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Home/Diagnosis/ICD-10 Coding for Pelvic Congestion Syndrome

ICD-10 Coding for Pelvic Congestion Syndrome

N94.89
I87.2

Complete ICD-10-CM coding and documentation guide for icd-10 coding for pelvic congestion syndrome includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
PCS
Pelvic Venous Congestion
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Key Information: ICD-10 Coding for Pelvic Congestion Syndrome

Essential facts and insights about ICD-10 Coding for Pelvic Congestion Syndrome

Use ICD-10 code N94.89 for other specified conditions associated with female genital organs and menstrual cycle, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Other specified conditions associated with female genital organs and menstrual cycle

Billable Code
N94.89
Billable

Diagnostic Criteria

clinical:
  • • Presence of chronic pelvic pain >6 months
documentation:
  • • Venogram or imaging confirming ovarian vein reflux

Applicable To

  • • Pelvic congestion syndrome

Important Notes

  • • Ensure documentation includes specific symptoms and imaging findings to support PCS diagnosis.

Venous insufficiency (chronic) (peripheral)

Billable Code
I87.2
Billable

Diagnostic Criteria

clinical:
  • • Venogram shows venous reflux
  • • Ovarian vein diameter >6mm

Applicable To

  • • Chronic venous insufficiency

Important Notes

  • • Ensure documentation specifies the venous insufficiency as the focus of treatment if used as principal.
Ancillary Codes

Additional codes that may be used with this diagnosis

R10.2

Pelvic and perineal pain

Use to document pain symptoms associated with PCS.

Frequently Asked Questions

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.

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