Lisa Posted Thu 25th of July, 2019 12:22:17 PM
when a report states “Ovarian Follicle”, are we to code that as a Follicular Cyst of Ovary or is it a normal finding and we don’t need to code it?
SuperCoder Answered Fri 26th of July, 2019 05:21:40 AM
Presence of Ovarian Follicales are considered as normal finding, however, if there are cysts of follicles then you need to code the Follicular cyst of ovary with the diagnosis code N83.00, N83.01 or N83.00 for unspecified, right or left side of ovary respectively.
In many conditions the follicles are converted to cysts. For example, polycystic ovary syndrome (POS), numerous cysts in ovary(ies) can be seen with radiological imaging. These cysts are immature ovarian follicles. Ovarian follicles contain egg cells considered as normal during ovulation stage. In polycystic ovary syndrome, abnormal hormone levels prevent follicles from growing and maturing to release egg cells. However, these immature follicles accumulate in the ovaries and the patient can have 10-12 or more of these follicles converted to cyst(s). So, radiologist need to check with cystic changes in the follicles and then it can be coded. On the other hand, if follicles are normal then need not to code for it.
Hope this helps!