2025 ICD-10-CM code N80.5
(Active) Effective Date: N/A Revision Date: N/A Diseases of the genitourinary system - Noninflammatory disorders of female genital tract (N80-N98) Diseases of the genitourinary system (N00-N99) Feed
Endometriosis of the intestine, specifically affecting the bowel.
Modifiers may be applicable depending on the circumstances of the encounter, such as the place of service or the type of procedure performed.Consult the official modifier guidelines for specific details.
Medical necessity is established when a patient presents with symptoms consistent with bowel endometriosis and imaging or surgical findings confirm the presence of endometrial tissue in the bowel.The symptoms and findings must impact the patient's daily life or general health to justify treatment.
Diagnosis and management of intestinal endometriosis may involve gynecologists, gastroenterologists, and surgeons.The clinical responsibility encompasses evaluating symptoms, conducting diagnostic tests (imaging studies, colonoscopy), and determining the appropriate treatment strategy (medical management, surgery).
- Diseases of the genitourinary system (N00-N99)
- N80-N98 (Noninflammatory disorders of female genital tract)
In simple words: This code means that tissue similar to the lining of the uterus is growing in the intestines. This extra tissue can cause pain, especially during your period, along with problems like constipation, diarrhea, or bloating.
Endometriosis of the intestine (N80.5) refers to the presence of endometrial-like tissue in the intestinal tract.This ectopic endometrial tissue responds to hormonal fluctuations, thickening and potentially causing inflammation, pain, and gastrointestinal symptoms.The most common locations are the rectum and sigmoid colon, but it can involve any part of the bowel. Symptoms often worsen during menstruation.
Example 1: A 35-year-old female presents with chronic pelvic pain and worsening constipation during menstruation.Imaging studies reveal endometrial implants on the sigmoid colon. This scenario would use code N80.5., A 40-year-old female experiences severe rectal pain and bleeding during her periods.Colonoscopy confirms the presence of endometriosis in the rectum. Code N80.5 is appropriate in this case., A 28-year-old female complains of cyclical abdominal pain, diarrhea, and bloating, particularly severe around her menses.Laparoscopic examination reveals intestinal endometriosis. Code N80.5 is used.
Complete patient history including menstrual cycle details, bowel symptoms, and pain characteristics.Imaging studies (ultrasound, MRI, CT scan) or colonoscopy findings demonstrating endometrial tissue involvement in the intestine are necessary.Surgical reports if surgery was performed.
** Differential diagnosis from other gastrointestinal conditions (irritable bowel syndrome, Crohn's disease) is crucial.The severity of symptoms and the extent of intestinal involvement should be considered when documenting the diagnosis and selecting appropriate codes.
- Payment Status: Active
- Specialties:Gynecology, Gastroenterology, Surgery
- Place of Service:Office, Hospital (Inpatient or Outpatient), Ambulatory Surgical Center