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ICD-10 Guide
ICD-10 CodesN83.4

N83.4

Billable

Prolapse and hernia of ovary and fallopian tube

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

Code Description

ICD-10 N83.4 is a billable code used to indicate a diagnosis of prolapse and hernia of ovary and fallopian tube.

Key Diagnostic Point:

Prolapse and hernia of the ovary and fallopian tube refer to conditions where these reproductive organs descend from their normal anatomical position, potentially leading to complications such as pain, discomfort, and impaired reproductive function. This condition can be associated with various factors, including pelvic floor weakness, previous surgeries, or chronic conditions that increase intra-abdominal pressure. In women with endometriosis, the presence of ectopic endometrial tissue can contribute to adhesions and distortions of the pelvic anatomy, further complicating the clinical picture. Female genital prolapse may coexist with hernias, leading to a multifaceted clinical scenario requiring careful evaluation. Additionally, fistulas may develop as a complication of prolonged pressure or injury to the pelvic structures. Ovarian disorders, such as cysts or tumors, can also be present, complicating the diagnosis and management of prolapse and hernia. Polyps in the female genital tract may be incidental findings during evaluation for prolapse and should be documented appropriately. Accurate coding requires a thorough understanding of these interrelated conditions and their implications for patient management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between prolapse and hernia versus other ovarian disorders.
  • Co-occurrence of multiple pelvic conditions complicating diagnosis.
  • Need for detailed documentation of symptoms and anatomical findings.
  • Variability in clinical presentation among patients.

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings.
  • Failure to document co-existing conditions.
  • Misclassification of the type of prolapse or hernia.
  • Lack of clarity in surgical reports regarding the procedure performed.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed descriptions of pelvic examinations, imaging studies, and surgical findings.

Common Clinical Scenarios

Evaluation of pelvic pain, abnormal uterine bleeding, and infertility assessments.

Billing Considerations

Consideration of the patient's obstetric history and any previous pelvic surgeries.

Urology

Documentation Requirements

Documentation of urinary symptoms and any urodynamic studies performed.

Common Clinical Scenarios

Management of urinary incontinence associated with pelvic organ prolapse.

Billing Considerations

Coordination with gynecological assessments for comprehensive care.

Coding Guidelines

Inclusion Criteria

Use N83.4 When
  • According to ICD
  • 10 coding guidelines, N83
  • 4 should be used when there is clear documentation of prolapse or hernia of the ovary and fallopian tube
  • It is important to ensure that the diagnosis is supported by clinical findings and imaging studies

Exclusion Criteria

Do NOT use N83.4 When
  • Exclusion criteria include conditions that do not involve the ovary or fallopian tube specifically

Related ICD-10 Codes

Related CPT Codes

58661CPT Code

Laparoscopy, surgical, with removal of adnexal structures

Clinical Scenario

Used when surgical intervention is required for prolapse or hernia.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Obstetrics and Gynecology specialists should ensure comprehensive documentation of the surgical approach.

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 prolapse and hernia of the ovary and fallopian tube, improving the accuracy of data collection and reimbursement processes. It has also facilitated better tracking of these conditions in clinical practice.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like prolapse and hernia of the ovary and fallopian tube, improving the accuracy of data collection and reimbursement processes. It has also facilitated better tracking of these conditions in clinical practice.

Reimbursement & Billing Impact

reimbursement processes. It has also facilitated better tracking of these conditions in clinical practice.

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 associated with prolapse and hernia of the ovary?

Common symptoms include pelvic pain, a sensation of pressure in the pelvic area, urinary incontinence, and changes in menstrual patterns. Some patients may also experience discomfort during intercourse.