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N88.2
ICD-10-CM
Stenosis of Cervix

Find comprehensive information on Cervical Stenosis diagnosis, including ICD-10 codes N50.0 and N50.9, clinical documentation tips, and healthcare coding guidelines. Learn about symptoms, treatment options, and medical billing best practices for Stenosis of Cervix. This resource helps medical professionals accurately document and code this condition for optimal reimbursement and patient care. Explore related terms like cervical narrowing, cervical obstruction, and cervical canal stenosis for a complete understanding of this gynecological diagnosis.

Also known as

Cervical Stenosis
Cervical Stricture

Diagnosis Snapshot

Key Facts
  • Definition : Narrowing of the cervical canal, often causing menstrual problems or infertility.
  • Clinical Signs : Absent or light periods, painful periods, difficulty conceiving, abnormal Pap smear.
  • Common Settings : Gynecologist office, fertility clinic, outpatient surgical center.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC N88.2 Coding
N88.0

Cervical stenosis

Narrowing of the cervical canal.

N88.8

Other noninflammatory disorders of cervix

Includes other specified noninflammatory cervical conditions.

N99.89

Other specified female genital conditions

Encompasses other specified female genital disorders, NEC.

Code-Specific Guidance

Decision Tree for

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

Is the cervical stenosis congenital?

  • Yes

    Code Q51.4 Congenital stenosis of cervix

  • No

    Is stenosis due to malignancy?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Cervical narrowing
Cervical incompetence
Cervical dysplasia

Documentation Best Practices

Documentation Checklist
  • Cervical stenosis confirmed via (exam type)
  • Specific location and severity documented
  • Symptoms impacting menstrual flow noted
  • Prior procedures/treatments detailed
  • ICD-10 code N88.8 documented

Coding and Audit Risks

Common Risks
  • Unspecified Stenosis

    Coding N89.4 without further specificity when clinical documentation supports congenital, traumatic, or other causes, leading to underreporting.

  • Cervical Dystocia Coding

    Incorrectly assigning O65.4 (Cervical dystocia) alongside N89.4 when stenosis is the cause, creating redundant coding.

  • Post-Procedure Stenosis

    Failing to code acquired stenosis (e.g., post-LEEP, cryo, LLETZ) with appropriate cause code and N89.4, impacting quality metrics.

Mitigation Tips

Best Practices
  • Accurate ICD-10 coding: N28.3, N28.4 for cervical stenosis
  • Detailed clinical documentation: Cause, location, severity
  • Timely diagnosis: Pelvic exam, imaging for confirmation
  • Collaboration: OB/GYN, radiologist for optimal care
  • Compliance: Adhere to coding guidelines, payer policies

Clinical Decision Support

Checklist
  • Verify diagnosis: Cervical stenosis ICD-10 N88.0
  • Confirm clinical findings: Dysmenorrhea, infertility, amenorrhea
  • Physical exam: Assess cervix via bimanual exam or imaging
  • Rule out other causes: Infections, fibroids, congenital anomalies

Reimbursement and Quality Metrics

Impact Summary
  • Cervical Stenosis Reimbursement: Coding accuracy impacts payer contracts and claim denials. Optimize ICD-10 N28.4 coding for maximum reimbursement.
  • Quality Metrics Impact: Accurate diagnosis coding (N28.4) affects hospital quality reporting on gynecological complications and patient outcomes.
  • Coding Accuracy: Precise N28.4 coding with appropriate modifiers ensures proper severity reflection for accurate hospital data reporting.
  • Hospital Reporting: Correct coding improves data validity for stenosis prevalence, treatment efficacy analysis, and resource allocation.

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 N80.0 for cervical stenosis
  • Query physician for etiology
  • Check documentation for cause
  • Consider postpartum status
  • Look for acquired vs congenital

Documentation Templates

Patient presents with complaints suggestive of cervical stenosis.  Symptoms include dysmenorrhea, abnormal uterine bleeding such as oligomenorrhea or amenorrhea, and difficulty with menstrual flow.  Pelvic examination reveals a narrowed cervical os, confirmed by gentle probing.  Differential diagnosis includes cervical atresia, cervical scarring secondary to prior procedures such as LEEP or cone biopsy, cervical fibroids, and cervical cancer.  Ultrasound imaging of the uterus and cervix was performed to assess for endometrial abnormalities and further evaluate the cervical canal.  Based on clinical findings and imaging, a diagnosis of cervical stenosis is made.  Treatment plan includes cervical dilation, potentially with the use of dilators or hysteroscopy.  Patient education was provided regarding the procedure, risks, benefits, and alternative treatment options.  Follow-up appointment scheduled to assess treatment efficacy and manage any potential complications such as cervical incompetence or infection.  ICD-10 code N89.5, Cervical stenosis, is assigned.  Medical coding and billing documentation will reflect the procedures performed and diagnoses confirmed.