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ICD-10 Guide
ICD-10 CodesN83.42

N83.42

Billable

Prolapse and hernia of left ovary and fallopian tube

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

Code Description

ICD-10 N83.42 is a billable code used to indicate a diagnosis of prolapse and hernia of left ovary and fallopian tube.

Key Diagnostic Point:

Prolapse and hernia of the left ovary and fallopian tube refers to a condition where the left ovary and fallopian tube descend from their normal anatomical position, potentially leading to complications such as pain, discomfort, and impaired reproductive function. This condition can occur due to various factors, including pelvic floor weakness, previous surgeries, or childbirth trauma. In some cases, it may be associated with endometriosis, where endometrial tissue grows outside the uterus, causing inflammation and adhesions that can contribute to the displacement of the ovary and fallopian tube. Female genital prolapse can also be a contributing factor, as weakened pelvic support structures may allow for the descent of reproductive organs. Additionally, the presence of fistulas, ovarian disorders, or polyps in the female genital tract can complicate the clinical picture, necessitating thorough evaluation and management. Diagnosis typically involves a combination of physical examination, imaging studies, and possibly laparoscopy to assess the extent of the prolapse and any associated conditions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between prolapse and hernia versus other ovarian disorders.
  • Need for detailed documentation of associated conditions like endometriosis.
  • Variability in clinical presentation and symptoms among patients.
  • Potential for co-existing conditions that may complicate coding.

Audit Risk Factors

  • Inadequate documentation of the anatomical location of the prolapse.
  • Failure to document associated conditions such as endometriosis or pelvic organ prolapse.
  • Misclassification of the condition as a simple ovarian cyst or other benign condition.
  • Lack of imaging studies to support the diagnosis.

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

Detailed descriptions of the prolapse, associated symptoms, and any imaging or surgical findings.

Common Clinical Scenarios

Patients presenting with pelvic pain, abnormal bleeding, or infertility related to ovarian and fallopian tube issues.

Billing Considerations

Ensure that all associated conditions are documented to support the complexity of the case.

Urology

Documentation Requirements

Documentation of any urinary symptoms or complications related to pelvic organ prolapse.

Common Clinical Scenarios

Patients with urinary incontinence or pelvic pain that may be related to ovarian or fallopian tube issues.

Billing Considerations

Collaboration with gynecology for comprehensive management of pelvic organ prolapse.

Coding Guidelines

Inclusion Criteria

Use N83.42 When
  • According to ICD
  • 10 coding guidelines, N83
  • 42 should be used when there is clear documentation of the prolapse and hernia of the left ovary and fallopian tube
  • It is essential to include any associated conditions and symptoms to ensure accurate coding

Exclusion Criteria

Do NOT use N83.42 When
  • Exclusion criteria include conditions that do not involve the left ovary or fallopian tube

Related ICD-10 Codes

Related CPT Codes

58661CPT Code

Laparoscopic ovarian cystectomy

Clinical Scenario

Used when surgical intervention is required for the prolapse.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Gynecological specialists should ensure accurate coding of the procedure.

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 left ovary and fallopian tube, improving the accuracy of diagnoses and treatment plans. This specificity aids in better tracking of health outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like prolapse and hernia of the left ovary and fallopian tube, improving the accuracy of diagnoses and treatment plans. This specificity aids in better tracking of health outcomes and resource allocation.

Reimbursement & Billing Impact

reimbursement.

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 prolapse and hernia of the left ovary and fallopian tube?

Common symptoms include pelvic pain, discomfort during intercourse, urinary incontinence, and abnormal bleeding. Patients may also experience a sensation of heaviness or pressure in the pelvic region.