2025 ICD-10-CM code N88.3
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Noninflammatory disorders of female genital tract - Other noninflammatory disorders of cervix uteri Diseases of the genitourinary system (N00-N99) Feed
Incompetence of the cervix uteri; investigation and management of suspected cervical incompetence in a non-pregnant woman.
Medical necessity for coding N88.3 would be established by clinical findings suggestive of cervical incompetence. This could be based on physical examination, ultrasound findings, or a patient's history of recurrent miscarriages or preterm births.The need for management or interventions should also be clearly documented.
The clinical responsibility for this code would involve a gynecologist or other qualified healthcare professional. Responsibilities include conducting a physical examination, potentially performing diagnostic tests (e.g., ultrasound to assess cervical length), and deciding on a treatment plan (which might involve cerclage placement if the patient is pregnant or other management strategies for non-pregnant patients).Regular monitoring might also be required depending on the patient's presentation.
In simple words: This code describes a problem with the cervix (the lower part of the uterus) where it doesn't stay closed properly. This can lead to problems during pregnancy, but this code is used when a woman is not pregnant. Doctors use this code when they are checking for or treating this problem.
ICD-10-CM code N88.3, Incompetence of cervix uteri, refers to a condition where the cervix is unable to remain closed throughout pregnancy, leading to premature dilation and potential miscarriage or preterm birth.This code includes the investigation and management of suspected cervical incompetence in a non-pregnant woman.It excludes cervical incompetence complicating pregnancy (coded elsewhere), inflammatory diseases of the cervix, cervical polyps, and conditions affecting the fetus or newborn.
Example 1: A 30-year-old woman presents with a history of recurrent miscarriages.A transvaginal ultrasound reveals a short cervix.The physician suspects cervical incompetence.Code N88.3 is used to document the diagnosis and subsequent management., A 25-year-old woman reports experiencing painless vaginal bleeding. Pelvic exam shows a slightly open cervix.Further evaluation does not identify an infection or other pathology. The physician codes this as N88.3., A 40-year-old woman undergoes a routine gynecological examination.The physician notes a structurally weak cervix.N88.3 is used in conjunction with other codes to comprehensively record the findings and any interventions.
* Detailed patient history, including past pregnancies and obstetric history.* Physical examination findings, focusing on the cervix.* Imaging studies (e.g., transvaginal ultrasound to measure cervical length).* Any treatment administered (e.g., cerclage placement, medications).*Physician's notes documenting diagnosis and management plan.
** This code should only be used when cervical incompetence is suspected or diagnosed in a non-pregnant woman.For cervical incompetence during pregnancy, different codes are appropriate.Use of this code requires proper documentation to support the diagnosis and management of the condition.
- Payment Status: Active
- Specialties:Obstetrics and Gynecology
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital