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ICD-10-CM Codes for Gynecology and Obstetrics

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Diagnostic Services ICD-10-CM Codes for Gynecology and Obstetrics ICD-10 ICD-10 Diagnoses Diagnoses Code Code Menstrual Abnormalities N72 Cervicitis/Endocervicitis N91.2 Amenorrhea N84.1 Cervical Polyp N91.5 Oligomenorrhea N87.1 Mild Dysplasia Of Cervix (CIN I) N92.0 Menorrhagia N87.2 Moderate Dysplasia Of Cervix (CIN II) N92.1 Metrorrhagia Menopause N92.6 Irregular Menses N95.0 Postmenopausal Bleeding N93.8 Dysfunctional Uterine Bleeding N95.1 Menopausal Symptoms N94.3 Premenstrual Syndrome N95.2 Senile Atrophic Vaginitis N94.6 Dysmenorrhea N95.8 Perimenopausal Bleeding Disorders Of Genital Area N95.8 Postsurgical Menopause L29.3 Vaginal Itch Abnormal Pap Smear Results N73.9 Pelvic Inflammatory Disease (PID) R87.610 ASC-US, Cervix N75.0 Bartholin’s Cyst R87.611 ASC-H, Cervix N76.0 Vaginitis, Unspecified R87.612 LGSIL, Cervix N76.4 Vulvar Abscess R87.613 HGSIL, Cervix N76.5 Vaginal Ulcer R87.615 Unsatisfactory Cervical Cytology Sample N76.6 Ulcer Of Vulva R87.619 Abnormal Pap Smear Result, Cervix N89.4 Leukoplakia Of Vagina R87.628 Abnormal Pap Smear Result, Vagina N89.8 Vaginal Cyst R87.810 Cervical High-Risk HPV DNA Test Positive N89.8 Vaginal Discharge R87.811 Vaginal High-Risk HPV DNA Test Positive N89.9 Noninflammatory Disorder Of Vagina Disorders Of Uterus And Ovary N90.89 Vulvar Lesion D25.9 Uterine Fibroid/Leiomyoma N93.9 Vaginal Bleeding E28.39 Ovarian Failure N94.9 Pelvic Pain E28.9 Ovarian Dysfunction R19.00 Pelvic Mass N80.0 Adenomyosis Special Screening Examinations N80.0 Cervical Endometriosis Z11.3 Syphilis Screening N80.9 Endometriosis, Unspecified Z11.3 Venereal Disease Screening N83.20 Ovarian Cyst Z11.51 HPV Screening N84.0 Uterine Polyp Z11.59 Hepatitis Screening N85.2 Enlarged Uterus Z11.59 HIV Screening N85.8 Uterine Cyst Z11.59 Rubella Screening N94.89 Ovarian Mass Z11.8 Chlamydial Trachomatis Screening Routine Examination Codes Z11.8 Screening For Yeast Infection Z01.419 Routine Gynecological Examination Z11.8 Trichomoniasis Screening Z12.4 Routine Cervical Papanicolau Smear Disorders Of Cervix Vaginal Pap Smear Status Z12.72 D06.9 Cervical Intraepithelial Neoplasia III (CIN III) Post-Hysterectomy Z77.9 High-Risk For Developing Cervical Cancer N72 Cervical Inflammation ICD-10 ICD-10 Diagnoses Diagnoses Code Code Disorders Of Breast Advanced Maternal Age, Other Than First O09.522 N60.09 Cyst Of Breast Pregnancy, Second Trimester Advanced Maternal Age, Other Than First N60.19 Fibrocystic Breast O09.523 Pregnancy, Third Trimester N61 Breast Abscess Advanced Maternal Age, Other Than First O09.529 N61 Mastitis (Breast Abscess) Pregnancy, Unspecified Trimester Galactorrhea Not Associated With Pregnancy Resulting From In Vitro N64.3 O09.811 Childbirth Fertilization, First Trimester N64.4 Mastodynia (Pain In Breast) Pregnancy Resulting From In Vitro O09.812 N64.52 Nipple Discharge Fertilization, Second Trimester Pregnancy Resulting From In Vitro N64.59 Breast Tenderness O09.813 Fertilization, Third Trimester Infectious Diseases Pregnancy Resulting From In Vitro O09.819 A51.0 Genital Syphilis Fertilization, Unspecified Trimester A59.00 Trichomoniasis, Urogenital O09.891 High-Risk Pregnancy, First Trimester A59.01 Trichomoniasis, Vulvovaginitis O09.892 High-Risk Pregnancy, Second Trimester A60.04 Herpetic Ulceration Of Vulva O09.893 High-Risk Pregnancy, Third Trimester A60.04 Herpetic Vulvovaginitis O09.899 High-Risk Pregnancy, Unspecified Trimester A60.9 Genital Herpes Z13.9 Screening A74.89 Chlamydia Trachomatis Normal First Pregnancy, Unspecified Z34.00 A74.9 Chlamydial Infection Trimester B37.3 Candidiasis, Vulva And Vagina Z34.01 Normal First Pregnancy, First Trimester B96.89 Gram-Negative Anaerobic Infection Z34.02 Normal First Pregnancy, Second Trimester Neoplasm Of Female Genital Organs Z34.03 Normal First Pregnancy, Third Trimester Normal Pregnancy Other Than First, Unspecified, C50.919 Breast Cancer Z34.90 Unspecified Trimester C51.9 Vulvar Cancer Normal Pregnancy Other Than First, Unspecified, Z34.91 C52 Vaginal Cancer First Trimester C53.0 Endocervical Cancer Normal Pregnancy Other Than First, Unspecified, Z34.92 C53.9 Cervical Cancer Second Trimester Normal Pregnancy Other Than First, Unspecified, C54.1 Endometrial Cancer Z34.93 Third Trimester C55 Uterine Cancer Antenatal Screening For Z36 C56.9 Ovarian Cancer Chromosal Anomaly Pregnancy Antenatal Screening For Alpha-Fetoprotein In Z36 Supervision Of Pregnancy And Postpartum Amniotic Fluid O09.511 Advanced Maternal Age, First Trimester Z36 First Trimester Screen O09.512 Advanced Maternal Age, Second Trimester Z36 Routine Fetal Ultrasound O09.513 Advanced Maternal Age, Third Trimester Z39.2 Routine Postpartum Follow-up Advanced Maternal Age, O09.519 Unspecified Trimester Genetic Testing Advanced Maternal Age, Other Than First Nonprocreative Screening For Genetic Disease O09.521 Z13.71 Pregnancy, First Trimester Carrier Status Z31.430 Genetic Screening For Cystic Fibrosis, Female ICD-10 ICD-10 Diagnoses Diagnoses Code Code Testing Of Female For Genetic Disease Carrier Spotting Complicating Pregnancy, Z31.430 O26.859 Status, Procreative Unspecified Trimester Z31.438 Genetic Procreative Testing Of Female O30.001 Twin Pregnancy, First Trimester Testing Of Male For Genetic Disease O30.002 Twin Pregnancy, Second Trimester Z31.440 Carrier Status, Procreative O30.003 Twin Pregnancy, Third Trimester Testing Of Partner Of Female With Recurrent Z31.441 O30.009 Twin Pregnancy, Unspecified Trimester Pregnancy Loss Rh Incompatibility Affecting Management Of Z31.49 Procreative Management Testing O36.0110 Pregnancy, First Trimester Z31.5 Genetic Counseling Rh Incompatibility Affecting Management Of O36.0120 Genetic Carrier Status Pregnancy, Second Trimester Z14.1 Cystic Fibrosis Gene Carrier Rh Incompatibility Affecting Management Of O36.0130 Genetic Carrier Status, Other Than Pregnancy, Third Trimester Z14.8 Cystic Fibrosis Rh Incompatibility Affecting Management Of O36.0190 Family History Of Genetic Pregnancy, Unspecified Trimester Z84.81 Disease Carrier O36.5910 Poor Fetal Growth, First Trimester Complications Of Pregnancy O36.5920 Poor Fetal Growth, Second Trimester Gestational Hypertension, Without Significant O36.5930 Poor Fetal Growth, Third Trimester O13.1 Proteinuria, First Trimester O36.5990 Poor Fetal Growth, Unspecified Trimester Gestational Hypertension, Without Significant O13.2 O36.60X0 Excessive Fetal Growth, Unspecified Trimester Proteinuria, Second Trimester O36.61X0 Excessive Fetal Growth, First Trimester Gestational Hypertension, Without Significant O13.3 Proteinuria, Third Trimester O36.62X0 Excessive Fetal Growth, Second Trimester Gestational Hypertension, O36.63X0 Excessive Fetal Growth, Third Trimester O13.9 Without Significant Proteinuria, Placenta Previa Without Hemorrhage, O44.00 Unspecified Trimester Unspecified Trimester O14.00 Mild Pre-Eclampsia, Unspecified Trimester Placenta Previa Without Hemorrhage, O44.01 O14.02 Mild Pre-Eclampsia, Second Trimester First Trimester Placenta Previa Without Hemorrhage, O14.03 Mild Pre-Eclampsia, Third Trimester O44.02 Second Trimester O24.419 Gestational Diabetes, Unspecified Control Placenta Previa Without Hemorrhage, Habitual Aborter With Current Pregnancy, O44.03 O26.20 Third Trimester Unspecified Trimester Hemorrhage From Placenta Previa, Habitual Aborter With Current Pregnancy, O44.10 O26.21 Unspecified Trimester First Trimester Hemorrhage From Placenta Previa, Habitual Aborter With Current Pregnancy, O44.11 O26.22 First Trimester Second Trimester Hemorrhage From Placenta Previa, Habitual Aborter With Current Pregnancy, O44.12 O26.23 Second Trimester Third Trimester Hemorrhage From Placenta Previa, Spotting Complicating Pregnancy, O44.13 O26.851 Third Trimester First Trimester Post-Term Pregnancy Spotting Complicating Pregnancy, O48.0 O26.852 (Between 40 & 42 Weeks Gestation) Second Trimester O99.345 Postpartum Depression Spotting Complicating Pregnancy, O26.853 Third Trimester Diagnostic Services ICD-10 ICD-10 Diagnoses Diagnoses Code Code Pregnancy With Abortive Outcomes O02.0 Molar Pregnancy O00.1 Tubal Pregnancy O02.1 Missed Abortion O00.9 Ectopic Pregnancy, Unspecified O03.9 Spontaneous Abortion (Miscarriage) O01.9 Hydatidiform Mole O20.0 Threatened Abortion O02.0 Blighted Ovum O36.4XX0 Intrauterine Death, Unspecified Z33.2 Abortion * The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed. This list is intended to assist ordering physicians in providing ICD-10 Diagnostics codes as required by Medicare and other Insurers. It includes some commonly found ICD-10 codes. This list was compiled from the ICD-10-CM 2015 AMA manual. A current ICD-10-CM book should be used as a complete reference. The ultimate responsibility for correct coding belongs to the ordering physician. QuestDiagnostics.com Quest, Quest Diagnostics, any associated logos, and all associated Quest Diagnostics registered or unregistered trademarks are the property of Quest Diagnostics. All third party marks - ® and ™ - are the property of their respective owners. © 2015 Quest Diagnostics Incorporated. All rights reserved. MI3858 06/2015.
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  • Common Causes of Chronic Pelvic Pain Diagnoses Description Dysmenorrhea • Dysmenorrhea Is Pain During Menstruation That Is Not Associated with Well-Defined Pathology

    Common Causes of Chronic Pelvic Pain Diagnoses Description Dysmenorrhea • Dysmenorrhea Is Pain During Menstruation That Is Not Associated with Well-Defined Pathology

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  • Female Chronic Pelvic Pain Syndromes 1 Standard of Care

    Female Chronic Pelvic Pain Syndromes 1 Standard of Care

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  • The Prevalence of Bacterial Vaginosis and Candidiasis in Postmenopausal Women

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  • FAQ028 -- Vaginitis

    FAQ028 -- Vaginitis

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  • SOME GYNECOLOGICAL PROBLEMS in the Agedt

    SOME GYNECOLOGICAL PROBLEMS in the Agedt

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  • Common Gynaecological Histories

    Common Gynaecological Histories

    Common Gynaecological Histories Remember history taking in gynaecology requires you to ask extra questions on the Menstrual history, Obstetric history, Sexual history and Cervical/contraception history (MOSC) – see the gynaecological history section! Presenting Exploding symptom Relevant system reviews Differential diagnoses Clues to differential complaint Grouping Differentials Pelvic pain Site General Gynaecological PID/acute •Bilateral pelvic pain Onset •Fever, sweats salpingitis •Vaginal discharge Character •Dyspareunia and dysmenorrhoea Radiation Gynaecological •Fever Associated symptoms •PV bleeding: menorrhagia/inter- •May be post-coital or inter-menstrual Timing & relation to period menstural/post-coital/post- bleeding Exacerbating/relieving factors menopausal Ectopic pregnancy •Recent period of amenorrhoea Severity •PV discharge •Trying to get pregnant or unprotected sex •Pain: dysmenorrhoea, •May be some vaginal spotting dyspareunia •In tubal rupture, collapse and shoulder tip •Chance could be pregnant pain Ovarian cyst •Sudden unilateral pelvic pain Urological torsion/rupture/ •May be fever/vomiting •Storage: frequency, volume, haemorrhage urgency/ nocturia •Infection: dysuria, haematuria Endometriosis •Cyclical pelvic pain •Dysmenorrhoea Gastrointestinal •Deep dyspareunia •Weight: loss, appetite change •Menstural disturbance •Work down body: dysphagia, Urological Pyelonephritis •Fever, chills, rigors nausea/ vomiting, indigestion/ •Loin pain heartburn, bowel habit change, •Urinary frequency and dysuria blood/ mucus in stool