Find information on diagnosing Presence of Intrauterine Device (IUD) including ICD-10 code Z97.5. Learn about clinical documentation requirements, healthcare coding guidelines, and medical billing best practices for IUD presence diagnosis. This resource covers accurate coding for IUD in situ, retained IUD, and IUD complications for optimal reimbursement and patient care. Explore reliable information on IUD diagnosis coding and documentation for healthcare professionals.
Also known as
Encounters for contraceptive management
Codes for encounters related to contraception, including IUD insertion and checks.
Pregnancy, childbirth and the puerperium
Includes complications with IUDs during pregnancy or postpartum.
Mechanical complication of IUD
Covers complications like IUD perforation or displacement.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the IUD correctly positioned and asymptomatic?
Yes
Z97.5 Presence of intrauterine contraceptive device
No
Is the IUD malpositioned?
When to use each related code
| Description |
|---|
| Presence of IUD |
| Malpositioned IUD |
| IUD expulsion |
Incorrect coding for IUD check vs. insertion/removal. Specificity needed for accurate billing and data analysis.
Lack of documentation specifying IUD type (e.g., copper, hormonal) may lead to coding errors and compliance issues.
Missing documentation of IUD-related complications (e.g., perforation, expulsion) impacts accurate coding and quality reporting.
Patient presents for (reason for visit e.g., routine gynecological exam, abnormal uterine bleeding, pelvic pain, contraception consultation). Medical history includes (relevant gynecological history, including parity, gravidity, previous IUD use, history of pelvic inflammatory disease, ectopic pregnancy, or sexually transmitted infections). Current medications include (list all current medications). Physical examination reveals (normalexternal genitalia, normal vaginal mucosa, cervix appears normal). An intrauterine device (IUD) is visualized in situ (or palpated) within the uterine cavity. Strings are (visible, not visible, partially visible) and (describe length and appearance if visible). The patient reports (patient's understanding and satisfaction with IUD, any concerns or complaints related to the IUD such as bleeding changes, pain, or missing strings). Assessment: Presence of intrauterine contraceptive device (IUCD). Plan: (Options based on reason for visit and patient's goals. Examples include: IUD placement counseling if presenting for contraception; If IUD already in place, options include: continued IUD use with reassurance, IUD removal if desired, management of IUD-related side effects as indicated; schedule follow-up appointment as needed; patient education provided regarding IUD care, side effects, and emergency contraception if applicable). ICD-10 code Z97.5 (presence of intrauterine contraceptive device) is applicable.