2025 ICD-10-CM code N80.0
(Active) Effective Date: N/A Revision Date: N/A Noninflammatory disorders of the female genital tract - Endometriosis Diseases of the genitourinary system (N00-N99) Feed
Endometriosis of the uterus.
Modifiers may be applicable depending on the specific circumstances of the encounter and the services provided. Consult official coding guidelines for modifier usage rules.
Medical necessity for diagnosis and treatment of endometriosis is established by the presence of characteristic symptoms, confirmed by diagnostic imaging or laparoscopy.Treatment may be medically necessary to alleviate pain, manage heavy bleeding, or improve fertility. The extent of treatment depends on the severity and location of the endometriosis.
Gynecologists and other healthcare professionals specializing in reproductive health are responsible for diagnosing and treating endometriosis.This may involve performing a pelvic exam, imaging studies (ultrasound, MRI), and possibly laparoscopy or other surgical procedures for diagnosis and treatment.
- Diseases of the genitourinary system (N00-N99)
- N80-N98 (Noninflammatory disorders of female genital tract)
In simple words: Endometriosis is a condition where tissue that normally lines the inside of the uterus grows in other places in the body, such as the ovaries or fallopian tubes. This can cause pain, heavy periods, and difficulty getting pregnant.Treatment options include pain medication, hormone therapy, and surgery.
Endometriosis of the uterus is a condition where tissue similar to the uterine lining (endometrium) grows outside the uterus. This ectopic endometrial tissue can cause pain, heavy menstrual bleeding, and infertility.The endometriosis may be superficial or deep, and can sometimes involve adenomyosis (endometrial tissue within the uterine muscle).
Example 1: A 30-year-old woman presents with severe pelvic pain and heavy menstrual bleeding.A transvaginal ultrasound reveals findings suggestive of endometriosis.Laparoscopy confirms the presence of endometrial implants on the uterus. Code N80.0 is used to report the endometriosis of the uterus., A 25-year-old woman is undergoing infertility treatment.A laparoscopy reveals deep infiltrating endometriosis involving the uterus, which is contributing to her infertility. Code N80.0 is assigned to reflect the location of the endometriosis., A 40-year-old woman has adenomyosis, a type of endometriosis where the endometrial tissue is found within the uterine muscle.Code N80.03 (Adenomyosis of the uterus) is more specific and preferred over N80.0 in this case.
Detailed clinical history including symptoms (pelvic pain, heavy menstrual bleeding, infertility), physical examination findings (tenderness on palpation), imaging reports (ultrasound, MRI, CT), and pathology reports from biopsies or surgical specimens (laparoscopy) to confirm the diagnosis and specify the extent and depth of the endometriosis.Documentation should also detail the treatment plan and response to treatment.
** This code is used to report endometriosis specifically located in the uterus.If endometriosis is found in other locations, additional codes should be used to reflect those sites.The seventh character is not used with this code.
- Payment Status: Active
- Specialties:Obstetrics and Gynecology
- Place of Service:Office, Hospital (Inpatient and Outpatient), Ambulatory Surgical Center