ICD-10-CM documentation and coding for GYN procedures
With the new coding set in our sights, here’s a line-up of key changes that will affect final reimbursements
- Z53.01 Procedure contraindicated due to patient smoking
- Z53.21 Procedure not carried out because patient left before seeing physician.
Procreative management changes:
- Artificial insemination will not have a specific code
- New code for male factor infertility: Z31.81
- New code for Rh incompatibility: Z31.82. This code would be used when the patient presents for prophylactic rho(D) immune globulin in addition to the Z23 code for immunization. This code also would be reported for the patient being tested for isoimmunization with no test result at the time of the visit.
Uterine prolapse without vaginal wall prolapse (618.1) will not have a code replacement.
Vaginal conditions such as vaginal lacerations (old), leukorrhea not specified as infective, and vaginal hematoma will be represented by an “other” code: N89.8.
Vulvar cyst will have its own code: N90.7.
Vulvovaginitis has been expanded into category codes for acute, subacute/chronic conditions of both the vagina and the vulva, which changes the documentation requirements in order to code correctly: N76.0–N76.3.
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