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2025 ICD-10-CM code N97.2

Female infertility of uterine origin.

It is important to code the underlying uterine condition contributing to the infertility as specifically as possible in addition to N97.2. This ensures accurate reflection of the patient's condition and justification for medical intervention. Do not code N97.2 if the infertility is due to other factors like hypopituitarism or Stein-Leventhal syndrome.

Medical necessity for treatment related to N97.2 must be established based on the specific uterine condition contributing to infertility and the impact on the patient's ability to conceive.This includes documenting the history of infertility, diagnostic findings confirming the uterine abnormality, and the rationale for the chosen treatment plan.

Diagnosis and management of female infertility of uterine origin falls under the purview of gynecologists, reproductive endocrinologists, and other healthcare professionals specializing in women's health.They are responsible for conducting thorough evaluations, including physical exams, imaging studies (such as ultrasound and hysterosalpingography), and laboratory tests to determine the underlying cause of infertility.They also develop and implement appropriate treatment plans, which may involve medical interventions, surgical procedures, or assisted reproductive technologies (ART).Providing counseling and support to patients throughout the infertility journey is an integral part of their clinical responsibility.

In simple words: This code indicates difficulty getting pregnant due to a problem with the uterus.

Female infertility of uterine origin. This code is used to indicate infertility in a female patient that is specifically attributed to issues with the uterus. It includes conditions such as congenital anomalies of the uterus, and other uterine factors preventing implantation or pregnancy.

Example 1: A 32-year-old female presents with a history of recurrent pregnancy loss and is found to have a uterine septum upon hysteroscopy. The diagnosis of N97.2, Female infertility of uterine origin, is assigned., A 28-year-old woman who has been trying to conceive for 18 months without success undergoes a hysterosalpingogram, which reveals a bicornuate uterus.She is diagnosed with N97.2, Female infertility of uterine origin., A 35-year-old female with a history of endometriosis undergoes laparoscopic surgery and is found to have extensive adhesions involving the uterus.She is given the diagnosis of N97.2, Female infertility of uterine origin, along with the appropriate endometriosis code.

Documentation for N97.2 should include details of the specific uterine abnormality identified, relevant imaging studies (e.g., ultrasound, hysterosalpingogram, MRI), diagnostic procedures (e.g., hysteroscopy, laparoscopy), and any prior treatments received for infertility. Specific details regarding the nature of the uterine cause should be clearly documented.

** For accurate coding and billing, it is important to document the specific cause of uterine infertility to justify medical necessity and support the use of code N97.2.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

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