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2025 ICD-10-CM code N80.39

Endometriosis of other pelvic peritoneum.This code describes the presence of endometrial tissue (lining of the uterus) in other areas of the pelvic peritoneum, excluding the uterus, ovaries, fallopian tubes, rectovaginal septum, vagina, and intestine.

Code N80.39 should be used when endometriosis is identified on the pelvic peritoneum but is not involving the uterus, ovaries, fallopian tubes, rectovaginal septum, vagina, or intestine.If endometriosis involves one or more of these specific sites, the appropriate corresponding code from category N80 should be used instead.

Medical necessity for treatment of endometriosis is established by the presence of signs, symptoms, and/or impairment of function due to the disease. This may include pelvic pain, dysmenorrhea, dyspareunia, infertility, or other related complications.

The diagnosis and management of endometriosis typically fall under the purview of gynecologists and other specialists in reproductive health.

In simple words: This code indicates the presence of uterine lining tissue in other areas of the pelvic lining, excluding specific organs.

Endometriosis of other pelvic peritoneum. This refers to the abnormal presence of endometrial tissue in locations within the pelvic peritoneum other than the uterus, ovaries, fallopian tubes, rectovaginal septum, vagina, and intestine.

Example 1: A 32-year-old female presents with chronic pelvic pain and dysmenorrhea. Laparoscopic examination reveals endometrial implants on the pelvic peritoneum, but not affecting the uterus, ovaries, or fallopian tubes. The diagnosis of N80.39 is assigned., A 45-year-old female undergoes a hysterectomy for uterine fibroids. During the procedure, the surgeon identifies endometrial tissue on the posterior cul-de-sac, away from the ovaries and fallopian tubes. This is coded as N80.39., A 28-year-old woman experiences infertility and undergoes a diagnostic laparoscopy. Endometrial implants are found on the uterosacral ligaments. Since these ligaments are part of the pelvic peritoneum but distinct from listed organs under N80, N80.39 is used.

Documentation should include details of the patient's symptoms, relevant medical history (including menstrual history), physical exam findings, imaging studies (e.g. ultrasound, MRI), and definitive findings from laparoscopy or other surgical procedures. The specific location of the endometrial implants within the pelvic peritoneum should be clearly documented.

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