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v1.0.0
ICD-10 Guide
ICD-10 CodesN90.810

N90.810

Billable

Female genital mutilation status, unspecified

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

Code Description

ICD-10 N90.810 is a billable code used to indicate a diagnosis of female genital mutilation status, unspecified.

Key Diagnostic Point:

N90.810 refers to the status of female genital mutilation (FGM), which encompasses various procedures that intentionally alter or cause injury to the female genital organs for non-medical reasons. This code is used when the specific type of FGM is not documented or is unknown. FGM can lead to a range of complications, including chronic pain, infections, and complications during childbirth. It is essential for healthcare providers to recognize the potential long-term effects of FGM on women's health, including psychological trauma and sexual dysfunction. The code is particularly relevant in the context of uterine disorders, cervical dysplasia, and vaginal disorders, as FGM may contribute to or exacerbate these conditions. Accurate documentation is crucial for understanding the patient's history and guiding appropriate treatment options. The use of this code is vital in public health discussions and interventions aimed at addressing the health consequences of FGM and promoting women's health rights.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of FGM types and status
  • Need for comprehensive patient history to determine implications
  • Potential for associated complications requiring additional coding
  • Cultural sensitivity in discussing FGM with patients

Audit Risk Factors

  • Inadequate documentation of FGM status
  • Failure to capture associated complications
  • Misuse of unspecified codes leading to potential denials
  • Cultural misunderstandings affecting documentation

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed patient history regarding FGM, including any complications or related conditions.

Common Clinical Scenarios

Management of complications from FGM, routine gynecological exams in patients with FGM history.

Billing Considerations

Sensitivity in discussing FGM with patients; understanding the cultural context is crucial.

Psychiatry

Documentation Requirements

Assessment of psychological impact related to FGM, including trauma history.

Common Clinical Scenarios

Treatment of PTSD or anxiety disorders stemming from FGM experiences.

Billing Considerations

Cultural competence in addressing the mental health needs of patients affected by FGM.

Coding Guidelines

Inclusion Criteria

Use N90.810 When
  • According to ICD
  • 10 guidelines, N90
  • 810 should be used when the specific type of female genital mutilation is not documented
  • Coders should ensure that the patient's medical record includes sufficient detail to support the use of this code and to capture any associated conditions

Exclusion Criteria

Do NOT use N90.810 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58150CPT Code

Total abdominal hysterectomy

Clinical Scenario

Performed on a patient with complications from FGM.

Documentation Requirements

Detailed operative report and history of FGM.

Specialty Considerations

Obstetricians should be aware of the implications of FGM on surgical outcomes.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions related to female genital mutilation, improving the ability to track and address the health impacts of FGM in women. N90.810 serves as a critical code for capturing the status of FGM when specific details are not available.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions related to female genital mutilation, improving the ability to track and address the health impacts of FGM in women. N90.810 serves as a critical code for capturing the status of FGM when specific details are not available.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions related to female genital mutilation, improving the ability to track and address the health impacts of FGM in women. N90.810 serves as a critical code for capturing the status of FGM when specific details are not available.

Resources

Clinical References

  • •
    World Health Organization - Female Genital Mutilation

Coding & Billing References

  • •
    World Health Organization - Female Genital Mutilation

Frequently Asked Questions

What should I document if a patient has a history of FGM?

Document the type of FGM if known, any complications experienced, and the patient's current health status. This information is crucial for accurate coding and treatment planning.