Female Reproductive Healthcare - RHNTC

[Pages:5]FREQUENTLY USED CODES Commonly Used ICD-10 Codes in Reproductive Healthcare

Female Reproductive Healthcare

Breast Conditions

Infertility

Uterus

N60.(01/02) Solitary cyst of breast (R/L)

N97.0

Infertility-anovulation

C54.1

Cancer of endometrium

N60.(11/12) N61 N64.0 N64.3 N64.4 N63 N64.51 N64.53 N64.59 N64.53

O91.23 R92.8

Fibrocystic change (R/L)

E23.0

Hypopituarism

Mastitis, NOS

N97.1

Infertility-tubal origin

Fissure and fistula of nipple

N97.2

Infertility-uterine origin

Galactorrhea

N97.8

Infertility-cervical origin

Mastodynia Lump or mass in breast

N97.9

Female infertility, NOS

Induration of breast

Menopause

Retraction of nipple

N92.4

Perimenopausal menorrhagia

Other signs/ symptoms in breast N95.0

Postmenopausal bleeding

Retraction of nipple

N95.1

Menopausal syndrome

Mastitis, postpartum, unspec. N95.2

Atrophic vaginitis

Abnormal mammogram

N95.8

Symptoms w artificial menopause

C54.2 C54.3 C54.9

D25.9 N84.0 N84.8 N84.9 N85.00 N85.4

N85.6 N85.7 N85.9

Cancer of myometrium Cancer of fundus uteri Cancer of corpus uteri, unspec.

Uterine myoma Polyp of corpus uteri Polyp of other parts of fem genital Potrlyapctof fem. genital tract, unspec. Endometrial hyperplasia Malposition of uterus

Asherman's syndrome Hematometra Disorder of uterus, NOS

Cervix

N95.9

Menopausal disorder NOS

Urinary Tract

C53.0

C53.1 C53.9

Endocervical cancer

Exocervical cancer Cervical cancer, NOS

Ovary and Adnexa

N30. 10

C56.1

Malignant neoplasm of right ovary N30.11

C56.2

Malignant neoplasm of left ovary N34.3

Interstitial cystitis w/o hematuria Interstitial cystitis w/ hematuria Urethral syndrome

D06.0

CIN 3 biopsy endocervix

N83.0

Follicular cyst of ovary

N39.3

Stress incontinence

D06.1 D06.7 D06.8

CIN 3 exocervix CIN 3, other parts of cervix CIN 3, cervix, unspecified

N83.1 N83.20 N83.29

Corpus luteum cyst Unspecified ovarian cysts Other ovarian cysts

N39.41 N39.46 R30.0

Urge incontinence Mixed incontinence Dysuria

N86

Erosion/ectropion cervix

N83.51

Torsion of ovary and ovarian

R32

Urinary incontinence, unspecified

N87.9

Dysplasia, NOS

N83.52

Tpeodrsiciolen of fallopian tube

R35.0

Urinary frequency

N87.0 N87.1 N88,1

CIN 1 biopsy CIN 2 biopsy Leukoplakia

N83.53 N83.9

Torsion of ovary, ovarian pedicle R35.8

and fallopian tube

R39.11

Noninflammatory disorder of

R39.14

Other polyuria Urinary hesitancy Incomplete bladder emptying

N88.2

Stricture/stenosis of cervix

ovary, fallopian tube and broad R39.15 Urinary urgency

N84.1 R87.619

Cervical polyp AGC cytology

ligament, unspecified

R39.16 Straining on urination

R87.610 R87.611 R87.612 R87.613

R87.810 R87.614 R87.616

R87.615

ASC-US cytology ASC-H cytology LSIL cytology HSIL cytology

High risk HPV-DNA positive Cytologic evidence of malignancy Lacking transformation zone

Unsatisfactory cytology

Endometriosis

N80.0

Endometriosis of uterus

N80.3

Endometriosis of pelvic

N80.6

pEenrdiotomneeturmiosis in cutaneous scar

N80.9

Endometriosis, unspecified

Gynecological Endocrine

L68.0

Hirsuitism

L68.1

Acquired hypertrichosis

L68.2

lLaoncuagliinzeodsahypertrichosis

E28.310 Premature menopause

E28.319 (Psryemmpattoumres)menopause

L68.3

(Polytrichia

L68.8

Other hypertrichosis

256.4

PCOS

Pain Syndromes

Vagina

G43.001 Migraine, without aura

N89.0

G43.101 Migraine, with aura

N89.1

G43.829 Migraine menstrual,not intractable N89.3

G43.909 Migraine, unspecified

N89.6

G44.209 Headache, tension

N89.8

G44.(221/229) Headache, chronic tension-type N89.9

(intractable/ not intractable)

M60.8-851 Myofascial pain

Vulva

N94. (4/5/6) Dysmenorrhea

C51.9

N94.0

M(pitrtiemlsacrhym/serczondary/unspec.)

D07.1

N94.1

Dyspareunia

D28.0

N94.2

Vaginismus

L28.0

N94.810 Vulvar vestibulitis

L28.1

N94.819 Vulvodynia, NOS

L90.0

R10.10

Upper abdominal pain, unspecified L94.0

L94.1

R10.2 R10.2

Pelvic and perineal pain Pelvic and perineal pain

L94.3 N84.3

R10.30

R10.32 R10.33 R51

Lower abdominal pain, unspecified N90.0

Abdominal pain, LLQ Abdominal pain, RLQ Headache, unspecified

N90.1 N90.89 N90.9

Mild vaginal dysplasia Moderate vaginal dysplasia Dysplasia of vagina, unspecified Tight hymenal ring Other specified noninflammatory Ndoisnoinrfdlaemrsmoaftovargyindaisorder, NOS

Vulvar neoplasm, malignant VIN 3 Vulvar neoplasm, benign Lichen simplex chronicus Prurigo nodularis Lichen sclerosus et atrophicus Localized scleroderma [morphea] Linear scleroderma Sclerodactyly Polyp of vulva VIN I VIN 2 Other specified noninflammatory Ndoisnoinrfdlaemrsdoifs vvuullvvaa,aNndOpSerineum

E66.8

Other obesity

E28.2

Obesity, morbid

E66.3

Overweight

F50.9

EnaotisnygmDpitsoomrdse) r, unspecified

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FREQUENTLY USED CODES Commonly Used ICD-10 Codes in Reproductive Healthcare (cont'd)

Male Reproductive Healthcare

A63.0 Penile lesion

E29.1 Testicular hypofunction

F52.0 Hypoactive sexual desire disorder

F52.21 Male erectile disorder F52.4 Premature ejaculation

F52.8 Other sexual dysfunction, not

related to substance use

/psychological cond.

I86.1 Scrotal varices

K62.7 Radiation proctitis

K62.89 Other specified diseases of anus

and rectum K62.9 Disease of anus and rectum, NOS

L23.9 Allergic contact dermatitis,

L24.9 L25.9

L30.0

unspecified cause Irritant contact dermatitis,

uUnnssppeecciiffiieeddccaounsteact dermatitis, unspecified cause Nummular dermatitis

L30.2 Cutaneous autosensitization

L30.8 Other specified dermatitis

L30.9 L66.3

Dermatitis, unspecified Perifolliculitis capitis abscedens

L73.1 Pseudofolliculitis barbae

L73.8 Other specified follicular disorders

N34.1 Nonspecific urethritis (NGU)

N34.1 Non-specific urethritis

N34.2 Other Urethritis N39.3 Stress incontinence

N39.43 Post-void dribbling

N40.0 Enlarged prostate without lower

urinary tract symptoms N40.1 Enlarged prostate with lower

urinary tract symptoms N41.0 Prostatitis, acute

N41.1 Prostatitis, chronic

N41.9 Prostatitis, NOS N43.(40/41/42) Spermatocele

unspec/single/multiple N43.3 Hydrocele

N44.00 Torsion of testis, unspecified

N45.1 Epididymitis

N45.2 Orchitis

N45.3 Epididymo-orchitis N46.9 Infertility, male

N47.0 Adherent prepuce, newborn

N47.1 Phimosis

N47.2 Paraphimosis

N47.3 Deficient foreskin N47.4 Benign cyst of prepuce

N47.5 Adhesions of prepuce and glans

N47.6 pBeanlainsoposthitis

N47.7 Other inflammatory diseases of

N47.8 pOrtehpeurcdeisorders of prepuce N48.(30-39) Priapisms

N48.1 Balanitis

N48.9 Disorder of penis, unspecified N50.9 Disorder of male genital organs

N52.01 NEDOdSue to arterial insufficiency N52.02 Corporo-venous occlusive ED

Male Reproductive Healthcare (cont'd)

N52.03

N52.1

N52.2 N52.31 N52.32 N52.33 N52.34 N52.39 N62 R10.2 R21 R36.0 R36.1 R36.9

Combined arterial insufficiency and corporo-venous occlusive ED

ED due to diseases classified elsewhere Drug-induced ED ED following radical prostatectomy ED following radical cystectomy ED following urethral surgery ED following simple prostatectomy Other post-surgical ED Gynecomastia Pelvic and perineal pain Rash, non-specific skin eruption Urethral discharge w/o blood Hematospermia Urethral discharge unspecified

Counseling

F17.(200-291) Tobacco Abuse F32.9 Depressive disorder, single episode

F33.9 Depressive disorder, recurrent F41.1 Anxiety, generalized F50.9 Eating disorder, unspecified R68.82 Decreased libido Z60.(0-9) Problems related to social

environment Z71.(41-60) Counseling on substance

use/abuse

Z71.3 Z71.7

Dietary surveillance and counseling Human Immunodeficiency virus (HIV) counseling

Z71.89 Other specified counseling Z71.9 Counseling NOS

Complications

K68.11 Postprocedural retroperitoneal

R55

Sabynsceospse (vasovagal)

T50.99 Drug allergy or hypersensitivity

T5A81.4x Infection following a procedure

TxA83.31 Mechanical breakdown of IUD

TxA83.32 Displacement of IUD

TxA83.39 Other mechanical complication of

TxA83.49 MIUeDchanical complication of implant

T8A83.59 Infection due to IUD/implant in

TxA83.6x uInrfiencatriyontrdacute to IUD/implant in

xA

genital tract

Other Signs and Symptoms

G93.3 Postviral fatigue syndrome

R11.0 Nausea, alone

R11.10 Vomiting, unspecified

R11.11 Vomiting without nausea

R11.12 Projectile vomiting

R11.2 Nausea with vomiting

R50.2 Drug induced fever

R50.2 Drug induced fever

R50.9 Fever, unspecified

R53.0 Neoplastic (malignant) related

R53.1 W fatiegaukeness

R53.81 Other malaise

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FREQUENTLY USED CODES

Commonly Used ICD-10 Codes in Reproductive Healthcare (cont'd)

Infectious Conditions

Cervicitis N72 Cervicitis

Chlamydia

A56.19 Unspecified site A56.3 Proctitis (anus/rectum)

A56.4 Pharynx

A56.8 Chlamydial infection of other sites

N34.1 N72

Non-specific urethritis Cervicitis

Ectoparasites

B85.3 Pediculosis (crab lice)

B86

Scabies

Genital Herpes

A60.00 Herpesviral infection of urogenital

A60.01 A60.02

system, unspecified

Herpetic ulceration of penis Herpesviral infection of other male

A60.03 A60.04

genital organs Herpesviral cervicitis Herpetic vulvovaginitis

A60.09 Herpesviral infection of other

A60.1

urogenital tract Herpesviral infection of perianal skin

and rectum

A60.9 Anogenital herpesviral infection,

K62.6

unspecified Ulcer of anus, rectum

Genital Warts

A63.0 Anogenital (venereal) warts

B07.9 B08.1

Viral warts, NOS Molluscum contagiosum

B97.7

HPV infection, unspecified site

Gonorrhea (GC) A54.00 GC infection of lower genitourinary

tract, unspecified A54.01 Cystitis and urethritis, unspecified A54.02 GC vulvovaginitis, NOS A54.03 GC cervicitis, unspecified A54.09 Other GC infection of lower

genitourinary tract A54.1 GC infection of lower genitourinary

tract w/ periurethral & accessory gland abscess A54.21 Infection of kidney and ureter A54.22 Prostatitis A54.23 GC infection of other male genital organs A54.24 GC female PID

A54.29 Other GC genitourinary infections A54.29 Other GC genitourinary infection A54.5 Gonococcal pharyngitis A54.6 Proctitis (anus/rectum)

Pelvic Inflammatory Disease (PID)

N70.11 Chronic salpingitis

N70.12 Chronic oophoritis

N70.13 Chronic salpingitis and oophoritis

N70.91 Salpingitis, unspecified

N70.92 Oophoritis, unspecified

N70.93 Salpingitis and oophoritis, unspec.

N71.0 Acute inflamm. disease of uterus

N71.1 N73.0

Uterus: chronic inflamm. disease Acute parametritis & pelvic cellulitis

N73.1 Chronic parametritis & pelvic

N73.2 Ucenllsuplietcis. parametritis & pelvic

cellulitis

PID (Cont'd) N73.3 Female acute pelvic peritonitis N73.6 Female pelvic peritoneal adhesions

Syphilis (postinfective)

A51.0 Primary genital syphilis A51.31 Condyloma latum

A51.39 Other secondary syphilis of skin A51.5 Early syphilis, latent

A52.11 Tabes dorsalis A52.16 Charc?t's arthropathy (tabetic)

Urinary Tract Infection

N11.9 N12

N13.6

Chronic tubulo-interstitial nephritis, Tuunbsuploec-iinfiteedrstitial nephritis, not specified as acute or chronic

Pyonephrosis

N30.00 Acute cystitis without hematuria N30.01 Acute cystitis with hematuria

R30.0 Dysuria

R30.9 Painful micturition, unspecified

R31.9 Hematuria, unspecified

R35.0 Frequency of micturition

Vaginal Infection

A59.01 Trichomonal vulvovaginitis B37.3 Candidiasis of vulva and vagina N76.0 Acute vaginitis N76.1 Subacute and chronic vaginitis N76.2 Acute vulvitis N76.3 Subacute and chronic vulvitis

Vulvar Infection & Inflammation B35.6 Tinea cruris N75.0 Cyst of Bartholin's gland

N75.1 Abscess of Bartholin's gland

N75.8 Other diseases of Bartholin's gland

N76.0 Acute vaginitis N76.1 Subacute and chronic vaginitis N76.2 Acute vulvitis N76.3 Subacute and chronic vulvitis N76.4 Abscess of vulva N76.6 Ulceration of vulva

Former V codes Cervical Cytology

Z01.42 Pap to confirm recent normal Pap after abnormal Pap

Z08

Vaginal Pap after hyst for cancer

Z12.4 Screening Pap smear cervix Z85.41 History of cervical cancer

Z87.42 History of abnormal cytology/other abnormal diseases of genital tract

Contraception

Z30.011 Prescribe oral contraceptives

Z30.012 Encounter for emergency cont. Z30.013 Initial Rx of injectable contraceptive Z30.014 Initial Rx of IUD

Z30.018 Initial Rx of other contraceptives

Z30.019 Initial Rx of contraceptives, NOS

Z30.02 Natural FP to avoid pregnancy Z30.09 Other contraception counseling

Z30.2 Z30.40

Z30.41

Sterilization procedure Contraceptive surveillance NOS Surveillance of OC user

Z30.42 Surveillance of injectable cont.

Z30.430 Insertion of IUD

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Contraception (Cont'd)

Z30.431 IUD surveillance

Z30.432 Z30.433 Z30.49 Z30.8 Z30.9

Z97.5

Removal of IUD Removal + reinsertion of IUD Surveillance of other contraceptives Other contraceptive management

Contraceptive management, NOS Presence of (intrauterine) device

Z98.51 Tubal ligation status

Z98.52 Vasectomy status

Miscellaneous

Z23

(Prophylactic) vaccination

Z31.61 Natural FP to achieve pregnancy

Z31.69 Procreative mgmt. - counseling: preconception care

F52.9 Sexual func. Problem-no psych cond.

Pregnancy Evaluation Z32.00 Pregnancy test/exam - not confirmed Z32.01 Pregnancy test/exam, positive Z32.02 Pregnancy test/exam, negative

Preventive Medicine Visits

Z00.00 Z00.01

General adult medical exam w/o abnormal findings General adult medical exam w/ abnormal findings

Z01.411 Gyn. Exam w/ abnormal findings Z01.419 Gyn. exam w/o abnormal findings Z12.39 Screening breast exam

Procreative Management

Z31.41 Z31.430 Z31.438 Z31.440 Z31.448

Fertility testing (semen analysis) Testing of female genetic disease

cOatrhrieerrgsetnateutsic testing of female Testing of male for genetic disease

Ocatrhreierrgsetnateutsic testing of male

Z31.5 Z31.61

Z31.69

Z31.81 Z31.82 Z31.89 Z31.9 Z98.51 Z98.52

Genetic counseling Procreative counseling /advice using natural family planning Preconception care (other procreative management Encounter for male factor infertility iEnnfceomunalteerpafotirenRth incompatibility sOtatthuesr procreative management Unspecified procreative mgmt.

Tubal ligation status Vasectomy status

Sexually Transmitted Infection

Z11.3 Screening for bacterial STDs (GC)

Z11.4 Z11.51 Z11.59 Z11.8 Z20.2

Screening for HIV HPV screening

Screening for other viral diseases Chlamydia screening Contact with or exposure to STI

Z22.4

Z71.1 Z71.7 Z71.89 Z71.9 Z72.51

Carrier/suspected carrier of STI Worried, well

HIV counseling Counseling on other STDs Counseling NOS High risk heterosexual behavior

Z72.52 High risk homosexual behavior

Z72.53 High risk bisexual behavior Z86.19 Personal history of STI

Commonly Used Current Procedural Terminology (CPT) Codes in Reproductive Healthcare

Cervix 57452 Colpo, no biopsy 57454 Colpo, biopsy + ECC 57455 Colpo, biopsy only 57456 Colpo, ECC only 57460 Colpo + LEEP 57461 Colpo + LEEP cone 57500 Cervical biopsy only

57505 ECC only 57511 Cryotherapy 57513 Laser ablation 57520 Knife or laser cone biopsy 57522 LEEP only 57800 Dilation of canal

Genital Wart Treatment 46900 Anal ( ................
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