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ICD-10 Guide
ICD-10 CodesN75.9

N75.9

Billable

Disease of Bartholin's gland, unspecified

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

Code Description

ICD-10 N75.9 is a billable code used to indicate a diagnosis of disease of bartholin's gland, unspecified.

Key Diagnostic Point:

The Bartholin's glands are two small glands located at the posterior portion of the vaginal opening, responsible for secreting mucus to lubricate the vagina. Disorders of the Bartholin's glands can include cysts, abscesses, and inflammation, which may lead to discomfort, pain, and difficulty during sexual intercourse. The unspecified nature of this code indicates that the specific type of disease affecting the gland has not been clearly defined. Common symptoms associated with Bartholin's gland disorders include swelling, tenderness, and localized pain, which may be exacerbated by infection or obstruction. Vulvovaginitis, an inflammatory condition of the vulva and vagina, can also be associated with Bartholin's gland disorders, as inflammation may lead to secondary infections or irritation. Accurate diagnosis often requires a thorough clinical examination, and treatment may involve drainage of cysts or abscesses, antibiotics for infections, or surgical intervention in chronic cases. Understanding the clinical context and potential complications is essential for proper coding and management of these conditions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for differential diagnosis to rule out other conditions
  • Potential for co-existing vulvovaginitis or other inflammatory conditions
  • Documentation requirements for specifying the nature of the disease

Audit Risk Factors

  • Insufficient documentation of symptoms and clinical findings
  • Failure to specify the type of Bartholin's gland disorder
  • Inconsistent coding of related inflammatory conditions
  • Lack of clarity in treatment plans and outcomes

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

Detailed clinical notes including symptoms, examination findings, and treatment plans.

Common Clinical Scenarios

Patients presenting with vulvar pain, swelling, or discomfort, often with a history of recurrent infections.

Billing Considerations

Ensure that all relevant symptoms and treatments are documented to support the diagnosis.

Family Medicine

Documentation Requirements

Comprehensive patient history and physical examination notes, including any referrals to specialists.

Common Clinical Scenarios

Initial evaluation of vulvovaginal symptoms, with potential referral for gynecological assessment.

Billing Considerations

Document any co-morbid conditions that may affect treatment and management.

Coding Guidelines

Inclusion Criteria

Use N75.9 When
  • According to ICD
  • 10 coding guidelines, this code should be used when the specific type of Bartholin's gland disease is not specified
  • Coders should ensure that the documentation supports the use of this code and consider any related conditions that may need to be coded concurrently

Exclusion Criteria

Do NOT use N75.9 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

56405CPT Code

Incision and drainage of Bartholin's gland cyst or abscess

Clinical Scenario

Used when a patient presents with a Bartholin's gland abscess requiring surgical intervention.

Documentation Requirements

Document the indication for the procedure, findings during the procedure, and post-operative care.

Specialty Considerations

Gynecologists should ensure that the procedure is clearly linked to the diagnosis of Bartholin's gland disease.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of Bartholin's gland disorders, improving the ability to track and manage these conditions. However, the unspecified nature of N75.9 can lead to challenges in accurately capturing the clinical picture.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of Bartholin's gland disorders, improving the ability to track and manage these conditions. However, the unspecified nature of N75.9 can lead to challenges in accurately capturing the clinical picture.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of Bartholin's gland disorders, improving the ability to track and manage these conditions. However, the unspecified nature of N75.9 can lead to challenges in accurately capturing the clinical picture.

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

When should I use N75.9?

Use N75.9 when there is a diagnosis of a Bartholin's gland disorder, but the specific type is not clearly defined in the documentation.