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ICD-10 Clinical Concepts for OBGYN

The Centers for Medicare & Medicaid Services (“CMS”) recently launched the ICD-10 Clinical Concepts Series to acclimate providers to ICD-10 diagnosis coding. Each guide in the series compiles key information from the Road to 10 online tool that can be readily shared, emailed and printed. The Series focuses on six major specialties and includes common codes, clinical documentation tips and clinical scenarios.

Common ICD-10 OBGYN Codes

  • Abnormal Female Genital Cytology (Excluding Neoplasia and Malignancy Codes)
  • Excessive, Frequent and Irregular Menstruation
  • General Medical and Gynecological Examinations
  • Hypertension
  • Inflammation of Vagina and Vulva
  • Lump in Breast and Other Disorders of Breast
  • Selected Menopausal and other Perimenopausal Disorders
  • Noninflammatory Disorders of Ovary, Fallopian Tubes and Broad Ligament
  • Supervision of Normal Pregnancy
  • Urinary Tract Infection, Cystitis

Clinical Documentation Tips

  • Trimester
  • Vomiting
  • Abortion
  • Childbirth and Puerperium Distinct from Trimester
  • Intent of Encounter
  • Complications of Pregnancy
  • Alcohol Use, Substance Abuse and Tobacco Dependence

Clinical Scenarios for OBGYN

  • Scenario 1: Abdominal Pain & Ovarian Cyst
  • Scenario 2: Breast Lump/Annual Well Woman Exam
  • Scenario 3: Preeclampsia
  • Scenario 4: Bacterial Vaginosis