Endometriosis ICD 10 Code

Refresher: What are ICD-10 codes?

The International Classification of Diseases – 10th Edition (ICD-10) is commonly used by healthcare staff all across the United States. These sets of codes are used to diagnose and treat diseases by categorizing them based on symptoms, causes, and certain other factors present in the initial diagnosis.

This categorization helps doctors and billing companies in the medical field, along with medical insurance institutions. ICD-10 codes are usually used by insurance or medical billing companies to gauge the necessity of a particular treatment plan. ICD-10 codes can provide the justification required for easy approval and timely treatment.[1]

Understanding ICD-10 codes can be important for patients as they can help them receive the care they need or file a claim with a medical insurance provider. However, since these codes are not always available on medical paperwork, you may need to look for them online. Looking up ICD-10 codes can be confusing, as more than 70,000 of them exist! Since an incorrect code can mean delayed treatment or rejection, looking them up in advance is essential.

The International Classification of Diseases was first introduced by the WHO, which strived to standardize and add consistency and accuracy to tracking diseases in a population [2]. This was adopted by the USA, where a clinical modification was developed known as the ICD-10-CM [3]. It led to the classification being broken down into different elements.

Today, different letters and numbers are used to diagnose certain conditions. Letters (A to Z) stand for the nature of the diagnosis. For example, the letter A is assigned to infectious and parasitic diseases, the letter C to cancer, and N to the Genitourinary system, as in the case of endometriosis. Further subcategories can be classified on the basis of numbers.

What is the ICD 10 Code for Endometriosis?

According to the WHO, the ICD-10 code for endometriosis is N80. However, different subcategories do exist, which depend on the location of the endometriosis along with different causes and symptoms. These are described below;

Endometriosis ICD 10 code: N80

Endometriosis ICD code N80 Lookup

Below is a table of the ICD 10 endometriosis codes for endometriosis, which is classified under N80, “Endometriosis[4].”

N80: Endometriosis

Types of Endometriosis Coded Under N80

The ICD 10 code N80 does not specify the subtype of endometriosis. An N80 code can be used for various subcategories:

• Endometriosis of the uterus (unspecified, superficial, deep, etc.)
• Endometriosis of the ovaries, deep, superficial, or with an unspecified depth
• Endometriosis of the fallopian tube, deep, superficial, or with an unspecified depth
• Endometriosis of the pelvic peritoneum
• Endometriosis of the anterior or posterior cul-de-sac
• Endometriosis of the pelvic sidewall, deep, superficial, or with an unspecified depth
• Endometriosis of the pelvic brim, deep, superficial, or with an unspecified depth
• Endometriosis of the uterosacral ligament(s), deep, superficial, or an unspecified depth
• Endometriosis of the other pelvic peritoneum at other specified sites (deep or superficial)
• Endometriosis of the rectovaginal septum and vagina
• Endometriosis of the intestine
• Endometriosis in cutaneous scar
• Endometriosis of the bladder and ureters
• Endometriosis of cardiothoracic space
• Endometriosis of the abdomen
• Endometriosis of the pelvic nerves
• Other types

Since endometriosis can be located in different parts of the body and have many different signs and symptoms, it is important to note the different ICD-10 codes that accompany the various types. The causes and location of the illness can lead to a drastic change in the ICD-10 codes. For example, endometriosis of the uterus or ovaries would drastically differ from a much more severe form that impacts other body areas.

Conclusion

ICD-10 codes can help patients and medical providers navigate the diagnosis and treatment process along with the following procedures. Reporting illnesses through the ICD-10 codes has allowed for a much more consistent and accurate organization of medical data. This has led to faster approvals, fewer rejections, and fewer loopholes for discrepancies or fraud.

Although the general ICD-10 code for endometriosis is N80, it is important to understand and review the other codes, as different symptoms can lead to varying diagnoses and treatments. In some cases, symptoms might be similar, but the diagnosis can vary.

Moreover, certain kinds of endometriosis might be more severe than others and should be treated accordingly. In most cases, endometriosis is treatable and manageable. You must visit your medical provider for more information before reaching a conclusion.