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N83.209
ICD-10-CM
Ovarian Cyst

Find comprehensive information on ovarian cyst diagnosis, including ICD-10 codes (N70.0-N70.9), clinical documentation requirements, ultrasound findings, and differential diagnosis. Learn about common symptoms, treatment options, and the role of healthcare professionals in managing ovarian cysts. This resource covers key aspects of ovarian cyst diagnosis for medical coding, clinical practice, and patient education. Explore reliable information on benign and complex ovarian cysts, surgical management, and post-operative care.

Also known as

Ovarian Follicular Cyst
Corpus Luteum Cyst
ovarian mass
+2 more

Diagnosis Snapshot

Key Facts
  • Definition : Fluid-filled sacs in or on an ovary, usually benign.
  • Clinical Signs : Often asymptomatic. May cause pelvic pain, bloating, irregular periods, or pressure.
  • Common Settings : Gynecologist office, ultrasound imaging centers, primary care clinics.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC N83.209 Coding
N83.0-N83.9

Noninflammatory disorders of ovary

Covers various noninflammatory ovarian cysts, including follicular and corpus luteum cysts.

N70-N77

Inflammatory diseases of female pelvic organs

Includes inflammatory conditions that may be associated with ovarian cysts, like tubo-ovarian abscess.

N97

Female genital tract and organ prolapse

May be relevant if an ovarian cyst contributes to or is associated with pelvic organ prolapse.

Code-Specific Guidance

Decision Tree for

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

Is the ovarian cyst follicular?

  • Yes

    Code N83.0 Follicular cyst of ovary

  • No

    Is the cyst corpus luteal?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Ovarian Cyst
Ovarian Neoplasm
Polycystic Ovary Syndrome

Documentation Best Practices

Documentation Checklist
  • Ovarian cyst diagnosis: ICD-10 code, laterality
  • Cyst size, location, and characteristics (simple vs. complex)
  • Symptoms: pelvic pain, bloating, menstrual changes
  • Imaging results: ultrasound, CT, MRI findings
  • Management plan: observation, medication, surgery

Coding and Audit Risks

Common Risks
  • Unspecified Laterality

    Coding ovarian cyst without specifying right, left, or bilateral can lead to inaccurate data and claims rejections. Use N67.0, N67.1, or N67.2.

  • Symptom Coding

    Coding symptoms like pelvic pain instead of confirmed ovarian cyst diagnosis is inaccurate. Ensure N67 codes are used when diagnosed.

  • Unconfirmed Diagnosis

    Coding ovarian cyst from imaging alone without physician confirmation may lead to denials. Document and code only confirmed diagnoses.

Mitigation Tips

Best Practices
  • ICD-10 N83.0-N83.2: Precise cyst type for accurate reimbursement.
  • Document cyst size, location, morphology for optimal CDI.
  • HCC coding: Capture complexity for risk adjustment accuracy.
  • Regular pelvic exams: Early detection improves outcomes, reduces risk.
  • Z12.11 screening code: Use for asymptomatic patients, ensure compliance.

Clinical Decision Support

Checklist
  • Confirm pelvic exam findings: size, mobility, tenderness
  • Review transvaginal/pelvic ultrasound results: simple vs. complex
  • Check CA-125 levels if indicated (age, symptoms)
  • Correlate patient symptoms: pain, bloating, menstrual changes

Reimbursement and Quality Metrics

Impact Summary
  • Ovarian Cyst Reimbursement: Coding accuracy impacts payer reimbursements. HCC coding affects risk adjustment.
  • Ovarian Cyst Quality Metrics: Accurate diagnosis coding impacts hospital quality reporting and patient outcomes.
  • Coding (ICD-10 N70.*, N73.*) and documentation specificity influence case mix index and value-based care.
  • Timely and accurate claims submission with proper modifiers minimizes denials and improves revenue cycle.

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 cyst type (N83.0-N83.2)
  • Document size, location
  • Specify simple vs. complex
  • Note symptoms, laterality
  • Link to pelvic pain, if present

Documentation Templates

Patient presents with complaints consistent with possible ovarian cyst, including pelvic pain, abdominal bloating, irregular periods, and dyspareunia.  On physical examination, abdominal tenderness andor a palpable adnexal mass may be present.  Differential diagnoses include ectopic pregnancy, pelvic inflammatory disease, endometriosis, and uterine fibroids.  Pelvic ultrasound was ordered to evaluate for the presence, size, and characteristics of the ovarian cyst.  Imaging revealed a simple or complex ovarian cyst measuring  (insert size) cm in diameter, with features suggestive of (e.g., follicular cyst, corpus luteum cyst, dermoid cyst, endometrioma).  CA-125 levels may be drawn if there is concern for malignancy, though not routinely indicated for simple cysts.  Patient was counseled on ovarian cyst symptoms, causes, and treatment options, including watchful waiting with repeat ultrasound, hormonal contraception for management of symptoms, or surgical intervention such as laparoscopy or laparotomy for persistent or symptomatic cysts.  The patient's risk factors, such as age, family history, and previous ovarian cysts, were discussed.  Patient education included information on ovarian cyst rupture, ovarian torsion, and the importance of follow-up.  Medical coding will utilize appropriate ICD-10 codes for ovarian cysts (e.g., N83.0, N83.1, N83.2) based on the specific type and characteristics.  CPT codes for procedures, such as ultrasound (e.g., 76830, 76856, 76857) or surgery (e.g., 58661, 58925), will be documented and billed accordingly.  Follow-up appointment scheduled in (duration) for reassessment and ongoing ovarian cyst management.