What is the ICD-10 code for pelvic congestion syndrome?

The ICD-10 code for pelvic congestion syndrome is N94.89, which covers other specified conditions associated with female genital organs and menstrual cycle.

When should I use code I87.2 with N94.89?

Use I87.2 with N94.89 when venous insufficiency is confirmed by imaging and treated, especially if an intervention like embolization is performed.

ICD-10 Coding for Pelvic Congestion Syndrome(N94.89, I83.9, I87.2)

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Comprehensive guide to coding pelvic congestion syndrome with ICD-10, including N94.89 and I87.2 codes, documentation requirements, and billing considerations.

Also known as:

PCSPelvic Venous Congestion

Related ICD-10 Code Ranges

Complete code families applicable to Pelvic Congestion Syndrome

N00-N99Primary Range

Diseases of the genitourinary system

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Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

Code	Description	When to Use	Key Documentation
N94.89	Other specified conditions associated with female genital organs and menstrual cycle	Use when pelvic congestion syndrome is diagnosed without a specific underlying venous insufficiency.	Chronic pelvic pain >6 months Pain worsens with standing or menses Venogram shows ovarian vein diameter >6mm with reflux
I87.2	Venous insufficiency (chronic) (peripheral)	Use when venous insufficiency is confirmed and treated, especially if intervention is performed.	Venogram shows venous reflux Ovarian vein diameter >6mm

Primary ICD-10-CM Codes

Other specified conditions associated with female genital organs and menstrual cycle

N94.89Billable

Differential Codes

Alternative codes to consider when ruling out similar conditions

DyspareuniaN94.1

Use when pain is specifically related to intercourse without other PCS symptoms.

Varicose veins of lower extremities without ulcer or inflammationI83.9

Use for varicose veins not related to pelvic congestion.

Documentation & Coding Risks

Avoid these common issues when documenting Pelvic Congestion Syndrome.

Failing to document imaging findings

Impact

Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Increased risk of audit and denial., Financial: Potential loss of reimbursement for procedures.

Mitigation

Ensure imaging reports are included in the medical record, Verify documentation before coding

Using N94.89 alone when I87.2 is present

Impact

Reimbursement: May result in lower DRG payment if not coded correctly., Compliance: Risk of audit failure if documentation does not support coding., Data Quality: Inaccurate data representation of patient's condition.

Mitigation

Link venous incompetence to intervention and use both codes.

Lack of imaging documentation

Impact

Claims may be denied if imaging findings are not documented.

Mitigation

Ensure all imaging reports are included in the patient's record.

Frequently Asked Questions

Documentation requirements, coding pitfalls and FAQs for conditions coded with N94.89.

Primary Code

N94.89

Other specified conditions associated with female genital organs and menstrual cycle

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ICD-10 codes7

Coding risks3

FAQs2

ICD-10 Coding for Pelvic Congestion Syndrome(N94.89, I83.9, I87.2)

Documentation & Coding Risks

Frequently Asked Questions

What is the ICD-10 code for pelvic congestion syndrome?

When should I use code I87.2 with N94.89?

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