2025 ICD-10-CM code N80.3A1
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Noninflammatory disorders of the female genital tract - Endometriosis of the pelvic peritoneum Chapter 17: Diseases of the genitourinary system Feed
Superficial endometriosis affecting the right uterosacral ligament.
The medical necessity for coding N80.3A1 is established by the presence of clinically significant symptoms directly attributable to the endometriosis.The severity of the symptoms and their impact on the patient's quality of life justify diagnostic and/or therapeutic interventions.If treatment is provided, the necessity of the chosen procedure should be well-documented.
Gynecologist or other qualified healthcare professional experienced in diagnosing and managing endometriosis.
- Chapter 17: Diseases of the genitourinary system
- N80-N98: Noninflammatory disorders of the female genital tract
In simple words: This code describes a type of endometriosis, a condition where uterine tissue grows outside the uterus.In this case, the extra tissue is found on the surface of a ligament on the right side that supports the uterus.
This code, N80.3A1, classifies superficial endometriosis specifically localized to the right uterosacral ligament.Endometriosis is a condition where tissue similar to the uterine lining grows outside the uterus. In this case, the growth is superficial (on the surface) and confined to the right uterosacral ligament, a band of tissue connecting the uterus to the sacrum (the bone at the base of the spine). This is a specific type of endometriosis requiring precise diagnostic confirmation.The location and depth of the lesion are crucial for appropriate coding and treatment planning.
Example 1: A 35-year-old female patient presents with chronic pelvic pain and irregular menstrual bleeding.Laparoscopic examination reveals superficial endometrial implants on the right uterosacral ligament.N80.3A1 is the appropriate code., A 40-year-old female undergoes a hysterectomy for unrelated reasons. During the procedure, small superficial endometrial implants are discovered on the right uterosacral ligament.N80.3A1 is used to document the incidental finding., A 28-year-old female patient undergoes a diagnostic imaging procedure (pelvic ultrasound or MRI) which reveals a small area of superficial endometriosis on the right uterosacral ligament.The imaging report needs to be clearly linked to the code for accurate billing.
Complete and detailed medical history, including symptoms (pelvic pain, abnormal bleeding, infertility, etc.).Imaging reports (ultrasound, MRI) confirming the diagnosis and location of the lesion.Pathology reports (if biopsy performed).Operative reports (if surgical intervention). Clear documentation of the depth of endometriosis to distinguish between superficial and deep endometriosis.
** This code is highly specific regarding the location and depth of the endometriosis.It is crucial to differentiate between superficial and deep endometriosis for appropriate treatment and coding.Additional codes may be necessary depending on the extent and associated clinical findings.
- Payment Status: Active
- Specialties:Gynecology, Obstetrics
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center, Inpatient Hospital