2025 ICD-10-CM code N80.8
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Noninflammatory disorders of female genital tract - Other endometriosis Diseases of the genitourinary system Feed
Other endometriosis; this code is used when endometriosis is present in a location other than those specified by other codes within the N80 range.
Medical necessity is established by the presence of symptoms (pelvic pain, abnormal bleeding, infertility) attributable to endometriosis. The diagnosis should be supported by imaging or, ideally, histological confirmation.
Diagnosis and management of endometriosis, including imaging studies, surgical consultation and procedures if needed, and follow-up care.
In simple words: This code means endometriosis is found somewhere other than the usual places (like the uterus, ovaries, or fallopian tubes).The doctor needs to specify the exact location for correct billing.
This ICD-10-CM code, N80.8, signifies "Other endometriosis."It's a diagnosis code used to classify endometriosis cases not fitting the more specific categories within the N80 code range (N80.0-N80.7, N80.9).These other locations may include but aren't limited to endometriosis in cutaneous scars, the thorax, or other less common sites.Accurate documentation specifying the affected site is crucial for proper coding.
Example 1: A 35-year-old female presents with chronic pelvic pain and irregular menstrual bleeding. Imaging reveals endometrial tissue on the rectovaginal septum and in a cutaneous scar from a prior surgery.Code N80.8 is appropriate, specifying the atypical locations in documentation., A 40-year-old female undergoes laparoscopic surgery for suspected endometriosis.During surgery, endometrial implants are found on the pelvic peritoneum and in the thorax. Because of the thoracic involvement, N80.8 is the most accurate code.Thoracic location should be specified in documentation., A 28-year-old female complains of persistent abdominal pain.Laparoscopy reveals endometriosis involving the small bowel, a location not specifically coded under N80.N80.8 is used, with the location noted in the medical record to support the coding.
Complete history and physical examination; imaging studies (ultrasound, MRI, CT) if performed; laparoscopic or surgical findings, if applicable; histological confirmation of endometrial tissue; location of endometriosis must be clearly specified in the medical record.
** Always specify the location of the endometriosis in the medical record to ensure accurate coding. This code is used when endometriosis is found in unusual sites.Consult the official ICD-10-CM manual for the most up-to-date guidelines and any potential changes.
- Payment Status: Active
- Specialties:Gynecology, Obstetrics
- Place of Service:Office, Hospital (Inpatient or Outpatient), Ambulatory Surgical Center