2024 ICD-10-CM Diagnosis Code N85.8

Approximate Synonyms

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

• Acquired atrophy of uterus
• Arias-Stella effect on endometrium
• Atrophic endometrium
• Calcification of uterus
• Complex cyst of uterine adnexa
• Cyst of uterine adnexa
• Fibrosis of uterus
• Finding of consistency of uterus
• Finding of consistency of uterus
• Finding of consistency of uterus
• Finding of consistency of uterus
• Finding of pain of uterine contraction
• Finding of proportion of uterus
• Finding of sensation of gravid uterus
• Flaccid uterus
• Focal disruption of uterus
• Hydrometra
• Inadequate development of endometrium
• Incarceration of uterus
• Mass of uterus
• Morphological change in endometrium caused by intrauterine contraceptive device
• Mucometra
• Noninflammatory disorder of uterus
• Noninflammatory disorder of uterus
• Obstetric pain
• Old uterine laceration due to obstetric cause
• Pain of uterus
• Painful uterine contractions
• Perforation of uterus
• Polycystic mass of uterine adnexa
• Previous uterine surgical scar
• Reactive cellular changes caused by intrauterine contraceptive device
• Rupture of uterus
• Sacculation of uterus
• Scarring of uterus
• Scarring of uterus
• Small uterus
• Surgical scar
• Tender body of uterus
• Tender body of uterus
• Tender scar of gravid uterus
• Tender scar of lower uterine segment
• Tender scar of upper uterine segment
• Tenderness of female genital structure
• Tenderness of female genital structure
• Tenderness of female genital structure
• Ulcer of uterus
• Uterine cornual occlusion
• Uterine distension syndrome
• Uterine perforation post procedural
• Uterine spasm
• Uterus asymmetrical
• Uterus boggy
• Uterus firm
• Uterus globular in shape
• Uterus hard
• Uterus high
• Uterus irregular in shape
• Uterus ovoid in shape
• Very small uterus

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 .

N85.8 is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Convert N85.8 to ICD-9-CM

• ICD-9-CM Code: 621.8 - Disorders of uterus NEC
  Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Patient Education

Uterine Diseases

The uterus, or womb, is the place where a baby grows when a woman is pregnant. The first sign of a problem with the uterus may be bleeding between periods or after sex. Causes can include hormones, thyroid problems, fibroids, polyps, cancer, infection, or pregnancy.

Treatment depends on the cause. Sometimes birth control pills treat hormonal imbalances. If a thyroid problem is the cause, treating it may also stop the bleeding. If you have cancer or hyperplasia, an overgrowth of normal cells in the uterus, you may need surgery.

With two other uterine problems, tissue that normally lines the uterus grows where it is not supposed to. In endometriosis, it grows outside the uterus. In adenomyosis, it grows in the uterus's outside walls. Pain medicine may help. Other treatments include hormones and surgery.

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.