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N83.209
ICD-10-CM
Ovarian Cystectomy

Find comprehensive information on ovarian cystectomy, including clinical documentation requirements, medical coding guidelines, ICD-10 codes, CPT codes, postoperative care, laparoscopic ovarian cystectomy, and surgical procedures. Learn about diagnosis, treatment options, and recovery for ovarian cysts. This resource provides valuable information for healthcare professionals, medical coders, and patients seeking to understand ovarian cystectomy.

Also known as

Ovarian Cyst Removal
Laparoscopic Cystectomy

Diagnosis Snapshot

Key Facts
  • Definition : Surgical removal of an ovarian cyst.
  • Clinical Signs : Pelvic pain, abdominal bloating, irregular periods, or asymptomatic.
  • Common Settings : Hospital operating room, outpatient surgical center.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC N83.209 Coding
N83.2

Ovarian cysts

This code specifies follicular cysts, corpus luteum cysts, and other nonneoplastic ovarian cysts.

N83.1

Hemorrhagic or ruptured ovarian cyst

This code is used for complications arising from ovarian cysts like bleeding or rupture.

N97

Female genital organs NES

This code includes other specified female genital disorders not classified elsewhere.

Z90.49

Personal history of other diseases

This could be used for a history of ovarian cysts requiring previous cystectomy.

Code-Specific Guidance

Decision Tree for

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

Was the ovarian cystectomy performed for a specific disease?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Ovarian cystectomy
Oophorectomy
Ovarian cyst

Documentation Best Practices

Documentation Checklist
  • Ovarian cystectomy ICD-10 code, size, type
  • Pre-op diagnosis, laterality, symptoms
  • Surgical technique: laparoscopy vs laparotomy
  • Intraoperative findings: cyst details, adhesions
  • Post-op diagnosis, complications, specimens

Coding and Audit Risks

Common Risks
  • Unlisted Code Usage

    Using unlisted laparoscopic/robotic codes when specific cystectomy codes exist, impacting reimbursement and data accuracy. Medical coding, CDI, healthcare compliance.

  • Laterality Mismatch

    Documentation discrepancy between operative report and coded laterality (unilateral/bilateral), leading to coding errors and compliance issues. Medical coding, ovarian cystectomy, CDI.

  • Complication Coding

    Intraoperative complications like hemorrhage or bowel injury may be undercoded, affecting DRG assignment and accurate reflection of care. Healthcare compliance, medical coding audit, CDI.

Mitigation Tips

Best Practices
  • Precise ICD-10 coding (e.g., N76.x) for ovarian cystectomy.
  • Detailed op report: size, type, location of cyst for CDI.
  • Thorough documentation of informed consent per compliance rules.
  • Pathology report review crucial for accurate coding and CDI.
  • Post-op care plan documented for compliance and improved outcomes.

Clinical Decision Support

Checklist
  • Verify ovarian cyst diagnosis (ICD-10 N83.2)
  • Confirm surgical indication documented
  • Pre-op imaging reviewed & sized
  • Malignancy risk assessment complete
  • Patient consent form signed & witnessed

Reimbursement and Quality Metrics

Impact Summary
  • Ovarian Cystectomy Reimbursement: CPT codes 58661, 58670, 58671 impact hospital revenue cycle.
  • Coding accuracy for ovarian cystectomy diagnosis impacts denials and medical billing audits.
  • Quality metrics: Post-operative complications, readmission rates affect hospital value-based purchasing.
  • Hospital reporting on ovarian cystectomy outcomes influences quality improvement programs.

Streamline Your Medical Coding

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

Quick Tips

Practical Coding Tips
  • Code laterality: 58661-RT/LT
  • Specify simple/complex cyst
  • Document cyst size for 58662
  • Note if ruptured: N83.20
  • Laparoscopic: add 49320 if needed

Documentation Templates

Patient presented with complaints consistent with ovarian cyst symptoms, including pelvic pain, abdominal bloating, and irregular menstrual cycles.  The patient's medical history includes [insert relevant past medical history, surgical history, family history, social history, and allergies]. Physical examination revealed [insert relevant physical exam findings, including abdominal tenderness or palpable mass].  Pelvic ultrasound demonstrated the presence of a [specify size and characteristics, e.g., simple, complex, unilocular, multilocular] ovarian cyst on the [right/left] ovary.  Differential diagnoses considered included functional ovarian cyst, dermoid cyst, endometrioma, and ovarian neoplasm.  CA-125 levels were [insert value and interpret, e.g., within normal limits, elevated].  Given the patient's persistent symptoms and the characteristics of the cyst, laparoscopic ovarian cystectomy was recommended and scheduled.  Preoperative risks and benefits of the procedure, including potential complications such as bleeding, infection, and damage to adjacent structures, were discussed with the patient, and informed consent was obtained.  The procedure was performed under general anesthesia.  Intraoperative findings confirmed a [describe cyst characteristics] ovarian cyst on the [right/left] ovary.  The cyst was successfully removed, and hemostasis was achieved.  The patient tolerated the procedure well and was transferred to the recovery area in stable condition.  Postoperative diagnosis: Ovarian cyst.  The pathology report will be reviewed upon receipt and documented in the patient's medical record.  Follow-up care includes a postoperative visit in [ timeframe] to assess healing and discuss pathology results.  Patient education provided on postoperative care, pain management, and potential complications.  ICD-10 code: [insert relevant ICD-10 code, e.g., N76.0, N83.201]. CPT codes will be assigned based on the specific surgical approach and techniques used.