2027 ICD-10-CM Diagnosis Code N97.1Female infertility of tubal origin

ICD-10-CM Codes›N00–N99›N80-N98›N97

ICD-10-CM N97.1
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

N97.1 is a billable ICD-10-CM diagnosis code for female infertility of tubal origin. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 742 through 743, 760 through 761. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Female infertility.

Code Identity

ICD-10-CM Code
N97.1
Billable Status
Yes — Valid for Submission
Code Describes
Female infertility of tubal origin
Short Description
Female infertility of tubal origin
Same as the full description in the CMS dataset.
Parent Code
N97
Female infertility

Code Classification

ChapterN00–N99Diseases of the genitourinary system
SectionN80-N98Noninflammatory disorders of female genital tract
CategoryN97Female infertility
This CodeN97.1Female infertility of tubal origin

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Bilateral distal fallopian tube obstruction
  • Bilateral distal fallopian tube occlusion
  • Bilateral obstruction of fallopian tubes
  • Bilateral partial obstruction of fallopian tubes
  • Bilateral proximal fallopian tube obstruction
  • Bilateral proximal fallopian tube occlusion
  • Blocked fallopian tube
  • Complete obstruction of distal fallopian tube
  • Complete obstruction of distal left fallopian tube
  • Complete obstruction of distal right fallopian tube
  • Fallopian tube stenosis
  • Female infertility due to acquired stenosis of fallopian tube
  • Female infertility due to congenital anomaly of fallopian tube
  • Female infertility due to occlusion of fallopian tube
  • Female infertility of tubal origin
  • Fimbrial phimosis of fallopian tube
  • Obstruction of distal fallopian tube
  • Obstruction of left distal fallopian tube
  • Obstruction of left fallopian tube
  • Obstruction of proximal fallopian tube
  • Obstruction of proximal left fallopian tube
  • Obstruction of proximal right fallopian tube
  • Obstruction of right distal fallopian tube
  • Obstruction of right fallopian tube
  • Partial occlusion of fallopian tube
  • Partial occlusion of left fallopian tube
  • Partial occlusion of right fallopian tube
  • Primary tubal infertility
  • Secondary tubal infertility

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to N97.1: its own notes plus those printed at N97 and Chapter 14. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From N97 Female infertility applies to 5 codes
  • inability to achieve a pregnancy
  • sterility, female NOS

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • Female infertility associated with congenital anomaly of tube
  • Female infertility due to tubal block
  • Female infertility due to tubal occlusion
  • Female infertility due to tubal stenosis

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From N97 Female infertility applies to 5 codes
  • female infertility associated with:
  • hypopituitarism (E23.0)
  • Stein-Leventhal syndrome (E28.2)
  • incompetence of cervix uteri (N88.3)
From Chapter 14 (N00-N99) Diseases of the genitourinary system applies to 838 codes
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name N97.1, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming N97.1: they are not reported together with it, unless the two conditions are unrelated.

  • Z98.5 Sterilization status
    female infertility (N97.-) names N97.-, which includes this code

Excludes2 1

These codes carry an Excludes2 note naming N97.1: its condition is not part of those codes, and both may be reported when the patient has both.

  • Z31 Encounter for procreative management
    female infertility (N97.-) names N97.-, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

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

CCSR GEN024
Female infertility
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Infertility, Female

    diminished or absent ability of a female to achieve conception.

Patient EducationClinical

Female Infertility

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.

Read the full article at MedlinePlus

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

Convert N97.1 to ICD-9-CMHistory

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

ICD-9-CM
628.2 Infertility-tubal origin
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 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About N97.1Overview

What is the ICD-10 code for female infertility of tubal origin?

The ICD-10-CM code for female infertility of tubal origin is N97.1 (sometimes written as N971). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is N97.1 (Female infertility) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report female infertility of tubal origin on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does N97.1 group to?

When female infertility of tubal origin is the principal diagnosis on an inpatient stay, it groups to MS-DRG 742, 743, 760, 761, with relative weights from 0.7039 to 1.8448 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of N97.1?

Under the General Equivalence Mappings, female infertility of tubal origin converts to ICD-9-CM 628.2 (infertility-tubal origin). The mapping is a direct match.