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Ob-Gyn Coding Alert

Reader Question:

Use This Dx for Fluid in the Endometrial Cavity

Published on Thu Sep 13, 2012

Question: A patient was referred to one of our gynecologists because of fluid in the endometrial cavity. What diagnosis code should I report?Montana SubscriberAnswer: You should report abnormal finding on ultrasound: 793.5 (Nonspecific [abnormal] findings on radiological and other examination of genitourinary organs).ICD-10: When your diagnosis system changes, you will report R93.8 (Abnormal findings on diagnostic imaging of other specified body structures). Caution: Although the ICD-9 to ICD-10 translation tables indicate R93.4 (Abnormal findings on diagnostic imaging of urinary organs) as the ICD-10 code, this would be incorrect. Obviously, the uterus is not a urinary organ. The lesson here is that whether you are dealing with an ICD-9 or an ICD-10 code, checking the tabular listing for accuracy of the description is always important.
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