ICD-10 Code N80.4

Endometriosis of rectovaginal septum and vagina

Version 2019 Billable Code Diagnoses For Females Only
ICD-10:N80.4
Short Description:Endometriosis of rectovaginal septum and vagina
Long Description:Endometriosis of rectovaginal septum and vagina

Valid for Submission

ICD-10 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 2019 for the submission of HIPAA-covered transactions.

Code Classification

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

Information for Medical Professionals

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 - Diagnoses for females only.

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). The diagnosis code N80.4 is grouped in the following groups for version MS-DRG V36.0 applicable from 10/01/2018 through 09/30/2019.

  • 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

The following crosswalk between ICD-10 to ICD-9 is based based on the General Equivalence Mappings (GEMS) information:

  • 617.4 - Vaginal endometriosis

Synonyms

The following clinical terms are approximate synonyms:

  • Endometriosis of rectovaginal septum
  • Endometriosis of 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:


Information for Patients


Endometriosis

Also called: Endo

The uterus, or womb, is the place where a baby grows when a woman is pregnant. Endometriosis is a disease in which the kind of tissue that normally grows inside the uterus grows outside the uterus. It can grow on the ovaries, fallopian tubes, bowels, or bladder. Rarely, it grows in other parts of the body.

Symptoms include

  • Pain, usually in the abdomen, lower back, or pelvic areas
  • Infertility
  • Heavy periods and bleeding between periods
  • Painful menstrual cramps

Some women have no symptoms at all. Having trouble getting pregnant may be the first sign.

The cause of endometriosis is not known. Surgery, usually a laparoscopy, is currently the only way to be sure that you have endometriosis. Your health care provider will first take your medical history, do a pelvic exam, and maybe do imaging tests.

There is no cure, but treatments help with pain and infertility. They include pain medicines, hormone treatments, and surgery.

NIH: National Institute of Child Health and Human Development

  • Endometriosis (Medical Encyclopedia)
  • Living with endometriosis (Medical Encyclopedia)

[Read More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.