ICD Code N80.9

ICD code N80.9 is used to classify a diagnosis of endometriosis when the specific location of the endometrial tissue growth is not specified. Endometriosis is a condition where tissue similar to the lining inside the uterus grows outside the uterus, causing pain and potentially affecting fertility. This code is utilized when the documentation does not provide enough detail to assign a more specific code within the endometriosis category.

When considering the use of the ICD code for endometriosis, unspecified, healthcare providers should evaluate the following diagnostic criteria and symptoms:

1. Chronic Pelvic Pain: Persistent pain in the pelvic region that is not attributable to other identifiable causes.

2. Dysmenorrhea: Severe menstrual cramps that are more intense than typical menstrual discomfort.

3. Dyspareunia: Pain during or after sexual intercourse, which cannot be explained by other conditions.

4. Infertility: Difficulty in conceiving after a year of unprotected intercourse, with no other identifiable causes.

5. Dyschezia: Painful bowel movements, often associated with menstruation, without other gastrointestinal disorders.

6. Dysuria: Painful urination, particularly during menstruation, in the absence of urinary tract infections.

7. Abnormal Menstrual Bleeding: Irregular or heavy menstrual bleeding that cannot be attributed to other gynecological conditions.

8. Pelvic Masses or Nodules: Detection of masses or nodules in the pelvic region during a physical examination or imaging studies, without a definitive diagnosis.

9. Laparoscopic Findings: Visual confirmation of endometrial-like tissue outside the uterus during a laparoscopic procedure, without specific localization.

10. Non-Specific Gastrointestinal Symptoms: Symptoms such as bloating, nausea, or diarrhea that coincide with the menstrual cycle and are not explained by other gastrointestinal conditions.

These criteria should be considered collectively, and the ICD code should be used when the clinical presentation aligns with endometriosis but lacks specific localization or detailed classification.

For the ICD code N80.9, which pertains to endometriosis, unspecified, the relevant CPT codes that may be applicable for treatment or management include:

1. CPT 58662 - Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method.

2. CPT 58356 - Endometrial ablation, thermal, without hysteroscopic guidance.

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

4. CPT 58940 - Oophorectomy, partial or total, unilateral or bilateral.

5. CPT 58661 - Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy).

6. CPT 58670 - Laparoscopy, surgical; with fulguration of oviducts (with or without transection).

These CPT codes are typically used in the context of surgical interventions or procedures that may be performed to manage or treat conditions associated with the ICD code N80.9. It is important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the clinical scenario.

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