2025 ICD-10-CM code N80.D
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the genitourinary system - Noninflammatory disorders of female genital tract (N80-N98) Diseases of the genitourinary system (N00-N99) Feed
Endometriosis of the pelvic nerves.
Applicable modifiers will depend on the specific circumstances of the encounter and should be used according to the official modifier guidelines.For example, modifiers related to the place of service, type of procedure, or the patient's condition might apply.
Medical necessity for coding N80.D would be established through the presence of clinically significant symptoms directly attributable to endometriosis in the pelvic nerves (e.g., chronic pelvic pain, dyspareunia, infertility).The documentation must support the presence of the condition and justify the interventions.
Diagnosis and management of endometriosis, including pain management, fertility considerations, and potential surgical intervention. Gynecologists and other specialists involved in women's health are typically responsible.
- 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 from the lining of the uterus grows in other places, like the nerves in the pelvic area. This can cause pain.
Endometriosis of the pelvic nerves refers to the presence of endometrial tissue outside of the uterus, specifically located within the nerves of the retroperitoneum.This ectopic endometrial tissue responds to hormonal fluctuations, potentially causing pain and other symptoms.
Example 1: A 35-year-old woman presents with chronic pelvic pain, particularly during menstruation. Imaging studies reveal endometriosis involving the pelvic nerves.The physician documents the diagnosis of N80.D, and the patient is treated with hormonal therapy and pain management strategies., A 40-year-old woman undergoes laparoscopic surgery for suspected infertility. During the procedure, endometriosis involving the pelvic nerves is discovered and removed.The physician documents the findings and codes N80.D to reflect the surgical intervention., A 28-year-old woman experiencing deep infiltrating endometriosis undergoes a nerve ablation procedure to address chronic pain. N80.D is used in conjunction with other codes reflecting the pain management and surgical intervention.
* Detailed patient history, including menstrual cycle details and pain characteristics.* Physical examination findings, particularly those related to pelvic examination.* Diagnostic imaging, such as ultrasound, MRI, or CT scans, to confirm the presence and location of endometriosis.* Documentation of treatment strategies, including medication, surgical procedures, and pain management interventions.
** The information provided here is for educational purposes and should not be substituted for professional medical billing advice. Always consult the most up-to-date coding manuals and guidelines.
- Payment Status: Active
- Modifier TC rule: N/A. This code refers to a diagnosis, not a procedure.
- Specialties:Gynecology, Obstetrics, Reproductive Endocrinology and Infertility
- Place of Service:Office, Hospital (Inpatient and Outpatient), Ambulatory Surgical Center