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ICD-10 Guide
ICD-10 CodesN90.813

N90.813

Billable

Female genital mutilation Type III status

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

Code Description

ICD-10 N90.813 is a billable code used to indicate a diagnosis of female genital mutilation type iii status.

Key Diagnostic Point:

Female genital mutilation (FGM) Type III, also known as infibulation, involves the narrowing of the vaginal opening through the creation of a covering seal. This is achieved by cutting and repositioning the labia minora and/or labia majora. Women who have undergone this procedure may experience a range of complications, including chronic pain, difficulties during menstruation, childbirth complications, and psychological trauma. The status of FGM Type III indicates that the individual has undergone this procedure, which can lead to various gynecological issues such as cervical dysplasia, uterine disorders, and vaginal disorders. These complications may arise due to scarring, infection, or other non-inflammatory disorders of the female genital tract. It is crucial for healthcare providers to recognize the implications of FGM Type III status in their patients, as it can significantly affect reproductive health and overall well-being. Proper documentation and coding are essential to ensure appropriate care and management of these patients.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of cultural and medical implications of FGM.
  • Need for accurate documentation of patient history and status.
  • Potential for associated complications that must be coded appropriately.
  • Variability in presentation and symptoms among patients.

Audit Risk Factors

  • Inadequate documentation of FGM status.
  • Failure to document associated complications.
  • Misclassification of the type of FGM.
  • Lack of patient consent documentation for sensitive procedures.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed patient history, including FGM status and any complications.

Common Clinical Scenarios

Management of complications related to FGM, such as pain or childbirth issues.

Billing Considerations

Sensitivity in discussing FGM with patients and understanding cultural implications.

Psychiatry

Documentation Requirements

Assessment of psychological impact and trauma related to FGM.

Common Clinical Scenarios

Treatment of PTSD or anxiety disorders stemming from FGM experiences.

Billing Considerations

Cultural competence in addressing the mental health needs of affected individuals.

Coding Guidelines

Inclusion Criteria

Use N90.813 When
  • According to ICD
  • 10 coding guidelines, N90
  • 813 should be used when the patient has a documented history of FGM Type III
  • It is important to include any associated complications in the coding process

Exclusion Criteria

Do NOT use N90.813 When
  • Exclusion criteria include cases where FGM status is not documented or where the patient has undergone reversal procedures

Related ICD-10 Codes

Related CPT Codes

58150CPT Code

Total abdominal hysterectomy

Clinical Scenario

Performed on a patient with FGM Type III experiencing complications.

Documentation Requirements

Document FGM status and any related complications.

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 FGM types, improving the accuracy of health data and enabling better tracking of associated health issues.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of FGM types, improving the accuracy of health data and enabling better tracking of associated health issues.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of FGM types, improving the accuracy of health data and enabling better tracking of associated health issues.

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 N90.813?

Coding N90.813 is crucial for recognizing the health implications of FGM Type III, ensuring appropriate care and management for affected individuals.