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v1.0.0
ICD-10 Guide
ICD-10 CodesN90.818

N90.818

Billable

Other female genital mutilation status

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

Code Description

ICD-10 N90.818 is a billable code used to indicate a diagnosis of other female genital mutilation status.

Key Diagnostic Point:

N90.818 refers to the status of female genital mutilation (FGM) that does not fall under the more commonly classified types. FGM encompasses a range of procedures that involve the partial or total removal of the external female genitalia or other injury to the female genital organs for non-medical reasons. This code is particularly relevant in contexts where women may present with complications or sequelae resulting from such procedures. Clinically, patients may experience a variety of issues including psychological trauma, chronic pain, sexual dysfunction, and complications during childbirth. The presence of FGM can also lead to increased risks of infections and other gynecological disorders. It is essential for healthcare providers to document the history of FGM accurately, as it can significantly influence the management of gynecological conditions, including uterine disorders, cervical dysplasia, and vaginal disorders. Understanding the implications of FGM status is crucial for providing comprehensive care and addressing the unique needs of affected individuals.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of FGM status
  • Need for detailed patient history
  • Potential for associated complications
  • Cultural sensitivity in coding and documentation

Audit Risk Factors

  • Inadequate documentation of FGM history
  • Failure to link FGM status to presenting symptoms
  • Misclassification of FGM type
  • Lack of cultural competency in documentation

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

Detailed history of FGM, including type and complications, must be documented.

Common Clinical Scenarios

Management of chronic pain, complications during pregnancy, and psychological support.

Billing Considerations

Cultural sensitivity is crucial; providers should approach discussions about FGM with care.

Psychiatry

Documentation Requirements

Assessment of psychological impact and trauma history related to FGM.

Common Clinical Scenarios

Treatment of PTSD, anxiety, and depression stemming from FGM experiences.

Billing Considerations

Understanding the cultural context of FGM is essential for effective treatment.

Coding Guidelines

Inclusion Criteria

Use N90.818 When
  • According to ICD
  • 10 guidelines, N90
  • 818 should be used when the patient has a documented history of FGM that does not fit into the specified categories
  • It is important to ensure that the documentation clearly reflects the patient's status and any related complications

Exclusion Criteria

Do NOT use N90.818 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58150CPT Code

Total abdominal hysterectomy

Clinical Scenario

Used in cases where FGM has led to severe complications requiring surgical intervention.

Documentation Requirements

Document the indication for surgery, including FGM status.

Specialty Considerations

Gynecologists 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 FGM, improving the ability to track and manage the health outcomes of affected individuals.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions related to FGM, improving the ability to track and manage the health outcomes of affected individuals.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions related to FGM, improving the ability to track and manage the health outcomes of affected individuals.

Resources

Clinical References

  • •
    World Health Organization - Female Genital Mutilation

Coding & Billing References

  • •
    World Health Organization - Female Genital Mutilation

Frequently Asked Questions

What is the importance of documenting FGM status?

Documenting FGM status is crucial for understanding the patient's medical history, managing potential complications, and providing culturally sensitive care.