Valid for Submission
N97.9 is a billable diagnosis code used to specify a medical diagnosis of female infertility, unspecified. The code N97.9 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code N97.9 might also be used to specify conditions or terms like abnormal female reproductive function, abnormal reproductive state, female infertility, female infertility due to endometriosis, female infertility test abnormal , female sterility, etc.
The code N97.9 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 N97.9 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.
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 N97.9 are found in the index:
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:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Abnormal female reproductive function
- Abnormal reproductive state
- Female infertility
- Female infertility due to endometriosis
- Female infertility test abnormal
- Female sterility
- Fertility problem
- Infertility due to drug therapy
- Infertility due to infection
- Infertility due to radiation
- Infertility due to systemic disease
- Natural sterility
- Postoperative sterility
- Post-traumatic sterility
- Primary female infertility
- Primary infertility
- Secondary infertility
- Unexplained infertility
- FERTILITY AGENTS FEMALE-. compounds which increase the capacity to conceive in females.
- INFERTILITY FEMALE-. diminished or absent ability of a female to achieve conception.
Diagnostic Related Groups - MS-DRG Mapping
Convert N97.9 to ICD-9 Code
Information for Patients
Infertility means not being able to get pregnant after at least one year of trying (or 6 months if the woman is over age 35). If a woman keeps having miscarriages, it is also called infertility. Female infertility can result from age, physical problems, hormone problems, and lifestyle or environmental factors.
Most cases of infertility in women result from problems with producing eggs. In primary ovarian insufficiency, the ovaries stop functioning before natural menopause. In polycystic ovary syndrome (PCOS), the ovaries may not release an egg regularly or they may not release a healthy egg.
About a third of the time, infertility is because of a problem with the woman. One third of the time, it is a problem with the man. Sometimes no cause can be found.
If you think you might be infertile, see your doctor. There are tests that may tell if you have fertility problems. When it is possible to find the cause, treatments may include medicines, surgery, or assisted reproductive technologies. Happily, many couples treated for infertility are able to have babies.
Dept. of Health and Human Services Office on Women's Health
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