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ICD-10 Guide
ICD-10 CodesChapter 14: Diseases of the genitourinary systemN83

N83

Billable

Noninflammatory disorders of ovary, fallopian tube and broad ligament

Chapter 14:Diseases of the genitourinary system

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

Code Description

ICD-10 N83 is a billable code used to indicate a diagnosis of noninflammatory disorders of ovary, fallopian tube and broad ligament.

Key Diagnostic Point:

N83 encompasses a range of noninflammatory conditions affecting the ovaries, fallopian tubes, and broad ligament. This includes disorders such as endometriosis, which is characterized by the presence of endometrial-like tissue outside the uterus, leading to pain and potential fertility issues. Female genital prolapse, another condition under this code, occurs when pelvic organs descend due to weakened pelvic support structures, often resulting in urinary and bowel dysfunction. Fistulas, abnormal connections between organs, can also arise in this context, particularly in cases of severe endometriosis or trauma. Ovarian disorders, including cysts and tumors, are common and can be benign or malignant. Additionally, polyps of the female genital tract, which are growths on the endometrial lining or cervix, can lead to abnormal bleeding and require careful monitoring. Accurate coding for these conditions is crucial for appropriate treatment and management, as they can significantly impact a patient's quality of life and reproductive health.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of conditions included under the code
  • Need for precise documentation to differentiate between similar disorders
  • Potential for overlapping symptoms with inflammatory conditions
  • Variability in clinical presentation and management

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings
  • Failure to specify the type of disorder (e.g., cyst vs. tumor)
  • Misclassification of inflammatory vs. noninflammatory conditions
  • Lack of follow-up documentation for ongoing management

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed patient history, physical examination findings, imaging results, and treatment plans.

Common Clinical Scenarios

Diagnosis and management of endometriosis, ovarian cysts, and pelvic organ prolapse.

Billing Considerations

Ensure clear documentation of the specific type of disorder and any associated symptoms to support the chosen code.

Urology

Documentation Requirements

Comprehensive evaluation of urinary symptoms, imaging studies, and surgical reports.

Common Clinical Scenarios

Management of urinary incontinence related to pelvic organ prolapse.

Billing Considerations

Collaboration with gynecologists may be necessary for comprehensive care and accurate coding.

Coding Guidelines

Inclusion Criteria

Use N83 When
  • According to ICD
  • 10 guidelines, N83 should be used when the condition is confirmed as noninflammatory
  • Coders must ensure that the documentation supports the diagnosis and that any related conditions are also coded appropriately

Exclusion Criteria

Do NOT use N83 When
  • Exclusion criteria include inflammatory disorders that should be coded separately

Related CPT Codes

58661CPT Code

Laparoscopy, surgical, with ablation of endometriosis

Clinical Scenario

Used when a patient with endometriosis undergoes laparoscopic surgery.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Obstetricians and gynecologists should ensure accurate coding based on surgical findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of noninflammatory disorders, improving the accuracy of diagnoses and treatment plans. N83 provides a broader category for various conditions, enabling better tracking of patient outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of noninflammatory disorders, improving the accuracy of diagnoses and treatment plans. N83 provides a broader category for various conditions, enabling better tracking of patient outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of noninflammatory disorders, improving the accuracy of diagnoses and treatment plans. N83 provides a broader category for various conditions, enabling better tracking of patient outcomes and resource allocation.

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 conditions are included under N83?

N83 includes noninflammatory disorders such as endometriosis, ovarian cysts, pelvic organ prolapse, and polyps of the female genital tract.

How do I differentiate between N83 and inflammatory conditions?

N83 is specifically for noninflammatory disorders. If there is evidence of inflammation, such as infection or acute pain, codes from N70-N73 should be used instead.