2025 ICD-10-CM code N83.4
(Active) Effective Date: N/A Revision Date: N/A Diseases of the genitourinary system - Noninflammatory disorders of ovary, fallopian tube and broad ligament Diseases of the genitourinary system (N00-N99) Feed
Prolapse and hernia of the ovary and fallopian tube.
Modifiers may be applicable depending on the circumstances of the encounter and the services provided.Consult the most recent CPT and/or other relevant coding guidelines for details.
Medical necessity for treatment will be determined by the severity of symptoms (pain, pressure, bowel or bladder dysfunction), the extent of organ prolapse or hernia, and potential complications.Conservative management may suffice for asymptomatic cases, whereas surgical intervention may be needed for significant symptoms or risks of complications.
The clinical responsibility for diagnosing and managing prolapse and hernia of the ovary and fallopian tube typically falls upon gynecologists or other healthcare professionals specializing in female reproductive health.The clinical approach may include a physical examination, imaging studies (such as ultrasound or MRI), and potentially surgical intervention if necessary.
In simple words: This code describes a medical condition where the ovary and/or fallopian tube (parts of the female reproductive system) have slipped out of their normal place or are protruding through a tear in the surrounding tissue. This may cause pain or other problems.
This ICD-10-CM code classifies the prolapse (displacement) and hernia (protrusion through a tissue defect) of the ovary and/or fallopian tube.It encompasses conditions where these structures are abnormally positioned, potentially causing discomfort or functional impairment.The diagnosis requires clinical evaluation, possibly including imaging studies, to confirm the anatomical abnormality and rule out other conditions.
Example 1: A 45-year-old female presents with pelvic pain and a palpable mass. Imaging reveals a right ovarian hernia.The code N83.4 is applied., A 30-year-old female experiences chronic pelvic discomfort. Examination confirms a prolapsed left fallopian tube. N83.4 is the appropriate code., Post-hysterectomy, a 50-year-old patient develops a palpable mass. Imaging depicts a right ovarian prolapse. N83.4 is used for billing and documentation.
Complete medical history, physical examination findings (including details about the location, size, and consistency of any masses), relevant imaging reports (ultrasound, CT, MRI), and documentation supporting the diagnosis of prolapse or hernia of the ovary and fallopian tube.
** This code should be used cautiously and only when the clinical findings clearly support the diagnosis of prolapse or hernia. Other conditions may mimic the clinical presentation and should be ruled out through appropriate investigation. Always refer to the most up-to-date official ICD-10-CM coding guidelines for the most accurate and complete information.
- Payment Status: Active
- Modifier TC rule: Not applicable to this ICD-10 code.
- Specialties:Gynecology, Obstetrics
- Place of Service:Office, Hospital (Inpatient or Outpatient), Ambulatory Surgical Center