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Home/Diagnosis/ICD-10 Coding for Pelvic Floor Dysfunction

ICD-10 Coding for Pelvic Floor Dysfunction

M99.05
N81.84
N94.2

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

Also Known as:
Pelvic Muscle Dysfunction
Pelvic Floor Disorder
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Key Information: ICD-10 Coding for Pelvic Floor Dysfunction

Essential facts and insights about ICD-10 Coding for Pelvic Floor Dysfunction

Use ICD-10 code M99.05 for segmental and somatic dysfunction of pelvic region, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Segmental and somatic dysfunction of pelvic region

Billable Code
M99.05
Billable

Diagnostic Criteria

  • • Presence of hypertonicity and pain in pelvic region.

Applicable To

  • • Pelvic floor dysfunction
  • • Hypertonic pelvic floor

Important Notes

  • • Ensure documentation includes specific symptoms and exam findings.

Pelvic muscle wasting (disuse atrophy)

Billable Code
N81.84
Billable

Diagnostic Criteria

  • • Manual muscle testing ≤2/5 strength
  • • History of prolonged bed rest

Applicable To

  • • Pelvic muscle weakness

Important Notes

  • • Document muscle testing results and history of disuse.

Vulvodynia

Billable Code
N94.2
Billable

Diagnostic Criteria

  • • Vulvar point tenderness at 5 o’clock
  • • Pain persists ≥3 months
  • • Negative cultures for infection

Applicable To

  • • Vulvar pain

Important Notes

  • • Ensure exclusion of infections is documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

R10.2

Pelvic and perineal pain

Use as an ancillary code if pain is poorly localized.

Frequently Asked Questions

What is the ICD-10 code for pelvic floor dysfunction?

The ICD-10 code for pelvic floor dysfunction is M99.05, used for hypertonic pelvic floor conditions.

How do you document pelvic floor dysfunction?

Document specific symptoms, SEMG results, and clinical findings such as hypertonicity and pain locations.

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