ICD-10-CM Code N80.4

Endometriosis of rectovaginal septum and vagina

Version 2020 Billable Code Diagnoses For Females Only

Valid for Submission

N80.4 is a billable code used to specify a medical diagnosis of endometriosis of rectovaginal septum and vagina. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code N80.4 might also be used to specify conditions or terms like endometriosis of rectovaginal septum or endometriosis of vagina.

The code N80.4 is applicable to female patients only. It is clinically and virtually impossible to use this code on a non-female patient.

ICD-10:N80.4
Short Description:Endometriosis of rectovaginal septum and vagina
Long Description:Endometriosis of rectovaginal septum and vagina

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code N80.4 are found in the index:


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 .

Synonyms

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

  • Endometriosis of rectovaginal septum
  • Endometriosis of vagina

Diagnostic Related Groups

The ICD-10 code N80.4 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 N80.4 to ICD-9

  • 617.4 - Vaginal endometriosis

Code Classification

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

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


Endometriosis

What is endometriosis?

The uterus, or womb, is the place where a baby grows when a woman is pregnant. It is lined with tissue (endometrium). Endometriosis is a disease in which tissue that is similar to the lining of the uterus grows in other places in your body. These patches of tissue are called "implants," "nodules," or "lesions." They are most often found

  • On or under the ovaries
  • On the fallopian tubes, which carry egg cells from the ovaries to the uterus
  • Behind the uterus
  • On the tissues that hold the uterus in place
  • On the bowels or bladder

In rare cases, the tissue may grow on your lungs or in other parts of your body.

What causes endometriosis?

Researchers don't know what causes endometriosis.

Who is at risk for endometriosis?

Endometriosis is most commonly diagnosed in women in their 30s and 40s. But it can affect any female who menstruates. Certain factors can raise or lower your risk of getting it.

You are at higher risk if

  • You have a mother, sister, or daughter with endometriosis
  • Your period started before age 11
  • Your monthly cycles are short (less than 27 days)
  • Your menstrual cycles are heavy and last more than 7 days

You have a lower risk if

  • You have been pregnant before
  • Your periods started late in adolescence
  • You regularly exercise more than 4 hours a week
  • You have a low amount of body fat

What are the symptoms of endometriosis?

The main symptoms of endometriosis are

  • Pelvic pain, which affects about 75 percent of women with endometriosis. It often happens during your period.
  • Infertility, which affects up to half of all women with endometriosis

Other possible symptoms include

  • Painful menstrual cramps, which may get worse over time
  • Pain during or after sex
  • Pain in the intestine or lower abdomen
  • Pain with bowel movements or urination, usually during your period
  • Heavy periods
  • Spotting or bleeding between periods
  • Digestive or gastrointestinal symptoms
  • Fatigue or lack of energy

How is endometriosis diagnosed?

Surgery is the only way to know for sure that you have endometriosis. First, however, your health care provider will ask about your symptoms and medical history. You will have a pelvic exam and may have some imaging tests.

The surgery to diagnose endometriosis is a laparoscopy. This is a type of surgery that uses a laparoscope, a thin tube with a camera and light. The surgeon inserts the laparoscope through a small cut in the skin. Your provider can make a diagnosis based on how the patches of endometriosis look. He or she may also do a biopsy to get a tissue sample.

What are the treatments for endometriosis?

There is no cure for endometriosis, but there are treatments for the symptoms. Your health care provider will work with you to decide which treatments would be best for you.

Treatments for endometriosis pain include

  • Pain relievers, including nonsteroidal anti-inflammatory drugs (NSAIDS) such as ibuprofen and a prescription medicine specifically for endometriosis. Providers may sometimes prescribe opioids for severe pain.
  • Hormone therapy, including birth control pills, progestin therapy, and gonadotropin-releasing hormone (GnRH) agonists. GnRH agonists cause a temporary menopause, but also help control the growth of endometriosis.
  • Surgical treatments for severe pain, including procedures to remove the endometriosis patches or cut some nerves in the pelvis. The surgery may be a laparoscopy or major surgery. The pain may come back within a few years after surgery. If the pain is very severe, a hysterectomy may be an option. This is a surgery to remove the uterus. Sometimes providers also remove the ovaries and fallopian tubes as part of a hysterectomy.

Treatments for infertility caused by endometriosis include

  • Laparoscopy to remove the endometriosis patches
  • In vitro fertilization

NIH: National Institute of Child Health and Human Development


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