2025 ICD-10-CM code N86
(Active) Effective Date: N/A Revision Date: N/A Diseases of the genitourinary system - Noninflammatory disorders of female genital tract (N80-N98) Diseases of the genitourinary system (N00-N99) Feed
Erosion and ectropion of the cervix uteri.
Medical necessity for assigning code N86 is established by the presence of documented findings of cervical erosion or ectropion, confirmed through clinical examination.Further diagnostic tests may be medically necessary to rule out other conditions (e.g., infection, malignancy).
The clinical responsibility for coding N86 typically falls on the gynecologist or other healthcare provider conducting the pelvic examination and making the diagnosis.This may include taking a medical history, performing a physical examination (including a speculum examination), and potentially ordering further tests, such as a Pap smear, to rule out other conditions.
- Diseases of the genitourinary system (N00-N99)
- Noninflammatory disorders of female genital tract (N80-N98)
In simple words: This code describes a non-inflammatory condition of the cervix (the lower part of the uterus).It means there are changes to the surface of the cervix, which may look slightly different, but aren't caused by an infection.Many women with this condition have no symptoms, but some might have extra vaginal discharge.
ICD-10-CM code N86, Erosion and ectropion of the cervix uteri, refers to non-inflammatory conditions affecting the cervix.This includes conditions such as cervical erosion (where the columnar epithelium of the endocervix extends onto the ectocervix) and ectropion (eversion of the endocervix), which can appear as a reddened area on the cervix.These conditions are often asymptomatic, but may be associated with increased vaginal discharge.It excludes cases with cervicitis (inflammation of the cervix).
Example 1: A 25-year-old female presents for a routine gynecological examination.During a speculum examination, the physician notes an ectropion of the cervix.No other abnormalities are found. Code N86 is assigned., A 30-year-old female complains of increased vaginal discharge.On examination, cervical erosion is observed.A Pap smear is performed, revealing no abnormal cells.Code N86 is assigned., A 40-year-old female undergoes a colposcopy, which reveals a mild ectropion.A biopsy is negative for dysplasia. Code N86 is assigned.
Complete documentation should include:* Patient history, including symptoms (if any).* Physical examination findings (speculum exam, visual description of the cervix).* Results of any diagnostic tests performed (Pap smear, colposcopy, biopsy).* Physician's assessment and diagnosis.
** The distinction between erosion and ectropion may not always be clearly defined clinically; the term "erosion" is sometimes used to encompass both conditions.Accurate coding requires detailed documentation of the findings.
- Payment Status: Active
- Specialties:Gynecology, Obstetrics
- Place of Service:Office, Outpatient clinic, Hospital