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ICD-10 Guide
ICD-10 CodesN90.81

N90.81

Billable

Female genital mutilation status

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

Code Description

ICD-10 N90.81 is a billable code used to indicate a diagnosis of female genital mutilation status.

Key Diagnostic Point:

Female genital mutilation (FGM) status refers to the condition of individuals who have undergone FGM, which is a practice involving the partial or total removal of the external female genitalia for non-medical reasons. This practice is recognized as a violation of human rights and can lead to various health complications, including psychological trauma, chronic pain, and complications during childbirth. The ICD-10 code N90.81 is used to document the status of individuals who have experienced FGM, which is crucial for providing appropriate medical care and support. It is important for healthcare providers to be aware of the potential long-term effects of FGM, including increased risk of obstetric complications, urinary tract infections, and sexual dysfunction. Accurate coding of FGM status is essential for tracking health outcomes and ensuring that affected individuals receive comprehensive care tailored to their unique needs. This code is particularly relevant in obstetrics and gynecology, where understanding a patient's history of FGM can inform treatment decisions and management strategies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of FGM status across different cultures and regions.
  • Need for sensitivity and understanding of the cultural implications of FGM.
  • Potential for co-morbid conditions that may complicate coding.
  • Lack of standardized terminology in medical records regarding FGM.

Audit Risk Factors

  • Inadequate documentation of FGM status in medical records.
  • Failure to capture co-morbid conditions related to FGM.
  • Misclassification of the type of FGM performed.
  • Inconsistent use of terminology regarding FGM.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed patient history regarding FGM, including type and extent of mutilation, and any related complications.

Common Clinical Scenarios

Management of pregnancy in women with a history of FGM, addressing complications during labor.

Billing Considerations

Sensitivity in discussing FGM with patients and understanding cultural implications.

Psychiatry

Documentation Requirements

Assessment of psychological impact and trauma related to FGM.

Common Clinical Scenarios

Treatment of PTSD or anxiety disorders in patients with a history of FGM.

Billing Considerations

Cultural competence in addressing the mental health needs of affected individuals.

Coding Guidelines

Inclusion Criteria

Use N90.81 When
  • According to ICD
  • 10 guidelines, N90
  • 81 should be used when there is a confirmed history of FGM
  • It is important to document the type of FGM if known, as this can impact treatment and management

Exclusion Criteria

Do NOT use N90.81 When
  • Exclusion criteria include cases where FGM status is not documented or is irrelevant to the current medical condition

Related ICD-10 Codes

Related CPT Codes

59400CPT Code

Global obstetric care, including antepartum, delivery, and postpartum care

Clinical Scenario

Used for patients with a history of FGM requiring comprehensive obstetric care.

Documentation Requirements

Document FGM status and any related complications in the medical record.

Specialty Considerations

Obstetricians should be aware of the implications of FGM on labor and delivery.

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 FGM, improving the ability to track and address the health needs of affected individuals. This specificity aids in research and policy-making aimed at reducing the prevalence of FGM and improving care for those affected.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like FGM, improving the ability to track and address the health needs of affected individuals. This specificity aids in research and policy-making aimed at reducing the prevalence of FGM and improving care for those affected.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like FGM, improving the ability to track and address the health needs of affected individuals. This specificity aids in research and policy-making aimed at reducing the prevalence of FGM and improving care for those affected.

Resources

Clinical References

  • •
    World Health Organization - Female Genital Mutilation

Coding & Billing References

  • •
    World Health Organization - Female Genital Mutilation

Frequently Asked Questions

What is the significance of coding N90.81?

Coding N90.81 is crucial for identifying patients who have undergone FGM, which can inform treatment plans and improve health outcomes. It also helps in tracking the prevalence of FGM and advocating for better healthcare policies.