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ICD-10 Guide
ICD-10 CodesN83.6

N83.6

Billable

Hematosalpinx

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/18/2025

Code Description

ICD-10 N83.6 is a billable code used to indicate a diagnosis of hematosalpinx.

Key Diagnostic Point:

Hematosalpinx refers to the presence of blood in the fallopian tubes, which can occur due to various underlying conditions. It is often associated with endometriosis, where endometrial tissue grows outside the uterus, leading to inflammation and the formation of adhesions that can obstruct the fallopian tubes. Female genital prolapse may also contribute to hematosalpinx by altering the anatomical position of the reproductive organs, potentially leading to vascular compromise and bleeding. Fistulas, particularly those between the fallopian tubes and other pelvic structures, can result in abnormal bleeding patterns. Ovarian disorders, such as cysts or tumors, may rupture and cause bleeding into the fallopian tubes. Additionally, polyps in the female genital tract can lead to abnormal bleeding, which may be misidentified as hematosalpinx. Accurate diagnosis often requires imaging studies, such as ultrasound or hysterosalpingography, to visualize the fallopian tubes and assess for blood accumulation. Treatment typically involves addressing the underlying cause, which may include surgical intervention or medical management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying conditions that can cause hematosalpinx
  • Need for precise documentation of associated diagnoses
  • Potential for misdiagnosis with other conditions like ectopic pregnancy
  • Variability in clinical presentation and imaging findings

Audit Risk Factors

  • Inadequate documentation of the underlying cause
  • Failure to link hematosalpinx to specific clinical scenarios
  • Misclassification of hematosalpinx as ectopic pregnancy
  • Lack of imaging reports to support diagnosis

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

Detailed documentation of symptoms, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with pelvic pain, abnormal bleeding, or infertility.

Billing Considerations

Ensure clear linkage between hematosalpinx and any underlying conditions such as endometriosis or ovarian disorders.

Radiology

Documentation Requirements

Comprehensive imaging reports detailing findings related to hematosalpinx.

Common Clinical Scenarios

Ultrasound or hysterosalpingography performed to evaluate suspected hematosalpinx.

Billing Considerations

Accurate interpretation of imaging studies is crucial for correct diagnosis.

Coding Guidelines

Inclusion Criteria

Use N83.6 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that hematosalpinx is coded only when confirmed by imaging or surgical findings
  • Include any relevant associated conditions to provide a complete clinical picture

Exclusion Criteria

Do NOT use N83.6 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58661CPT Code

Laparoscopy, surgical, with or without biopsy

Clinical Scenario

Used when surgical intervention is required to address hematosalpinx.

Documentation Requirements

Operative report detailing findings and procedures performed.

Specialty Considerations

Ensure that the procedure is linked to the diagnosis of hematosalpinx.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like hematosalpinx, improving the accuracy of diagnoses and treatment tracking. This specificity aids in better patient management and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like hematosalpinx, improving the accuracy of diagnoses and treatment tracking. This specificity aids in better patient management and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like hematosalpinx, improving the accuracy of diagnoses and treatment tracking. This specificity aids in better patient management and resource allocation.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the primary cause of hematosalpinx?

The primary cause of hematosalpinx is often endometriosis, but it can also result from pelvic inflammatory disease, trauma, or ovarian disorders.