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v1.0.0
ICD-10 Guide
ICD-10 CodesN83.291

N83.291

Billable

Other ovarian cyst, right side

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

Code Description

ICD-10 N83.291 is a billable code used to indicate a diagnosis of other ovarian cyst, right side.

Key Diagnostic Point:

An ovarian cyst is a fluid-filled sac that develops on an ovary. The term 'other ovarian cyst' refers to cysts that do not fall into the more common categories such as functional cysts (follicular or corpus luteum cysts). Cysts can arise from various conditions, including endometriosis, where endometrial tissue grows outside the uterus, potentially leading to the formation of endometriomas. These cysts can cause pelvic pain and may be associated with female genital prolapse, where pelvic organs descend due to weakened support structures. Additionally, fistulas may develop in cases of severe endometriosis or pelvic surgery complications. Ovarian disorders, including polycystic ovary syndrome (PCOS), can also lead to the formation of multiple cysts. The right-sided designation indicates the cyst's location, which is crucial for treatment planning and surgical interventions. Accurate diagnosis and coding are essential for appropriate management and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of ovarian cysts
  • Understanding associated conditions like endometriosis and PCOS
  • Documenting the cyst's size and symptoms accurately
  • Navigating the relationship between cysts and potential complications

Audit Risk Factors

  • Inadequate documentation of cyst characteristics
  • Failure to document associated symptoms or conditions
  • Misclassification of cyst type
  • Lack of imaging results in the medical record

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

Detailed descriptions of cyst characteristics, associated symptoms, and any imaging studies performed.

Common Clinical Scenarios

Patients presenting with pelvic pain, abnormal menstrual cycles, or findings on imaging studies.

Billing Considerations

Ensure that the documentation clearly distinguishes between functional and pathological cysts.

Radiology

Documentation Requirements

Clear imaging reports detailing the size, location, and characteristics of the cyst.

Common Clinical Scenarios

Ultrasound findings of ovarian cysts in patients with pelvic pain.

Billing Considerations

Radiologists should provide comprehensive reports that correlate imaging findings with clinical symptoms.

Coding Guidelines

Inclusion Criteria

Use N83.291 When
  • According to ICD
  • 10 guidelines, N83
  • 291 should be used when the cyst is confirmed via imaging and documented in the medical record
  • It is important to note that this code is specific to the right side and should not be used if the cyst is bilateral or unspecified

Exclusion Criteria

Do NOT use N83.291 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 for cyst removal.

Documentation Requirements

Operative reports detailing the procedure and findings.

Specialty Considerations

Gynecologists should ensure that the indication for surgery is well documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding ovarian cysts, enabling better tracking of conditions and outcomes. N83.291 provides a clear distinction for other types of cysts, improving clinical management and research capabilities.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding ovarian cysts, enabling better tracking of conditions and outcomes. N83.291 provides a clear distinction for other types of cysts, improving clinical management and research capabilities.

Reimbursement & Billing Impact

reimbursement and to avoid claim denials.

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 difference between N83.291 and N83.20?

N83.291 is used for other ovarian cysts specifically located on the right side, while N83.20 is for unspecified ovarian cysts. Accurate documentation is crucial to determine the correct code.