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v1.0.0
ICD-10 Guide
ICD-10 CodesN90.811

N90.811

Billable

Female genital mutilation Type I status

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

Code Description

ICD-10 N90.811 is a billable code used to indicate a diagnosis of female genital mutilation type i status.

Key Diagnostic Point:

Female genital mutilation (FGM) Type I status refers to the partial or total removal of the clitoral hood and/or the clitoris. This practice is recognized as a violation of human rights and can lead to various physical and psychological complications. Clinically, women who have undergone Type I FGM may experience a range of issues, including but not limited to chronic pain, sexual dysfunction, and complications during childbirth. Additionally, FGM can lead to psychological trauma, anxiety, and depression. It is essential for healthcare providers to understand the implications of FGM on women's health, particularly in relation to uterine disorders, cervical dysplasia, and vaginal disorders. The presence of FGM Type I status may complicate the diagnosis and management of these conditions, as the anatomical changes can affect the presentation and treatment options available. Proper documentation and coding are crucial to ensure that the unique health needs of these patients are met and to facilitate appropriate care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of FGM status
  • Need for sensitivity in discussing FGM with patients
  • Potential for associated complications requiring additional codes
  • Cultural considerations impacting patient history and treatment

Audit Risk Factors

  • Inadequate documentation of FGM status
  • Failure to capture associated complications
  • Misclassification of FGM type
  • Lack of cultural competency in patient interactions

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed patient history, including FGM status and any related complications.

Common Clinical Scenarios

Routine gynecological exams, prenatal care, and management of complications related to FGM.

Billing Considerations

Sensitivity in discussing FGM with patients and understanding the cultural implications.

Psychiatry

Documentation Requirements

Comprehensive mental health assessments, including trauma history related to FGM.

Common Clinical Scenarios

Management of anxiety, depression, and PTSD in patients with a history of FGM.

Billing Considerations

Awareness of the psychological impact of FGM and the need for trauma-informed care.

Coding Guidelines

Inclusion Criteria

Use N90.811 When
  • According to ICD
  • 10 guidelines, N90
  • 811 should be used when documenting the status of female genital mutilation Type I
  • It is essential to include any associated complications or conditions that may arise from FGM

Exclusion Criteria

Do NOT use N90.811 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used during routine gynecological exams for patients with FGM history.

Documentation Requirements

Document FGM status and any related health concerns.

Specialty Considerations

Obstetricians should be aware of the implications of FGM on reproductive health.

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 FGM, improving the accuracy of health records and facilitating better patient care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like FGM, improving the accuracy of health records and facilitating better patient care.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like FGM, improving the accuracy of health records and facilitating better patient care.

Resources

Clinical References

  • •
    World Health Organization - Female Genital Mutilation

Coding & Billing References

  • •
    World Health Organization - Female Genital Mutilation

Frequently Asked Questions

What is the significance of coding N90.811?

Coding N90.811 is crucial for accurately documenting the health status of women who have undergone Type I FGM, ensuring that their unique health needs are recognized and addressed in clinical practice.