ICD Code N80.03

ICD code N80.03 is adenomyosis of the uterus, a condition where the inner lining of the uterus (endometrial tissue) grows into the muscular wall of the uterus, often causing pain and heavy menstrual bleeding.

1. Presence of chronic pelvic pain unrelated to menstruation

2. Heavy or prolonged menstrual bleeding (menorrhagia)

3. Dysmenorrhea (painful menstruation)

4. Enlarged, tender uterus on bimanual examination

5. Imaging findings (ultrasound or MRI) consistent with diffuse thickening of the myometrium with heterogeneous echotexture

6. Exclusion of other uterine pathologies such as fibroids or endometrial polyps

7. Histopathological confirmation of endometrial tissue within the myometrium (if available)

Relevant CPT codes that may be used to treat ICD code N80.03 include:

- 58150 – Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s)

- 58180 – Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s)

- 58570 – Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less

- 58571 – Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g

- 58572 – Laparoscopy, surgical, with total hysterectomy, with removal of tube(s) and/or ovary(s), uterus 250 g or less

- 58573 – Laparoscopy, surgical, with total hysterectomy, with removal of tube(s) and/or ovary(s), uterus greater than 250 g

- 58140 – Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myomas with total weight of 250 grams or less and/or removal of surface myomas; abdominal approach

- 58558 – Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D&C

- 58356 – Endometrial ablation, thermal, without hysteroscopic guidance

These CPT codes are commonly associated with the treatment of ICD code N80.03. Proper code selection should be based on the specific procedure performed and clinical documentation.

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