2024 ICD-10-CM Diagnosis Code N80.A49

Superficial endometriosis of unspecified ureter

ICD-10-CM Code:
N80.A49
ICD-10 Code for:
Superficial endometriosis of unspecified ureter
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)
      • Endometriosis
        (N80)

N80.A49 is a billable diagnosis code used to specify a medical diagnosis of superficial endometriosis of unspecified ureter. 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.

Unspecified diagnosis codes like N80.A49 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

Clinical Classification

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 .

Replacement Code

N80A49 replaces the following previously assigned ICD-10-CM code(s):

  • N80.8 - Other endometriosis

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - Code Added, effective from 10/1/2022 through 9/30/2023

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.