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2025 ICD-10-CM code N80.51

Endometriosis of the rectum.

Use additional codes to identify the depth of endometriosis (superficial or deep) if documented (N80.511, N80.512).

Medical necessity is established by the presence of signs and symptoms of endometriosis affecting the rectum, such as pelvic pain, painful bowel movements, or rectal bleeding.The documentation should support the severity of symptoms and the impact on the patient's quality of life.

Diagnosis and management typically falls under gynecology.

In simple words: Presence of endometrial tissue (the lining of the uterus) outside the uterus, specifically in the rectum.

Endometriosis of the rectum.

Example 1: A 35-year-old female presents with chronic pelvic pain, painful bowel movements, and rectal bleeding during menstruation. Imaging studies reveal endometrial tissue in the rectum., A patient undergoing laparoscopy for infertility is found to have endometrial implants on the rectum., A woman with known endometriosis experiences worsening bowel symptoms and is diagnosed with rectal endometriosis.

Symptoms, physical exam findings, imaging studies (e.g., ultrasound, MRI), and/or laparoscopic findings confirming the presence of endometrial tissue in the rectum.

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