ICD-10-CM Code N85.01

Benign endometrial hyperplasia

Version 2020 Billable Code Diagnoses For Females Only

Valid for Submission

N85.01 is a billable code used to specify a medical diagnosis of benign endometrial hyperplasia. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code N85.01 might also be used to specify conditions or terms like benign endometrial hyperplasia or complex endometrial hyperplasia or complex endometrial hyperplasia without atypia or simple endometrial glandular hyperplasia without atypia or simple endometrial hyperplasia.

The code N85.01 is applicable to female patients only. It is clinically and virtually impossible to use this code on a non-female patient.

ICD-10:N85.01
Short Description:Benign endometrial hyperplasia
Long Description:Benign endometrial hyperplasia

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 N85.01:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Endometrial hyperplasia (complex) (simple) without atypia

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 N85.01 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:

  • Benign endometrial hyperplasia
  • Complex endometrial hyperplasia
  • Complex endometrial hyperplasia without atypia
  • Simple endometrial glandular hyperplasia without atypia
  • Simple endometrial hyperplasia

Diagnostic Related Groups

The ICD-10 code N85.01 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 N85.01 to ICD-9

  • 621.31 - Simp endo hyper w/o atyp (Approximate Flag)
  • 621.32 - Comp endo hyper w/o atyp (Approximate Flag)
  • 621.34 - Ben endomet hyperplasia (Approximate Flag)

Code Classification

  • Diseases of the genitourinary system (N00–N99)
    • Noninflammatory disorders of female genital tract (N80-N98)
      • Other noninflammatory disorders of uterus, except cervix (N85)

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


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.


[Learn More]