ICD Code N97.9

ICD code N97.9 is female infertility, unspecified, meaning a woman is unable to conceive and the specific cause has not been identified.

1. Female patient has been unable to conceive after 12 months of regular, unprotected sexual intercourse (or after 6 months if age 35 or older).

2. No specific cause of infertility has been identified after appropriate clinical evaluation.

3. Absence of documented ovulatory dysfunction, tubal factor, uterine factor, endometriosis, or other known reproductive disorders.

4. No evidence of male factor infertility contributing to the inability to conceive.

5. Patient may present with a normal menstrual history or nonspecific menstrual irregularities.

6. All relevant laboratory, imaging, and diagnostic tests fail to reveal a definitive etiology for infertility.

Relevant CPT codes that may be used to treat ICD code N97.9 include:

- 58670: Laparoscopy, surgical; with fulguration of oviducts (with or without transection)

- 58662: Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis)

- 58322: Artificial insemination; intra-uterine

- 58970: Follicle puncture for oocyte retrieval, any method

- 58350: Chromotubation of oviduct, including materials

- 76830: Ultrasound, transvaginal

- 81025: Urine pregnancy test, by visual color comparison methods

- 89250–89268: Assisted reproductive technology procedures (e.g., IVF, embryo culture, cryopreservation)

- 99384–99387: Initial comprehensive preventive medicine evaluation (new patient, age appropriate)

- 99394–99397: Periodic comprehensive preventive medicine reevaluation (established patient, age appropriate)

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