ICD-10-CM Code Z90.721

Acquired absence of ovaries, unilateral

Version 2020 Billable Code Diagnoses For Females Only Unacceptable Principal Diagnosis POA Exempt

Valid for Submission

Z90.721 is a billable code used to specify a medical diagnosis of acquired absence of ovaries, unilateral. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z90.721 might also be used to specify conditions or terms like acquired absence of female genital organ, acquired absence of genital organ, acquired absence of ovary, history of left oophorectomy, history of left oophorectomy, history of left salpingo-oophorectomy, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code Z90.721 is applicable to female patients only. It is clinically and virtually impossible to use this code on a non-female patient.

ICD-10:Z90.721
Short Description:Acquired absence of ovaries, unilateral
Long Description:Acquired absence of ovaries, unilateral

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 Z90.721 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 .
  • Unacceptable principal diagnosis - There are selected codes that describe a circumstance which influences an individual’s health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Acquired absence of female genital organ
  • Acquired absence of genital organ
  • Acquired absence of ovary
  • History of left oophorectomy
  • History of left oophorectomy
  • History of left salpingo-oophorectomy
  • History of prophylactic oophorectomy
  • History of right oophorectomy
  • History of right oophorectomy
  • History of right salpingo-oophorectomy
  • Ovary absent
  • Unilateral oophorectomy

Diagnostic Related Groups

The ICD-10 code Z90.721 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

Present on Admission (POA)

Z90.721 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here .

CMS POA Indicator Options and Definitions
POA Indicator CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert Z90.721 to ICD-9

  • V45.77 - Acq absnce genital organ (Approximate Flag)

Code Classification

  • Factors influencing health status and contact with health services (Z00–Z99)
    • Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)
      • Acquired absence of organs, not elsewhere classified (Z90)

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


Ovarian Disorders

The ovaries are part of the female reproductive system. Women have two ovaries, one on each side of the uterus. Each ovary is about the size and shape of an almond.

The ovaries produce and store a woman's eggs. During ovulation, an ovary releases an egg. If that egg is fertilized by a sperm, a pregnancy can occur. Ovaries also make the female hormones estrogen and progesterone. When a woman goes through menopause, her ovaries stop making those hormones and releasing eggs.

Problems with the ovaries include

  • Ovarian cancer
  • Ovarian cysts and polycystic ovary syndrome
  • Primary ovarian insufficiency
  • Ovarian torsion, a twisting of the ovary

[Learn More]