Ob-Gyn Coding Alert

Question: We had a patient present today wanting her intrauterine device (IUD) removed. She has had it in for 21 years! The ob-gyn couldn't find the string on manual or visual exam. We have ordered an ultrasound to see if the IUD is still even there. The ultrasound will be done elsewhere. How would we diagnose "missing IUD" for the office visit?

Tennessee Subscriber

Answer: You should classify this as a mechanical problem with 996.32 (Mechanical complication due to intrauterine contraceptive device).

ICD-10: This code will become T83.39xA (Other mechanical complication of intrauterine contraceptive device, initial encounter), T83.39xD (...subsequent encounter), or T83.39xS (... sequela).