2025 ICD-10-CM code N97.1
Female infertility of tubal origin. This includes tubal block, occlusion, or stenosis, and may be associated with a congenital anomaly of the fallopian tube.
Medical necessity for treatment related to N97.1 is established by the documented infertility and confirmation of tubal factor as a contributing cause through appropriate diagnostic testing.The chosen treatment approach must be consistent with established guidelines for managing tubal factor infertility.
Diagnosis and treatment of female infertility of tubal origin falls under the purview of gynecologists and reproductive endocrinologists.They are responsible for conducting necessary diagnostic tests, like hysterosalpingograms (HSG) to assess tubal patency, and determining appropriate treatment strategies, which may include surgery to repair the tubes or assisted reproductive technologies (ART) like in vitro fertilization (IVF).
In simple words: This code indicates infertility in a woman due to problems with her fallopian tubes.The tubes might be blocked, closed off, or narrowed, preventing pregnancy.
Female infertility of tubal origin encompasses conditions where a woman's inability to conceive is attributed to issues with the fallopian tubes. This can include blockage, occlusion (complete obstruction), or stenosis (narrowing) of the tubes. These issues may be due to congenital anomalies (birth defects), infections, or other acquired conditions like endometriosis or previous surgeries.The fallopian tubes play a crucial role in fertility, as they are where fertilization typically occurs and are responsible for transporting the fertilized egg to the uterus for implantation.
Example 1: A 32-year-old woman presents with a history of infertility for two years.A hysterosalpingogram (HSG) reveals bilateral tubal occlusion. The occlusion is likely due to past pelvic inflammatory disease. N97.1 is assigned., A 28-year-old woman is found to have a congenital anomaly of her fallopian tubes, specifically a unilateral tubal agenesis (absence of one tube) during an infertility workup. Despite having one functional tube, she is diagnosed with N97.1 as the anomaly contributes to her difficulty conceiving., A 35-year-old woman with a history of endometriosis undergoes a laparoscopy which reveals significant adhesions and distortion of her fallopian tubes resulting in bilateral tubal stenosis. N97.1 is assigned.
Documentation should include details of the patient's history of infertility, diagnostic tests performed (e.g., HSG, laparoscopy), specific findings related to the fallopian tubes (e.g., location and nature of blockage, presence of congenital anomalies), and any relevant medical history, such as prior infections, surgeries, or endometriosis.
- Specialties:Gynecology, Reproductive Endocrinology
- Place of Service:Office