pain, infertility (ICD-10 N70.9)
  • 4. Exclude other tubal pathologies: pyosalpinx, hematosalpinx (SNOMED CT 40664003)

Reimbursement and Quality Metrics

Impact Summary
  • Hydrosalpinx reimbursement impacts diagnosis-related group (DRG) assignment and potential outlier payments. Accurate ICD-10 coding (N70.1-N70.9) crucial for maximizing claims.
  • Coding quality metrics affected by specificity of Hydrosalpinx diagnosis code. Complete documentation of laterality (right, left, bilateral) and cause improves accuracy.
  • Hospital reporting on Hydrosalpinx prevalence and treatment outcomes relies on accurate coding. Data impacts resource allocation and quality improvement initiatives.
  • Hydrosalpinx diagnosis impacts IVF success rates. Accurate coding and documentation essential for tracking and analyzing infertility treatment outcomes.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code N97.1 for hydrosalpinx
  • Laterality matters: use .0 or .1
  • Document cause if known (infection, surgery)
  • Exclude pyosalpinx (N97.0)
  • Confirm diagnosis via imaging (ultrasound, HSG)

Documentation Templates

Patient presents with complaints consistent with hydrosalpinx.  Symptoms include pelvic pain, infertility, abnormal vaginal discharge, and possible dyspareunia.  Physical examination may reveal adnexal tenderness or a palpable mass.  Ultrasound imaging demonstrates a fluid-filled, dilated fallopian tube, confirming the diagnosis of hydrosalpinx.  Differential diagnoses considered included ovarian cyst, tubo-ovarian abscess, and ectopic pregnancy.  The hydrosalpinx is likely unilateralrightleft (specify side) and measures X cm in diameter.  Etiology is suspected to be secondary to prior pelvic inflammatory diseasePID or previous abdominalpelvic surgery.  Patient was counseled on treatment options, including salpingectomy versus observation, and the potential impact of hydrosalpinx on fertility and in vitro fertilization IVF success rates.  Risks and benefits of each approach were discussed, including the possibility of persistent pain or recurrent hydrosalpinx.  Patient will follow up for repeat imaging and further management as needed.  ICD-10 code N70.1 is applicable.  This documentation supports medical necessity for procedures and treatments related to hydrosalpinx.