Female Reproductive Healthcare

FREQUENTLY USED CODES

Commonly Used ICD-10 Codes in Reproductive Healthcare

Female Reproductive Healthcare

Breast Conditions

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

N60.(11/12) Fibrocystic change (R/L)

N61

Mastitis, NOS

N64.0

Fissure and fistula of nipple

N64.3

Galactorrhea

N64.4

Mastodynia

N63

Lump or mass in breast

N64.51

Induration of breast

N64.53

Retraction of nipple

N64.59

Other signs/ symptoms in breast

N64.53

Retraction of nipple

Mastitis, postpartum, unspec.

O91.23

R92.8

Abnormal mammogram

Cervix

C53.0

C53.1

C53.9

D06.0

D06.1

D06.7

D06.8

N86

N87.9

N87.0

N87.1

N88,1

N88.2

N84.1

R87.619

R87.610

R87.611

R87.612

R87.613

R87.810

R87.614

R87.616

R87.615

Endocervical cancer

Exocervical cancer

Cervical cancer, NOS

CIN 3 biopsy endocervix

CIN 3 exocervix

CIN 3, other parts of cervix

CIN 3, cervix, unspecified

Erosion/ectropion cervix

Dysplasia, NOS

CIN 1 biopsy

CIN 2 biopsy

Leukoplakia

Stricture/stenosis of cervix

Cervical polyp

AGC cytology

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

Endometriosis in cutaneous scar

peritoneum

N80.9

Endometriosis, unspecified

Gynecological Endocrine

L68.0

Hirsuitism

L68.1

Acquired hypertrichosis

L68.2

Localized hypertrichosis

lanuginosa

E28.310

Premature menopause

E28.319

Premature menopause

(symptoms)

L68.3

(Polytrichia

L68.8

Other hypertrichosis

256.4

PCOS

E66.8

Other obesity

E28.2

Obesity, morbid

E66.3

Overweight

F50.9

Eating

Disorder, unspecified

no symptoms)

Infertility

N97.0

E23.0

N97.1

N97.2

N97.8

N97.9

Infertility-anovulation

Hypopituarism

Infertility-tubal origin

Infertility-uterine origin

Infertility-cervical origin

Female infertility, NOS

Menopause

N92.4

N95.0

N95.1

N95.2

N95.8

N95.9

Perimenopausal menorrhagia

Postmenopausal bleeding

Menopausal syndrome

Atrophic vaginitis

Symptoms w artificial menopause

Menopausal disorder NOS

Ovary and Adnexa

C56.1

Malignant neoplasm of right ovary

C56.2

Malignant neoplasm of left ovary

N83.0

Follicular cyst of ovary

N83.1

Corpus luteum cyst

N83.20

Unspecified ovarian cysts

N83.29

Other ovarian cysts

N83.51

Torsion of ovary and ovarian

N83.52

Torsion

pedicle of fallopian tube

N83.53

Torsion of ovary, ovarian pedicle

and fallopian tube

N83.9

Noninflammatory disorder of

ovary, fallopian tube and broad

ligament, unspecified

Pain Syndromes

G43.001

Migraine, without aura

Migraine, with aura

G43.101

G43.829

Migraine menstrual,not intractable

G43.909

Migraine, unspecified

G44.209

Headache, tension

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

(intractable/ not intractable)

M60.8-851 Myofascial pain

N94. (4/5/6) Dysmenorrhea

N94.0

Mittelschmerz

(primary/secondary/unspec.)

N94.1

Dyspareunia

N94.2

Vaginismus

N94.810

Vulvar vestibulitis

N94.819

Vulvodynia, NOS

R10.10

Upper abdominal pain, unspecified

R10.2

R10.2

R10.30

R10.32

R10.33

R51

Uterus

C54.1

C54.2

C54.3

C54.9

D25.9

N84.0

N84.8

N84.9

N85.00

N85.4

N85.6

N85.7

N85.9

Urinary Tract

N30. 10

Interstitial cystitis w/o hematuria

N30.11

Interstitial cystitis w/ hematuria

N34.3

Urethral syndrome

N39.3

Stress incontinence

N39.41

Urge incontinence

N39.46

Mixed incontinence

Dysuria

R30.0

R32

Urinary incontinence, unspecified

R35.0

Urinary frequency

Other polyuria

R35.8

Urinary hesitancy

R39.11

R39.14

Incomplete bladder emptying

Urinary urgency

R39.15

Straining on urination

R39.16

Vagina

N89.0

N89.1

N89.3

N89.6

N89.8

N89.9

Vulva

C51.9

D07.1

D28.0

L28.0

L28.1

L90.0

L94.0

L94.1

L94.3

Pelvic and perineal pain

N84.3

Pelvic and perineal pain

Lower abdominal pain, unspecified N90.0

N90.1

Abdominal pain, LLQ

N90.89

Abdominal pain, RLQ

N90.9

Headache, unspecified

Page 1

Cancer of endometrium

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

Polyp

tractof fem. genital tract, unspec.

Endometrial hyperplasia

Malposition of uterus

Asherman¡¯s syndrome

Hematometra

Disorder of uterus, NOS

Mild vaginal dysplasia

Moderate vaginal dysplasia

Dysplasia of vagina, unspecified

Tight hymenal ring

Other specified noninflammatory

disorders of vagina

Noninflammatory

disorder, 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

disorders dis

of vulva

perineum

Noninflam

vulva,and

NOS

FREQUENTLY USED CODES

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

Male Reproductive Healthcare

Male Reproductive Healthcare (cont¡¯d)

A63.0

E29.1

F52.0

F52.21

F52.4

F52.8

N52.03

Penile lesion

Testicular hypofunction

Hypoactive sexual desire disorder

Male erectile disorder

Premature ejaculation

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

Allergic contact dermatitis,

L23.9

unspecified cause

L24.9

Irritant contact dermatitis,

L25.9

Unspecified cause

contact dermatitis,

unspecified

unspecified cause

L30.0

Nummular dermatitis

L30.2

Cutaneous autosensitization

L30.8

Other specified dermatitis

L30.9

Dermatitis, unspecified

L66.3

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

Enlarged prostate without lower

N40.0

urinary tract symptoms

Enlarged prostate with lower

N40.1

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

Adhesions of prepuce and glans

N47.5

penis

N47.6

Balanoposthitis

Other inflammatory diseases of

N47.7

N47.8

Other disorders of prepuce

prepuce

N48.(30-39)

Priapisms

N48.1

Balanitis

N48.9

Disorder of penis, unspecified

Disorder of male genital organs

N50.9

N52.01 NOS

ED due to arterial insufficiency

N52.02 Corporo-venous occlusive ED

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

Problems related to social

Z60.(0-9)

environment

Z71.(41-60) Counseling on substance

use/abuse

Z71.3

Dietary surveillance and counseling

Human Immunodeficiency virus

Z71.7

(HIV) counseling

Z71.89 Other specified counseling

Z71.9

Counseling NOS

Complications

K68.11 Postprocedural retroperitoneal

R55

Syncope

abscess (vasovagal)

T50.99 Drug allergy or hypersensitivity

T81.4x

Infection following a procedure

5A

T83.31

Mechanical breakdown of IUD

xA

T83.32

Displacement of IUD

xA

T83.39

Other mechanical complication of

xA

T83.49

Mechanical complication of implant

xA

IUD

T83.59

Infection due to IUD/implant in

8A

T83.6x

Infectiontract

due to IUD/implant in

xA

urinary

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

Weakness

fatigue

R53.81 Other malaise

Page 2

FREQUENTLY USED CODES

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

Infectious Conditions

Cervicitis

N72

Cervicitis

Chlamydia

Unspecified site

A56.19

A56.3

Proctitis (anus/rectum)

Pharynx

A56.4

A56.8

Chlamydial infection of other sites

Non-specific urethritis

N34.1

Cervicitis

N72

Ectoparasites

Pediculosis (crab lice)

B85.3

B86

Scabies

Genital Herpes

Herpesviral infection of urogenital

A60.00

system, unspecified

Herpetic ulceration of penis

A60.01

Herpesviral infection of other male

A60.02

genital organs

A60.03

Herpesviral cervicitis

Herpetic vulvovaginitis

A60.04

Herpesviral infection of other

A60.09

urogenital tract

Herpesviral infection of perianal skin

A60.1

and rectum

Anogenital herpesviral infection,

A60.9

unspecified

Ulcer of anus, rectum

K62.6

Genital Warts

A63.0

Anogenital (venereal) warts

B07.9

Viral warts, NOS

B08.1

Molluscum contagiosum

HPV infection, unspecified site

B97.7

Gonorrhea (GC)

GC infection of lower genitourinary

A54.00

tract, unspecified

A54.01

Cystitis and urethritis, unspecified

A54.02

GC vulvovaginitis, NOS

A54.03

GC cervicitis, unspecified

Other GC infection of lower

A54.09

genitourinary tract

GC infection of lower genitourinary

A54.1

tract w/ periurethral & accessory

gland abscess

A54.21

Infection of kidney and ureter

A54.22

Prostatitis

GC infection of other male genital

A54.23

organs

GC female PID

A54.24

A54.29

Other GC genitourinary infections

A54.29

Other GC genitourinary infection

A54.5

Gonococcal pharyngitis

Proctitis (anus/rectum)

A54.6

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

Uterus: chronic inflamm. disease

N73.0

Acute parametritis & pelvic cellulitis

N73.1

Chronic parametritis & pelvic

N73.2

Unspec. parametritis & pelvic

cellulitis

cellulitis

PID (Cont¡¯d)

N73.3

Female acute pelvic peritonitis

N73.6

Female pelvic peritoneal adhesions

(postinfective)

Syphilis

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

Chronic tubulo-interstitial nephritis,

Tubulo-interstitial

nephritis, not

N12

unspecified

specified as acute or chronic

N13.6

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

Tinea cruris

B35.6

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

Pap to confirm recent normal Pap

Z01.42

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

Sterilization procedure

Z30.40

Contraceptive surveillance NOS

Z30.41

Surveillance of OC user

Z30.42

Surveillance of injectable cont.

Z30.430 Insertion of IUD

Page 3

Contraception (Cont¡¯d)

Z30.431 IUD surveillance

Z30.432 Removal of IUD

Z30.433 Removal + reinsertion of IUD

Z30.49

Surveillance of other contraceptives

Z30.8

Other contraceptive management

Z30.9

Contraceptive management, NOS

Z97.5

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 General adult medical exam w/o

abnormal findings

Z00.01 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

Fertility testing (semen analysis)

Testing of female genetic disease

Z31.430

carrier

status testing of female

Z31.438

Other genetic

Testing of male for genetic disease

Z31.440

Z31.448

carrier

status testing of male

Other genetic

Z31.5

Genetic counseling

Procreative counseling /advice using

Z31.61

natural family planning

Z31.69

Preconception care (other

procreative management

Z31.81

Encounter for male factor infertility

Z31.82

Encounter

for Rh incompatibility

in

female patient

Z31.89

Other procreative management

status

Unspecified procreative mgmt.

Z31.9

Z98.51

Tubal ligation status

Z98.52

Vasectomy status

Sexually Transmitted Infection

Z11.3

Screening for bacterial STDs (GC)

Z11.4

Screening for HIV

Z11.51 HPV screening

Z11.59 Screening for other viral diseases

Z11.8

Chlamydia screening

Z20.2

Contact with or exposure to STI

Z22.4

Carrier/suspected carrier of STI

Worried, well

Z71.1

Z71.7

HIV counseling

Z71.89 Counseling on other STDs

Z71.9

Counseling NOS

Z72.51 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

57454

57455

57456

57460

57461

57500

57505

57511

57513

57520

57522

57800

Colpo, no biopsy

Colpo, biopsy + ECC

Colpo, biopsy only

Colpo, ECC only

Colpo + LEEP

Colpo + LEEP cone

Cervical biopsy only

ECC only

Cryotherapy

Laser ablation

Knife or laser cone biopsy

LEEP only

Dilation of canal

Contraception

57170 Diaphragm, cap fitting

58300 Insert IUD

58301 Remove IUD

11976 Remove LNG implant

11981 Insert implant

11982 Remove implant

11983 Remove+insert implant

Genital Wart Treatment

46900 Anal ( ................
................

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