2025 ICD-10-CM code N80.3C9
Endometriosis of the uterosacral ligament(s), unspecified side, unspecified depth.
The medical necessity for treatment of N80.3C9 is established by the patient's symptoms, impact on quality of life, and desire for treatment options such as pain management or improved fertility outcomes. Medical necessity is determined by the physician based on clinical judgment.
Diagnosis and management of this condition falls under the purview of gynecologists. They are responsible for confirming the diagnosis, typically through a pelvic exam and/or imaging such as ultrasound or MRI, and determining the appropriate treatment plan.
- 14 Diseases of the genitourinary system (N00-N99)
- N80-N98 Noninflammatory disorders of female genital tract
In simple words: This code indicates the presence of endometrial tissue (the tissue that normally lines the uterus) outside the uterus, specifically on the uterosacral ligaments.These ligaments connect the uterus to the sacrum, the bone at the base of the spine. The side affected (left or right) and the depth of the endometriosis are not specified.
Endometriosis of the uterosacral ligament(s), unspecified side, unspecified depth.
Example 1: A 35-year-old female presents with chronic pelvic pain, particularly during menstruation and sexual intercourse. A laparoscopy is performed and reveals the presence of endometrial tissue on the uterosacral ligaments, with no specification of the side or depth of infiltration. The diagnosis is N80.3C9., A 42-year-old woman undergoes a hysterectomy for heavy menstrual bleeding. During the procedure, the surgeon identifies endometriosis on the uterosacral ligaments. The affected side and depth of infiltration are not specified. N80.3C9 is coded as a secondary diagnosis., A 28-year-old woman experiences infertility. A pelvic examination reveals tenderness in the uterosacral ligaments.Imaging studies show the presence of endometriosis in these ligaments, but do not specify the side or depth.N80.3C9 is coded as a possible contributing factor to her infertility.
Documentation should include details from the pelvic exam, imaging findings (if any), patient's reported symptoms (e.g., pain location and severity), and any relevant medical history. Operative reports should specifically note the location and extent of endometrial implants if a surgical procedure was performed.
** Depth of infiltration and laterality are important factors in determining treatment strategies for endometriosis. The lack of specificity in N80.3C9 emphasizes the need for detailed documentation in the medical record to fully characterize the extent of the disease.
- Specialties:Gynecology, Obstetrics and Gynecology, Reproductive Endocrinology and Infertility
- Place of Service:Inpatient Hospital, Outpatient Hospital, Physician's Office, Ambulatory Surgical Center