2025 ICD-10-CM code N80.00
(Active) Effective Date: N/A Revision Date: N/A Noninflammatory disorders of the female genital tract - Endometriosis Diseases of the genitourinary system (N00-N99) Feed
Endometriosis of the uterus, unspecified.This code is used to classify endometriosis specifically located in the uterus.
Medical necessity for diagnostic and therapeutic interventions for endometriosis is based on the patient's symptoms (pain, heavy bleeding, infertility), the extent of disease, and the response to conservative management.Documentation should clearly link symptoms to the need for the procedure or treatment.
Gynecologists and other healthcare professionals specializing in women's health are responsible for the diagnosis and management of endometriosis. This may involve physical examination, imaging studies, and potentially surgical intervention.
- Diseases of the genitourinary system (N00-N99)
- N80-N98 (Noninflammatory disorders of female genital tract)
In simple words: This code describes a condition where tissue similar to the lining of the uterus grows inside the uterus in an abnormal place.It's used when doctors can't pinpoint the exact location within the uterus.
N80.00, Endometriosis of the uterus, unspecified, is an ICD-10-CM code that represents the presence of endometrial-like tissue outside of its normal uterine location, specifically within the uterine structure itself.This code is used when the precise location of the endometriosis within the uterus cannot be specified.It includes adenomyosis, which is endometriosis involving the uterine muscle layer.The code excludes stromal endometriosis (D39.0).
Example 1: A 35-year-old woman presents with heavy menstrual bleeding and pelvic pain.Imaging reveals endometrial tissue within the uterine myometrium (adenomyosis).Code N80.00 is assigned., A 40-year-old woman undergoes a hysterectomy for abnormal uterine bleeding.Pathology confirms the presence of endometriosis within the uterine wall, but the precise location is not specified.Code N80.00 is used., A 28-year-old woman is diagnosed with infertility.Laparoscopic examination reveals diffuse endometriosis involving the uterus. Due to the imprecise location, code N80.00 is used.
Complete history and physical examination.Imaging reports (ultrasound, MRI).Pathology reports confirming the diagnosis of endometriosis in the uterus.Operative reports if surgical intervention was performed.
** Always cross-reference with other relevant codes to ensure complete and accurate billing.Consider using more specific codes (N80.1-N80.9) if the precise location of endometriosis is documented.
- Payment Status: Active
- Specialties:Gynecology, Obstetrics, Reproductive Endocrinology
- Place of Service:Office, Hospital (Inpatient and Outpatient), Ambulatory Surgical Center