E/M Coding Alert - 2016 Issue 21
ICD-10: Prepare For These 6 Ob-Gyn ICD-10 Changes Effective Oct. 1
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Article Overview
This article reviews upcoming ICD-10-CM diagnosis revisions that affect ob-gyn and urogynecology coding, including newly added, deleted, and revised codes. It is aimed at coders, billers, and clinicians who document or code gynecologic and genitourinary conditions and want to prepare for the October 1 implementation date.
Why This Topic Matters
The changes discussed can affect documentation specificity, code selection, and claim accuracy across common gynecologic and genitourinary scenarios. Reviewing the update in advance helps practices prepare for coding transitions and reduce avoidable denials.
Article Sections
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Overview of upcoming ICD-10-CM changes
Introduces the scope of the October ICD-10-CM update and the general categories of changes affecting ob-gyn coding. It also notes the importance of reviewing documentation before the effective date.
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Vulvar hypertrophy and dyspareunia changes
Covers updates to gynecologic diagnosis categories related to vulvar hypertrophy and dyspareunia. The section explains that new options replace older entries and highlights the need for documentation specificity.
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Expand your N83 options to specify laterality
Addresses changes to ovarian cyst coding that add laterality-based options. It focuses on the expansion of the code family rather than any individual condition details.
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Subtle revisions to implement as well
Reviews revised and newly added genitourinary postprocedural diagnosis codes. The section includes changes related to stomas and postprocedural hemorrhage/hematoma categories.
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Shift your urinary diagnoses
Summarizes revisions affecting urinary symptom and imaging-related diagnosis categories. It also covers changes to microbiology-related urine findings and bladder pain.
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Hone your vaginal mesh and prosthetic diagnoses
Discusses revisions and additions in the genitourinary prosthetic device, mesh, and bulking-agent code families. The section includes multiple encounter stages for related complications.
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Finally, adopt this mish mash of other gynecologic diagnoses
Covers additional diagnosis updates spanning breast inflammation, prediabetes, malignancy status, viral hepatitis carrier status, prophylactic encounters, contraceptive encounters, and selected history or long-term-use codes.
What You Will Learn
- Which broad gynecologic and genitourinary diagnosis categories are changing with the October ICD-10-CM update
- How the article groups new, deleted, and revised diagnosis families for ob-gyn-related coding
- Which kinds of documentation issues may need attention before the effective date
- What types of encounter, status, and long-term-use categories are being added or revised
- How the update affects mesh, prosthetic, urinary, and other common ob-gyn-related diagnosis areas
Who Should Read This
- Medical coders
- Coding auditors
- Ob-gyn billing staff
- Physician documentation staff
- Gynecology and urogynecology practices
- Compliance and coding educators
Codes Discussed
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