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  6. 2024 ICD-10-CM Code N97.1

2024 ICD-10-CM Diagnosis Code N97.1

Female infertility of tubal origin

ICD-10-CM Code:
N97.1
ICD-10 Code for:
Female infertility of tubal origin
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Chronic
Code Navigator:

Code Classification

  • Diseases of the genitourinary system
    (N00–N99)
    • Noninflammatory disorders of female genital tract
      (N80-N98)
      • Female infertility
        (N97)

N97.1 is a billable diagnosis code used to specify a medical diagnosis of female infertility of tubal origin. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

This code is applicable to female patients only. It is clinically and virtually impossible to use this code on a non-female patient.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Bilateral distal fallopian tube obstruction
  • Bilateral distal fallopian tube occlusion
  • Bilateral obstruction of fallopian tubes
  • Bilateral proximal fallopian tube obstruction
  • Bilateral proximal fallopian tube occlusion
  • Blocked fallopian tube
  • Fallopian tube stenosis
  • Female infertility due to acquired stenosis of fallopian tube
  • Female infertility due to congenital anomaly of fallopian tube
  • Female infertility due to occlusion of fallopian tube
  • Female infertility of tubal origin
  • Fimbrial phimosis of fallopian tube
  • Obstruction of distal fallopian tube
  • Obstruction of left fallopian tube
  • Obstruction of proximal fallopian tube
  • Obstruction of proximal left fallopian tube
  • Obstruction of proximal right fallopian tube
  • Obstruction of right fallopian tube
  • Partial occlusion of fallopian tube
  • Primary tubal infertility
  • Secondary tubal infertility

Clinical Classification

Clinical Information

  • Female Infertility

    infertility in a woman.

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Female infertility associated with congenital anomaly of tube
  • Female infertility due to tubal block
  • Female infertility due to tubal occlusion
  • Female infertility due to tubal stenosis

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10-CM Code Edits are applicable to this code:

  • Diagnoses for females only - The Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, these edits apply to FEMALES only .

Convert N97.1 to ICD-9-CM

  • ICD-9-CM Code: 628.2 - Infertility-tubal origin

Patient Education


Female Infertility

Infertility means not being able to get pregnant after at least one year of trying (or 6 months if the woman is over age 35). If a woman keeps having miscarriages, it is also called infertility. Female infertility can result from age, physical problems, hormone problems, and lifestyle or environmental factors.

Most cases of infertility in women result from problems with producing eggs. In primary ovarian insufficiency, the ovaries stop functioning before natural menopause. In polycystic ovary syndrome (PCOS), the ovaries may not release an egg regularly or they may not release a healthy egg.

About a third of the time, infertility is because of a problem with the woman. One third of the time, it is a problem with the man. Sometimes no cause can be found.

If you think you might be infertile, see your doctor. There are tests that may tell if you have fertility problems. When it is possible to find the cause, treatments may include medicines, surgery, or assisted reproductive technologies. Happily, many couples treated for infertility are able to have babies.

Dept. of Health and Human Services Office on Women's Health


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.