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2025 ICD-10-CM code N80.3C2

Endometriosis of the left uterosacral ligament, unspecified depth.

Follow the official ICD-10-CM coding guidelines for endometriosis, paying attention to the specific location and depth of the lesions when possible. If the depth is uncertain, use the unspecified depth code (as used in this case).

The medical necessity for coding N80.3C2 is established based on the presence of clinical symptoms consistent with endometriosis and confirmed by diagnostic methods like imaging or surgical findings. The need for treatment is determined based on symptom severity and the patient's desire for fertility preservation or alleviation of pain.

Gynecologist or other qualified healthcare professional specializing in female reproductive health.

IMPORTANT:Related codes include N80.3C1 (right uterosacral ligament), N80.3C3 (bilateral uterosacral ligaments), and N80.3C9 (unspecified side).

In simple words: This code describes a condition where tissue similar to the lining of the uterus grows outside of the uterus, specifically on the left side of a ligament supporting the uterus. The doctor needs more information to determine how deep the tissue is growing.

This code signifies the presence of endometriosis specifically located on the left uterosacral ligament.The depth of the endometriosis is not specified, requiring further clinical investigation to determine the extent of the disease.

Example 1: A 35-year-old female presents with chronic pelvic pain and irregular menstrual bleeding.Laparoscopic examination reveals endometriosis on the left uterosacral ligament, depth unspecified.This would be coded as N80.3C2., A 40-year-old patient undergoing a hysterectomy for unrelated reasons has incidental findings of endometriosis on the left uterosacral ligament during the procedure. The depth is not further characterized. N80.3C2 is used., A 28-year-old woman with infertility undergoes an investigation that reveals endometriosis on her left uterosacral ligament; further investigation into the depth is not possible during the initial procedure. N80.3C2 applies.

Complete clinical history, including symptoms, physical examination findings, imaging reports (e.g., ultrasound, MRI), and operative report if applicable.If surgery was performed, the report should detail the location and extent of the endometriosis, ideally stating the depth if possible.

** The unspecified depth (in this case) may necessitate further investigation to appropriately guide treatment strategy and prognosis.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

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