• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

N90.89 Age Applicable

K

Kwatts24

New
Messages
3
Location
Longs, SC
I just got a denial for using this. The reason for the denial was the patient's age. I have searched every resource to correct this. Is N90.89 only used on females of a certain age group? Or am I missing something? Please HELP!
 
Last edited:
Hi Kwatt,
Well ICD10 manual states dx N90.89 states for female with adhesions on vulva and hypertrophy (large clitoris.) Is the patient quite elderly or a very young female? the dx block above N90 states for female cutting or tattoos in this private area or mutilation. Could it be denied cause unspecified dx??? Also depends on if another dx and type procedure done. Umm in some cultures overseas do female circumcision but maybe this is affecting why denied cause looking at pt s age.
Well hope this data helps
Lady T
 
TThivierge said:
Hi Kwatt,
Well ICD10 manual states dx N90.89 states for female with adhesions on vulva and hypertrophy (large clitoris.) Is the patient quite elderly or a very young female? the dx block above N90 states for female cutting or tattoos in this private area or mutilation. Could it be denied cause unspecified dx??? Also depends on if another dx and type procedure done. Umm in some cultures overseas do female circumcision but maybe this is affecting why denied cause looking at pt s age.
Well hope this data helps
Lady T
Click to expand...
The dx was specified so that couldn't be the cause. The patient was very young. Any more ideas? Please and thanks.
 
Kwatts24 said:
The dx was specified so that couldn't be the cause. The patient was very young. Any more ideas? Please and thanks.
Click to expand...

Is the patient young enough that they might be expecting a code from Q52.- for a congenital condition?

One of the conditions named under N90.89 is hypertrophy of clitoris. In the alphabetic index, hypertrophy, clitoris has a default code of N90.89. It also has a subentry for hypertrophy, clitoris, congenital which directs you to Q52.6.

You said that your patient was very young. If the patient is young enough, the payer may be expecting it to be a congenital rather than an acquired condition.

I'd confirm with the provider whether it was a congenital rather than an acquired condition and if so follow the alphabetic index for the condition as congenital.
 
You must log in or register to reply here.
Top