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Adnexal Mass ICD-9 Code

  1. #11
    Grand Rapids, MI
    Medical Coding Books
    I think it is 620.8. If you look in the book, the 620 series involves ovarys, fallopian tubes and the broad ligament. the 625 series describes pain and other symptoms of the female genital organs. I think the 620.8 code would be more specific and accurate to what you are decribing.

  2. Default
    It is not a symptom. There is a documentation of mass. The code 625 series is not a descriptive code. 620.9 though describes the organs sites)involved, it is a disorder but not descriptive of a definite mass.
    It is a mass in the pelvic area=pelvic mass comprising tube, ovary and broad ligament .It can be otherwise called as Tuboovarain Mass. I would opt for 789.39 if just pelvic mass or adenexal mass/ or TO Mass is documented without any other description.

  3. #13
    625.8 is the correct code.

  4. Default
    789.3* has this excludes note - so it shouldn't be used, in my opinion.
    Excludes: symptoms referable to genital organs:
    female (625.0-625.9)
    male (607.0-608.9)
    psychogenic (302.70-302.79)

  5. #15
    Virginia Beach
    Default adnexal mass/cyst
    Per radiology coding guidelines:
    Adnexal Cyst - ICD9 includes a most frequently seen list under the main term cyst in the index along with the qualifiers (qualifiers indicate which type of cyst).
    If not qualifier is documented or known at the time for GYN exams, this anatomical area would be considered the space between ovary and uterus and it would be appropriate to use 629.89 - other specified disorders of female genital organs.

    Hope this helps!

  6. #16
    625.8 is for symptoms. Mass is not a symptom. I'd go with 620.8 or 620.8 since it's more of a disorder.

  7. #17
    Quote Originally Posted by gena379 View Post
    625.8 is for symptoms. Mass is not a symptom. I'd go with 620.8 or 620.8 since it's more of a disorder.
    Except if you go to the mass section, many of the female organs are to be coded with 625.8

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