icd-10 code for endometrial ablation

by Aniya Willms Sr. 9 min read

CPT
58356Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed
58563Hysteroscopy, surgical; with endometrial ablation (e.g., endometrial resection, electrosurgical ablation, thermoablation)
ICD-10 Procedure
0U5B0ZZDestruction of endometrium, open approach
11 more rows

What is the ICD 10 code for post endometrial ablation syndrome?

Jul 23, 2021 · C1886 Catheter, extravascular tissue ablation, any modality (insertable) ICD-10 Codes. N92 Excessive, frequent and irregular menstruation. N92.0 Excessive and frequent menstruation with regular cycle; N92.1 Excessive and frequent menstruation with irregular cycle; N92.2 Excessive menstruation at puberty; N92.3 Ovulation bleeding

What is endometrial ablation?

Oct 01, 2021 · 2022 ICD-10-CM Diagnosis Code N99.85 Post endometrial ablation syndrome 2020 - New Code 2021 2022 Billable/Specific Code N99.85 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM N99.85 became effective on October 1, 2021.

What is the CPT code for endometrial cryoablation?

malignant neoplasm of endometrium (with endometrial intraepithelial neoplasia [EIN]) ( C54.1) ICD-10-CM Diagnosis Code N99.85 [convert to ICD-9-CM] Post endometrial ablation syndrome. ICD-10-CM Diagnosis Code N99.85. Post endometrial ablation syndrome. 2020 - New Code 2021 2022 Billable/Specific Code.

What is the ACOG Practice Bulletin on endometrial ablation?

Oct 01, 2021 · ICD-10-CM Code N99.85 Post endometrial ablation syndrome Billable Code N99.85 is a valid billable ICD-10 diagnosis code for Post endometrial ablation syndrome . It is found in the 2022 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2021 - Sep 30, 2022 .

image

What is the ICD-10 code for ablation?

85.

What is the ICD-10 code for history of endometrial ablation?

N99. 85 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM N99. 85 became effective on October 1, 2021.

What is endometrial ablation?

Endometrial ablation is a procedure to remove a thin layer of tissue (endometrium) that lines the uterus. It is done to stop or reduce heavy menstrual bleeding. But it is only done on women who do not plan to have any children in the future.

What is diagnosis code Z98 890?

Other specified postprocedural statesICD-10 code Z98. 890 for Other specified postprocedural states is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What is the ICD-10 code for endometrial polyp?

ICD-10-CM Code for Polyp of corpus uteri N84. 0.

What is the ICD-10 code for status post laminectomy?

M96.1ICD-10-CM Code for Postlaminectomy syndrome, not elsewhere classified M96. 1.

What is the CPT code for endometrial ablation?

Endometrial ablation is considered medically necessary for residual menstrual bleeding after androgen treatment in a female to male transgender person....CPT58353Endometrial ablation, thermal, without hysteroscopic guidance14 more rows

What are the two types of ablation?

A: There are two methods for performing cardiac ablation—catheter ablation using radiofrequency (heat cauterization) and catheter ablation using cryoablation (freeze cauterization).May 8, 2021

What are the different types of endometrial ablation?

There is a range of different types of endometrial ablation, including: Hydrothermal: This involves fluid being pumped into the uterus and heated for 10 minutes, which destroys the uterine lining. Balloon therapy: A balloon is inserted into the uterus through a tube and filled with heated fluid.

What is Z47 89?

ICD-10 code Z47. 89 for Encounter for other orthopedic aftercare is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What is the ICD-10 code for radiofrequency ablation?

The ablation procedure is directed at the pathway for electrical impulses rather the muscular wall of the heart itself. The atrium is not being destroyed. This procedure can be reported with the following ICD-10-PCS codes: 02580ZZ, Destruction of conduction mechanism, open approach.Dec 13, 2019

What does diagnosis code m54 9 mean?

Dorsalgia, unspecified9: Dorsalgia, unspecified.

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code (s). The following references for the code N99.85 are found in the index:

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

What are the side effects of endometrial ablation?

Common side effects after endometrial ablation include nausea, vomiting, and a vaginal discharge that can last from days to weeks. Complications of ablation are rare, but may include blood loss requiring a transfusion, perforation of the uterus, or unintended damage to other internal organs.

What is the goal of endometrial ablation?

The goal of endometrial ablation is to reduce menstrual flow. In some women, menstrual flow may stop completely. In some cases, endometrial ablation may be an alternative to hysterectomy. There are several techniques used to perform endometrial ablation, including.

What is the treatment for hysterectomy?

Pharmacotherapy and surgery are the mainstay treatments. Most commonly, hormonal and non-hormonal medications are followed by dilatation and curettage, and ultimately, in many cases, hysterectomy. Endometrial ablation techniques have evolved as an alternative to hysterectomy.

How does photodynamic ablation work?

Photodynamic endometrial ablation involves injecting a photosensitive chemical into the uterine cavity through a hysterosalpingography catheter. A probe inserted through the cervix uses a laser to activate the photosensitive chemical, which destroys the endometrium.

When was endometrial ablation first used?

The early techniques of endometrial ablation, introduced in the 1980s and still used today involve the use of a hysteroscope with either a "rollerball" or wire loop through which electrical heat travels to remove (resection) the endometrial lining.

Is endometrial ablation safe?

Klebanoff and colleagues (2018) noted that second-generation endometrial ablation has been demonstrated safe for abnormal uterine bleeding treatment, in pre-menopausal women who have completed child-bearing, in short-stay surgical centers and in physicians' offices. However, no standard regarding anesthesia exists, and practice varies depending on physician or patient preference and hospital policy and setting. In a RCT, these researchers examined if local anesthetic, in combination with general anesthesia, affects post-operative pain and associated narcotic use following endometrial ablation. This was a single-blind, single-center study that was conducted in an academic-affiliated community hospital. A total of 84 pre-menopausal women, aged 30 to 55 years, who were undergoing out-patient endometrial ablation for benign disease were randomized to receive standardized para-cervical injection of 20 ml 0.25 % bupivacaine (treatment group) or 20 ml normal saline solution (control group) upon completion of ablation. The study was designed to test a 40 % 1-hour mean visual analog scale (VAS) pain score difference with an average standard deviation (SD) of 75 % of both groups' mean VAS scores, using a 2-tailed test, a type I error of 5 %, and statistical power of 80 %. A sample of 36 patients per study group was required. Assuming a 15 % attrition rate, the study enrolled 42 patients per study arm randomized in blocks of 2 (84 total); 2-tailed cross-tabulations with Fisher exact significance values where appropriate and Student t-tests were used to compare patient characteristics. Backward step-wise regressions were conducted to control for confounding. Between April 2016 and February 2017, a total of 108 women scheduled for endometrial ablation were screened (refusals, n = 21; ineligible, n = 3) to determine whether there were meaningful differences in post-operative VAS pain scores and post-operative narcotic use. Of the 84 randomized women, 2 age-ineligible women were excluded. Intent-to-treat (ITT) analyses included 1 incorrect randomization (in which the provider consciously decided to provide analgesia regardless of the protocol, after which the provider was excluded from further study participation) and 3 women having no ablation because of operative difficulties; 3 subjects were lost to 2nd-day follow-up. Treatment group patients (n = 41) experienced 1.3 points lower 1-hour post-operative VAS pain scores than the control group (n = 41, p = 0.02). The difference diminished by 4 hours (p = 0.31) and was negligible by 8 hours (p = 0.62). Treatment group patients used 3.6 less morphine equivalents of post-operative pain medication (p = 0.05). Regression analyses controlled for confounding reduced the 1-hour post-operative treatment group pain score difference to 0.8 (CI: -0.6 to 0.1); but slightly increased the average post-operative morphine equivalents to 3.7 (CI: -6.8 to -0.7). The authors concluded that this RCT found that local anesthetic with low risk for complications, used in conjunction with general anesthesia, decreased post-operative pain at 1 hour and significantly reduced post-operative narcotic use following endometrial ablation. Moreover, they stated that further research is needed to examine if the study results are generalizable and whether post-procedure is the best time to administer the para-cervical block to decrease endometrial ablation pain.

What is microwave ablation?

Microwave ablation, in which microwave energy is delivered through a slender probe inserted into the uterus and destroys the endometrial lining. These investigators evaluated the feasibility, safety, and effectiveness of endometrial ablation performed with first- and second-generation techniques.

image