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v1.0.0
ICD-10 Guide
ICD-10 CodesN75.1

N75.1

Billable

Abscess of Bartholin's gland

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

Code Description

ICD-10 N75.1 is a billable code used to indicate a diagnosis of abscess of bartholin's gland.

Key Diagnostic Point:

An abscess of Bartholin's gland occurs when one of the Bartholin's glands, located bilaterally at the posterior portion of the vaginal opening, becomes obstructed and infected. This obstruction can lead to the accumulation of fluid, resulting in a painful swelling or abscess. The condition is often associated with vulvovaginitis, which is inflammation of the vulva and vagina, and can be caused by various factors including bacterial infections, sexually transmitted infections (STIs), or trauma. Symptoms typically include localized pain, swelling, and discomfort during intercourse or while sitting. Diagnosis is usually made through physical examination, and treatment may involve incision and drainage of the abscess, along with antibiotics if an infection is present. It is important for healthcare providers to differentiate between a Bartholin's gland abscess and other conditions such as cysts or tumors to ensure appropriate management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation from other vulvar lesions
  • Need for detailed documentation of symptoms and treatment
  • Potential for co-existing conditions (e.g., STIs)
  • Variability in clinical presentation

Audit Risk Factors

  • Inadequate documentation of symptoms and treatment
  • Failure to document the presence of co-existing infections
  • Incorrect coding of the procedure performed
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

Detailed patient history, physical examination findings, and treatment plan must be documented.

Common Clinical Scenarios

Patients presenting with vulvar pain, swelling, or discomfort, often following a history of STIs or recent trauma.

Billing Considerations

Ensure that all relevant diagnostic tests and treatments are documented to support the coding.

Family Medicine

Documentation Requirements

Comprehensive patient history and examination notes, including any referrals to specialists.

Common Clinical Scenarios

Patients with recurrent vulvovaginal symptoms or those presenting for routine gynecological exams.

Billing Considerations

Document any referrals to gynecology for further management of abscesses.

Coding Guidelines

Inclusion Criteria

Use N75.1 When
  • According to ICD
  • 10 guidelines, N75
  • 1 should be used when the abscess is specifically identified
  • It is important to document the clinical findings and any procedures performed

Exclusion Criteria

Do NOT use N75.1 When
  • Exclusion criteria include conditions that do not involve infection or abscess formation

Related ICD-10 Codes

Related CPT Codes

56405CPT Code

Incision and drainage of Bartholin's gland abscess

Clinical Scenario

Used when a patient presents with a confirmed abscess requiring surgical intervention.

Documentation Requirements

Document the procedure performed, including indications and any complications.

Specialty Considerations

Gynecologists should ensure that all procedural details are accurately captured.

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 Bartholin's gland abscess, improving the accuracy of patient records and facilitating better tracking of treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like Bartholin's gland abscess, improving the accuracy of patient records and facilitating better tracking of treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like Bartholin's gland abscess, improving the accuracy of patient records and facilitating better tracking of treatment outcomes.

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 are the common symptoms of a Bartholin's gland abscess?

Common symptoms include localized pain, swelling at the vaginal opening, discomfort during intercourse, and sometimes fever if an infection is present.