2025 ICD-10-CM code N80.50
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the genitourinary system - Noninflammatory disorders of the female genital tract Chapter 17: Diseases of the genitourinary system Feed
Endometriosis of the intestine, unspecified.
Not applicable to ICD-10 codes.
Medical necessity for the diagnosis and management of endometriosis in the intestine is established based on the patient's clinical presentation (e.g., chronic pelvic pain, heavy bleeding, infertility), imaging findings confirming the presence of endometrial implants, and the impact on the patient's quality of life. Treatment options such as medication, surgery, or a combination are determined based on the severity and extent of the condition.
The clinical responsibility for this code would fall upon a gynecologist or gastroenterologist, depending on the symptoms and the location and extent of the endometriosis.Diagnosis often involves a combination of physical examination, imaging studies (ultrasound, MRI), and possibly laparoscopy.
- Chapter 17: Diseases of the genitourinary system
- N80-N98 (Noninflammatory disorders of female genital tract)
In simple words: This code means a woman has endometriosis in her intestines. Endometriosis is when tissue like the lining of the uterus grows outside the uterus. It can cause pain, heavy periods, and problems getting pregnant. This specific code doesn't say exactly where in the intestine the endometriosis is or how severe it is.
This ICD-10-CM code classifies endometriosis affecting the intestine, without specifying the location or depth of the involvement.Endometriosis is a condition where tissue similar to the uterine lining grows outside the uterus, potentially causing pain, heavy bleeding, and infertility.The unspecified nature of this code necessitates further clinical documentation to specify the affected intestinal segment and the extent of the endometriosis.
Example 1: A 35-year-old female presents with chronic pelvic pain and heavy menstrual bleeding.Imaging reveals endometrial implants in her sigmoid colon.Code N80.50 is appropriate, but further specification (N80.521 or N80.522) should be used if the depth is known., A 40-year-old female undergoes laparoscopy for suspected infertility.Multiple endometrial implants are found in her rectum.Code N80.50 is used, but additional coding with N80.511 or N80.512 should be considered depending on the depth of the involvement., A 28-year-old female experiences severe abdominal pain during menstruation.Imaging is inconclusive, but a clinical diagnosis of intestinal endometriosis is made. Code N80.50 is used in this case due to the lack of specific information about the location and depth of the lesions.
Complete history and physical examination. Detailed description of patient symptoms, including location and characteristics of pain, menstrual irregularities, and bowel dysfunction.Imaging reports (ultrasound, MRI, CT scan) demonstrating the presence and location of endometrial implants in the intestine.Pathology report confirming the diagnosis if a biopsy was performed.Laparoscopic findings if a surgical procedure was conducted.
** This code should be used when the precise location and depth of intestinal endometriosis are unknown.Always use the most specific code possible, and ensure proper documentation supports the diagnosis.
- Revenue Code: Revenue codes will vary depending on the services rendered and the place of service.Consult your specific payer's guidelines.
- RVU: RVUs are not applicable to ICD-10 codes.RVUs are associated with procedural codes (CPT, HCPCS) and are used in determining reimbursement for medical procedures.
- Global Days: Not applicable to ICD-10 codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule: Not applicable to ICD-10 codes.
- Specialties:Gynecology, Gastroenterology
- Place of Service:Office, Hospital (inpatient or outpatient), Ambulatory Surgical Center