ICD-10-CM Code N74

Female pelvic inflammatory disorders in diseases classified elsewhere

Version 2020 Billable Code Diagnoses For Females Only Manifestation Diagnoses

Valid for Submission

N74 is a billable code used to specify a medical diagnosis of female pelvic inflammatory disorders in diseases classified elsewhere. The code is valid for the year 2020 for the submission of HIPAA-covered transactions.

The code N74 is applicable to female patients only. It is clinically and virtually impossible to use this code on a non-female patient.

ICD-10:N74
Short Description:Female pelvic inflam disorders in diseases classd elswhr
Long Description:Female pelvic inflammatory disorders in diseases classified elsewhere

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code N74:

Code First

Code First
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
  • underlying disease

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • chlamydial cervicitis A56.02
  • chlamydial pelvic inflammatory disease A56.11
  • gonococcal cervicitis A54.03
  • gonococcal pelvic inflammatory disease A54.24
  • herpesviral herpes simplex cervicitis A60.03
  • herpesviral herpes simplex pelvic inflammatory disease A60.09
  • syphilitic cervicitis A52.76
  • syphilitic pelvic inflammatory disease A52.76
  • trichomonal cervicitis A59.09
  • tuberculous cervicitis A18.16
  • tuberculous pelvic inflammatory disease A18.17

Code Edits

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

  • Diagnoses for females only - Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, this code applies to FEMALES only .
  • Manifestation diagnoses - Manifestation codes describe the manifestation of an underlying disease, not the disease itself, and therefore should not be used as a principal diagnosis.

Diagnostic Related Groups

The ICD-10 code N74 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2019 through 09/30/2020.

  • 742 - UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC
  • 743 - UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC

Convert N74 to ICD-9

  • 614.8 - Fem pelv inflam dis NEC (Approximate Flag)

Code Classification

  • Diseases of the genitourinary system (N00–N99)
    • Inflammatory diseases of female pelvic organs (N70-N77)
      • Female pelvic inflam disorders in diseases classd elswhr (N74)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Pelvic Inflammatory Disease

Pelvic inflammatory disease (PID) is an infection and inflammation of the uterus, ovaries, and other female reproductive organs. It causes scarring in these organs. This can lead to infertility, ectopic pregnancy, pelvic pain, abscesses, and other serious problems. PID is the most common preventable cause of infertility in the United States.

Gonorrhea and chlamydia, two sexually transmitted diseases, are the most common causes of PID. Other bacteria can also cause it. You are at greater risk if you

  • Are sexually active and younger than 25
  • Have more than one sex partner
  • Douche

Some women have no symptoms. Others have pain in the lower abdomen, fever, smelly vaginal discharge, irregular bleeding, and pain during intercourse or urination. Doctors diagnose PID with a physical exam, lab tests, and imaging tests. Antibiotics can cure PID. Early treatment is important. Waiting too long increases the risk of infertility.


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