2026 ICD-10-CM Diagnosis Code N85.7Hematometra

ICD-10-CM Codes›N00–N99›N80-N98›N85

ICD-10-CM N85.7
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

N85.7 is a billable ICD-10-CM diagnosis code for hematometra. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 742 through 743, 760 through 761. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified female genital disorders.

Code Identity

ICD-10-CM Code
N85.7
Billable Status
Yes — Valid for Submission
Code Describes
Hematometra
Short Description
Hematometra
Same as the full description in the CMS dataset.
Parent Code
N85
Other noninflammatory disorders of uterus, except cervix

Code Classification

ChapterN00–N99Diseases of the genitourinary system
SectionN80-N98Noninflammatory disorders of female genital tract
CategoryN85Other noninflammatory disorders of uterus, except cervix
This CodeN85.7Hematometra

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Hematometra
  • Hematopyometra
  • Pyometra

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Hematosalpinx with hematometra

Type 1 Excludes

  • hematometra with hematocolpos N89.7

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Hematometra
    • Hematosalpinx
      • with
        • hematometra
    • Hemorrhage, hemorrhagic(concealed)
      • intrauterine
    • Hemosalpinx
      • with
        • hematometra

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR GEN025
Other specified female genital disorders
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Hematometra

    blood-filled uterus.

  • Pyometra

    an accumulation of pus in the uterine cavity (uterus). pyometra generally indicates the presence of infections.

  • Uterus

    the hollow thick-walled muscular organ in the female pelvis. it consists of the fundus which is the site of embryo implantation and fetal development. beyond the isthmus at the perineal end of fundus, is cervix uteri (the neck) opening into vagina. beyond the isthmi at the upper abdominal end of fundus, are the fallopian tubes.

Patient EducationClinical

Uterine Diseases

The uterus, or womb, is the place where a fetus grows during pregnancy. Uterine diseases are conditions that affect the uterus. These diseases can be benign (not cancer) or malignant (cancerous). They may affect your menstrual periods, your ability to get pregnant, or the health of your reproductive organs.

The full article covers:

  • What are uterine diseases?
  • What causes uterine diseases?
  • What are the symptoms of uterine diseases?
  • How are uterine diseases diagnosed?
  • What are the treatments for uterine diseases?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert N85.7 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
621.4 Hematometra
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About N85.7Overview

Is N85.7 (Other noninflammatory disorders of uterus, except cervix) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report hematometra on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does N85.7 group to?

When hematometra is the principal diagnosis on an inpatient stay, it groups to MS-DRG 742, 743, 760, 761, with relative weights from 0.5696 to 1.8348 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of N85.7?

Under the General Equivalence Mappings, hematometra converts to ICD-9-CM 621.4 (hematometra). The mapping is a direct match.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.