Chapter 14
Diseases of the genitourinary system (N00-N99)
Excludes2: 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)
This chapter contains the following blocks: N00-N08 Glomerular diseases N10-N16 Renal tubulo-interstitial diseases N17-N19 Acute kidney failure and chronic kidney disease N20-N23 Urolithiasis N25-N29 Other disorders of kidney and ureter N30-N39 Other diseases of the urinary system N40-N53 Diseases of male genital organs N60-N65 Disorders of breast N70-N77 Inflammatory diseases of female pelvic organs N80-N98 Noninflammatory disorders of female genital tract N99 Intraoperative and postprocedural complications and disorders of genitourinary system, not elsewhere classified
Glomerular diseases (N00-N08)
Code also any associated kidney failure (N17-N19).
Excludes1: hypertensive chronic kidney disease (I12.-)
N00 Acute nephritic syndrome
Includes: acute glomerular disease acute glomerulonephritis acute nephritis
Excludes1: acute tubulo-interstitial nephritis (N10) nephritic syndrome NOS (N05.-)
N00.0 Acute nephritic syndrome with minor glomerular abnormality Acute nephritic syndrome with minimal change lesion
N00.1 Acute nephritic syndrome with focal and segmental glomerular lesions Acute nephritic syndrome with focal and segmental hyalinosis Acute nephritic syndrome with focal and segmental sclerosis Acute nephritic syndrome with focal glomerulonephritis
N00.2 Acute nephritic syndrome with diffuse membranous glomerulonephritis
N00.3 Acute nephritic syndrome with diffuse mesangial proliferative glomerulonephritis
N00.4 Acute nephritic syndrome with diffuse endocapillary proliferative glomerulonephritis
N00.5 Acute nephritic syndrome with diffuse mesangiocapillary glomerulonephritis Acute nephritic syndrome with membranoproliferative glomerulonephritis, types 1 and 3, or NOS
N00.6 Acute nephritic syndrome with dense deposit disease Acute nephritic syndrome with membranoproliferative glomerulonephritis, type 2 Page 1 N00.7 Acute nephritic syndrome with diffuse crescentic glomerulonephritis Acute nephritic syndrome with extracapillary glomerulonephritis
N00.8 Acute nephritic syndrome with other morphologic changes Acute nephritic syndrome with proliferative glomerulonephritis NOS
N00.9 Acute nephritic syndrome with unspecified morphologic changes
N01 Rapidly progressive nephritic syndrome
Includes: rapidly progressive glomerular disease rapidly progressive glomerulonephritis rapidly progressive nephritis
Excludes1: nephritic syndrome NOS (N05.-)
N01.0 Rapidly progressive nephritic syndrome with minor glomerular abnormality Rapidly progressive nephritic syndrome with minimal change lesion
N01.1 Rapidly progressive nephritic syndrome with focal and segmental glomerular lesions Rapidly progressive nephritic syndrome with focal and segmental hyalinosis Rapidly progressive nephritic syndrome with focal and segmental sclerosis Rapidly progressive nephritic syndrome with focal glomerulonephritis
N01.2 Rapidly progressive nephritic syndrome with diffuse membranous glomerulonephritis
N01.3 Rapidly progressive nephritic syndrome with diffuse mesangial proliferative glomerulonephritis
N01.4 Rapidly progressive nephritic syndrome with diffuse endocapillary proliferative glomerulonephritis
N01.5 Rapidly progressive nephritic syndrome with diffuse mesangiocapillary glomerulonephritis Rapidly progressive nephritic syndrome with membranoproliferative glomerulonephritis, types 1 and 3, or NOS
N01.6 Rapidly progressive nephritic syndrome with dense deposit disease Rapidly progressive nephritic syndrome with membranoproliferative glomerulonephritis, type 2
N01.7 Rapidly progressive nephritic syndrome with diffuse crescentic glomerulonephritis Rapidly progressive nephritic syndrome with extracapillary glomerulonephritis
N01.8 Rapidly progressive nephritic syndrome with other morphologic changes Rapidly progressive nephritic syndrome with proliferative glomerulonephritis NOS
N01.9 Rapidly progressive nephritic syndrome with unspecified morphologic changes
N02 Recurrent and persistent hematuria
Excludes1: acute cystitis with hematuria (N30.01) hematuria NOS (R31.9) hematuria not associated with specified morphologic lesions (R31.-)
N02.0 Recurrent and persistent hematuria with minor glomerular abnormality Recurrent and persistent hematuria with minimal change lesion
N02.1 Recurrent and persistent hematuria with focal and segmental glomerular lesions Recurrent and persistent hematuria with focal and segmental hyalinosis Recurrent and persistent hematuria with focal and segmental sclerosis Recurrent and persistent hematuria with focal glomerulonephritis
N02.2 Recurrent and persistent hematuria with diffuse membranous glomerulonephritis
N02.3 Recurrent and persistent hematuria with diffuse mesangial proliferative glomerulonephritis
N02.4 Recurrent and persistent hematuria with diffuse endocapillary proliferative glomerulonephritis Page 2 N02.5 Recurrent and persistent hematuria with diffuse mesangiocapillary glomerulonephritis Recurrent and persistent hematuria with membranoproliferative glomerulonephritis, types 1 and 3, or NOS
N02.6 Recurrent and persistent hematuria with dense deposit disease Recurrent and persistent hematuria with membranoproliferative glomerulonephritis, type 2
N02.7 Recurrent and persistent hematuria with diffuse crescentic glomerulonephritis Recurrent and persistent hematuria with extracapillary glomerulonephritis
N02.8 Recurrent and persistent hematuria with other morphologic changes Recurrent and persistent hematuria with proliferative glomerulonephritis NOS
N02.9 Recurrent and persistent hematuria with unspecified morphologic changes
N03 Chronic nephritic syndrome
Includes: chronic glomerular disease chronic glomerulonephritis chronic nephritis
Excludes1: chronic tubulo-interstitial nephritis (N11.-) diffuse sclerosing glomerulonephritis (N05.8-) nephritic syndrome NOS (N05.-)
N03.0 Chronic nephritic syndrome with minor glomerular abnormality Chronic nephritic syndrome with minimal change lesion
N03.1 Chronic nephritic syndrome with focal and segmental glomerular lesions Chronic nephritic syndrome with focal and segmental hyalinosis Chronic nephritic syndrome with focal and segmental sclerosis Chronic nephritic syndrome with focal glomerulonephritis
N03.2 Chronic nephritic syndrome with diffuse membranous glomerulonephritis
N03.3 Chronic nephritic syndrome with diffuse mesangial proliferative glomerulonephritis
N03.4 Chronic nephritic syndrome with diffuse endocapillary proliferative glomerulonephritis
N03.5 Chronic nephritic syndrome with diffuse mesangiocapillary glomerulonephritis Chronic nephritic syndrome with membranoproliferative glomerulonephritis, types 1 and 3, or NOS
N03.6 Chronic nephritic syndrome with dense deposit disease Chronic nephritic syndrome with membranoproliferative glomerulonephritis, type 2
N03.7 Chronic nephritic syndrome with diffuse crescentic glomerulonephritis Chronic nephritic syndrome with extracapillary glomerulonephritis
N03.8 Chronic nephritic syndrome with other morphologic changes Chronic nephritic syndrome with proliferative glomerulonephritis NOS
N03.9 Chronic nephritic syndrome with unspecified morphologic changes
N04 Nephrotic syndrome
Includes: congenital nephrotic syndrome lipoid nephrosis
N04.0 Nephrotic syndrome with minor glomerular abnormality Nephrotic syndrome with minimal change lesion
N04.1 Nephrotic syndrome with focal and segmental glomerular lesions Nephrotic syndrome with focal and segmental hyalinosis Nephrotic syndrome with focal and segmental sclerosis Page 3 Nephrotic syndrome with focal glomerulonephritis
N04.2 Nephrotic syndrome with diffuse membranous glomerulonephritis
N04.3 Nephrotic syndrome with diffuse mesangial proliferative glomerulonephritis
N04.4 Nephrotic syndrome with diffuse endocapillary proliferative glomerulonephritis
N04.5 Nephrotic syndrome with diffuse mesangiocapillary glomerulonephritis Nephrotic syndrome with membranoproliferative glomerulonephritis, types 1 and 3, or NOS
N04.6 Nephrotic syndrome with dense deposit disease Nephrotic syndrome with membranoproliferative glomerulonephritis, type 2
N04.7 Nephrotic syndrome with diffuse crescentic glomerulonephritis Nephrotic syndrome with extracapillary glomerulonephritis
N04.8 Nephrotic syndrome with other morphologic changes Nephrotic syndrome with proliferative glomerulonephritis NOS
N04.9 Nephrotic syndrome with unspecified morphologic changes
N05 Unspecified nephritic syndrome
Includes: glomerular disease NOS glomerulonephritis NOS nephritis NOS nephropathy NOS and renal disease NOS with morphological lesion specified in .0-.8
Excludes1: nephropathy NOS with no stated morphological lesion (N28.9) renal disease NOS with no stated morphological lesion (N28.9) tubulo-interstitial nephritis NOS (N12)
N05.0 Unspecified nephritic syndrome with minor glomerular abnormality Unspecified nephritic syndrome with minimal change lesion
N05.1 Unspecified nephritic syndrome with focal and segmental glomerular lesions Unspecified nephritic syndrome with focal and segmental hyalinosis Unspecified nephritic syndrome with focal and segmental sclerosis Unspecified nephritic syndrome with focal glomerulonephritis
N05.2 Unspecified nephritic syndrome with diffuse membranous glomerulonephritis
N05.3 Unspecified nephritic syndrome with diffuse mesangial proliferative glomerulonephritis
N05.4 Unspecified nephritic syndrome with diffuse endocapillary proliferative glomerulonephritis
N05.5 Unspecified nephritic syndrome with diffuse mesangiocapillary glomerulonephritis Unspecified nephritic syndrome with membranoproliferative glomerulonephritis, types 1 and 3, or NOS
N05.6 Unspecified nephritic syndrome with dense deposit disease Unspecified nephritic syndrome with membranoproliferative glomerulonephritis, type 2
N05.7 Unspecified nephritic syndrome with diffuse crescentic glomerulonephritis Unspecified nephritic syndrome with extracapillary glomerulonephritis
N05.8 Unspecified nephritic syndrome with other morphologic changes Unspecified nephritic syndrome with proliferative glomerulonephritis NOS
N05.9 Unspecified nephritic syndrome with unspecified morphologic changes
N06 Isolated proteinuria with specified morphological lesion
Page 4 Excludes1: Proteinuria not associated with specific morphologic lesions (R80.0)
N06.0 Isolated proteinuria with minor glomerular abnormality Isolated proteinuria with minimal change lesion
N06.1 Isolated proteinuria with focal and segmental glomerular lesions Isolated proteinuria with focal and segmental hyalinosis Isolated proteinuria with focal and segmental sclerosis Isolated proteinuria with focal glomerulonephritis
N06.2 Isolated proteinuria with diffuse membranous glomerulonephritis
N06.3 Isolated proteinuria with diffuse mesangial proliferative glomerulonephritis
N06.4 Isolated proteinuria with diffuse endocapillary proliferative glomerulonephritis
N06.5 Isolated proteinuria with diffuse mesangiocapillary glomerulonephritis Isolated proteinuria with membranoproliferative glomerulonephritis, types 1 and 3, or NOS
N06.6 Isolated proteinuria with dense deposit disease Isolated proteinuria with membranoproliferative glomerulonephritis, type 2
N06.7 Isolated proteinuria with diffuse crescentic glomerulonephritis Isolated proteinuria with extracapillary glomerulonephritis
N06.8 Isolated proteinuria with other morphologic lesion Isolated proteinuria with proliferative glomerulonephritis NOS
N06.9 Isolated proteinuria with unspecified morphologic lesion
N07 Hereditary nephropathy, not elsewhere classified
Excludes2: Alport's syndrome (Q87.81-) hereditary amyloid nephropathy (E85.-) nail patella syndrome (Q87.2) non-neuropathic heredofamilial amyloidosis (E85.-)
N07.0 Hereditary nephropathy, not elsewhere classified with minor glomerular abnormality Hereditary nephropathy, not elsewhere classified with minimal change lesion
N07.1 Hereditary nephropathy, not elsewhere classified with focal and segmental glomerular lesions Hereditary nephropathy, not elsewhere classified with focal and segmental hyalinosis Hereditary nephropathy, not elsewhere classified with focal and segmental sclerosis Hereditary nephropathy, not elsewhere classified with focal glomerulonephritis
N07.2 Hereditary nephropathy, not elsewhere classified with diffuse membranous glomerulonephritis
N07.3 Hereditary nephropathy, not elsewhere classified with diffuse mesangial proliferative glomerulonephritis
N07.4 Hereditary nephropathy, not elsewhere classified with diffuse endocapillary proliferative glomerulonephritis
N07.5 Hereditary nephropathy, not elsewhere classified with diffuse mesangiocapillary glomerulonephritis Hereditary nephropathy, not elsewhere classified with membranoproliferative glomerulonephritis, types 1 and 3, or NOS
N07.6 Hereditary nephropathy, not elsewhere classified with dense deposit disease Hereditary nephropathy, not elsewhere classified with membranoproliferative glomerulonephritis, type 2
N07.7 Hereditary nephropathy, not elsewhere classified with diffuse crescentic glomerulonephritis Hereditary nephropathy, not elsewhere classified with extracapillary glomerulonephritis
Page 5 N07.8 Hereditary nephropathy, not elsewhere classified with other morphologic lesions Hereditary nephropathy, not elsewhere classified with proliferative glomerulonephritis NOS
N07.9 Hereditary nephropathy, not elsewhere classified with unspecified morphologic lesions
N08 Glomerular disorders in diseases classified elsewhere Glomerulonephritis Nephritis Nephropathy
Code first underlying disease, such as: amyloidosis (E85.-) congenital syphilis (A50.5) cryoglobulinemia (D89.1) disseminated intravascular coagulation (D65) gout (M1A.-, M10.-) microscopic polyangiitis (M31.7) multiple myeloma (C90.0-) sepsis (A40.0-A41.9) sickle-cell disease (D57.0-D57.8)
Excludes1: glomerulonephritis, nephritis and nephropathy (in): antiglomerular basement membrane disease (M31.0) diabetes (E08-E13 with .21) gonococcal (A54.21) Goodpasture's syndrome (M31.0) hemolytic-uremic syndrome (D59.3) lupus (M32.14) mumps (B26.83) syphilis (A52.75) systemic lupus erythematosus (M32.14) Wegener's granulomatosis (M31.31) pyelonephritis in diseases classified elsewhere (N16) renal tubulo-interstitial disorders classified elsewhere (N16)
Renal tubulo-interstitial diseases (N10-N16)
Includes: pyelonephritis
Excludes1: pyeloureteritis cystica (N28.85)
N10 Acute pyelonephritis Acute infectious interstitial nephritis Acute pyelitis Acute tubulo-interstitial nephritis Hemoglobin nephrosis Myoglobin nephrosis
Use additional code (B95-B97), to identify infectious agent.
N11 Chronic tubulo-interstitial nephritis
Includes: chronic infectious interstitial nephritis chronic pyelitis chronic pyelonephritis
Use additional code (B95-B97), to identify infectious agent.
N11.0 Nonobstructive reflux-associated chronic pyelonephritis Pyelonephritis (chronic) associated with (vesicoureteral) reflux
Excludes1: vesicoureteral reflux NOS (N13.70) Page 6 N11.1 Chronic obstructive pyelonephritis Pyelonephritis (chronic) associated with anomaly of pelviureteric junction Pyelonephritis (chronic) associated with anomaly of pyeloureteric junction Pyelonephritis (chronic) associated with crossing of vessel Pyelonephritis (chronic) associated with kinking of ureter Pyelonephritis (chronic) associated with obstruction of ureter Pyelonephritis (chronic) associated with stricture of pelviureteric junction Pyelonephritis (chronic) associated with stricture of ureter
Excludes1: calculous pyelonephritis (N20.9) obstructive uropathy (N13.-)
N11.8 Other chronic tubulo-interstitial nephritis Nonobstructive chronic pyelonephritis NOS
N11.9 Chronic tubulo-interstitial nephritis, unspecified Chronic interstitial nephritis NOS Chronic pyelitis NOS Chronic pyelonephritis NOS
N12 Tubulo-interstitial nephritis, not specified as acute or chronic Interstitial nephritis NOS Pyelitis NOS Pyelonephritis NOS
Excludes1: calculous pyelonephritis (N20.9)
N13 Obstructive and reflux uropathy
Excludes2: calculus of kidney and ureter without hydronephrosis (N20.-) congenital obstructive defects of renal pelvis and ureter (Q62.0-Q62.3) hydronephrosis with ureteropelvic junction obstruction (Q62.11) obstructive pyelonephritis (N11.1)
N13.0 Hydronephrosis with ureteropelvic junction obstruction Hydronephrosis due to acquired occlusion of ureteropelvic junction
Excludes2: Hydronephrosis with ureteropelvic junction obstruction due to calculus (N13.2)
N13.1 Hydronephrosis with ureteral stricture, not elsewhere classified
Excludes1: Hydronephrosis with ureteral stricture with infection (N13.6)
N13.2 Hydronephrosis with renal and ureteral calculous obstruction
Excludes1: Hydronephrosis with renal and ureteral calculous obstruction with infection (N13.6)
N13.3 Other and unspecified hydronephrosis
Excludes1: hydronephrosis with infection (N13.6)
N13.30 Unspecified hydronephrosis
N13.39 Other hydronephrosis
N13.4 Hydroureter
Excludes1: congenital hydroureter (Q62.3-) hydroureter with infection (N13.6) vesicoureteral-reflux with hydroureter (N13.73-)
N13.5 Crossing vessel and stricture of ureter without hydronephrosis Kinking and stricture of ureter without hydronephrosis Page 7 Excludes1: Crossing vessel and stricture of ureter without hydronephrosis with infection (N13.6)
N13.6 Pyonephrosis Conditions in N13.0-N13.5 with infection Obstructive uropathy with infection
Use additional code (B95-B97), to identify infectious agent.
N13.7 Vesicoureteral-reflux
Excludes1: reflux-associated pyelonephritis (N11.0)
N13.70 Vesicoureteral-reflux, unspecified Vesicoureteral-reflux NOS
N13.71 Vesicoureteral-reflux without reflux nephropathy
N13.72 Vesicoureteral-reflux with reflux nephropathy without hydroureter
N13.721 Vesicoureteral-reflux with reflux nephropathy without hydroureter, unilateral
N13.722 Vesicoureteral-reflux with reflux nephropathy without hydroureter, bilateral
N13.729 Vesicoureteral-reflux with reflux nephropathy without hydroureter, unspecified
N13.73 Vesicoureteral-reflux with reflux nephropathy with hydroureter
N13.731 Vesicoureteral-reflux with reflux nephropathy with hydroureter, unilateral
N13.732 Vesicoureteral-reflux with reflux nephropathy with hydroureter, bilateral
N13.739 Vesicoureteral-reflux with reflux nephropathy with hydroureter, unspecified
N13.8 Other obstructive and reflux uropathy Urinary tract obstruction due to specified cause
Code first, if applicable, any causal condition, such as: enlarged prostate (N40.1)
N13.9 Obstructive and reflux uropathy, unspecified Urinary tract obstruction NOS
N14 Drug- and heavy-metal-induced tubulo-interstitial and tubular conditions
Code first poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4 or 6)
Use additional code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
N14.0 Analgesic nephropathy
N14.1 Nephropathy induced by other drugs, medicaments and biological substances
N14.2 Nephropathy induced by unspecified drug, medicament or biological substance
N14.3 Nephropathy induced by heavy metals
N14.4 Toxic nephropathy, not elsewhere classified
N15 Other renal tubulo-interstitial diseases
N15.0 Balkan nephropathy Balkan endemic nephropathy
N15.1 Renal and perinephric abscess Page 8 N15.8 Other specified renal tubulo-interstitial diseases
N15.9 Renal tubulo-interstitial disease, unspecified Infection of kidney NOS
Excludes1: urinary tract infection NOS (N39.0)
N16 Renal tubulo-interstitial disorders in diseases classified elsewhere Pyelonephritis Tubulo-interstitial nephritis
Code first underlying disease, such as: brucellosis (A23.0-A23.9) cryoglobulinemia (D89.1) glycogen storage disease (E74.0) leukemia (C91-C95) lymphoma (C81.0-C85.9, C96.0-C96.9) multiple myeloma (C90.0-) sepsis (A40.0-A41.9) Wilson's disease (E83.0)
Excludes1: diphtheritic pyelonephritis and tubulo-interstitial nephritis (A36.84) pyelonephritis and tubulo-interstitial nephritis in candidiasis (B37.49) pyelonephritis and tubulo-interstitial nephritis in cystinosis (E72.04) pyelonephritis and tubulo-interstitial nephritis in salmonella infection (A02.25) pyelonephritis and tubulo-interstitial nephritis in sarcoidosis (D86.84) pyelonephritis and tubulo-interstitial nephritis in sicca syndrome [Sjogren's] (M35.04) pyelonephritis and tubulo-interstitial nephritis in systemic lupus erythematosus (M32.15) pyelonephritis and tubulo-interstitial nephritis in toxoplasmosis (B58.83) renal tubular degeneration in diabetes (E08-E13 with .29) syphilitic pyelonephritis and tubulo-interstitial nephritis (A52.75)
Acute kidney failure and chronic kidney disease (N17-N19)
Excludes2: congenital renal failure (P96.0) drug- and heavy-metal-induced tubulo-interstitial and tubular conditions (N14.-) extrarenal uremia (R39.2) hemolytic-uremic syndrome (D59.3) hepatorenal syndrome (K76.7) postpartum hepatorenal syndrome (O90.4) posttraumatic renal failure (T79.5) prerenal uremia (R39.2) renal failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.4) renal failure following labor and delivery (O90.4) renal failure postprocedural (N99.0)
N17 Acute kidney failure
Code also associated underlying condition
Excludes1: posttraumatic renal failure (T79.5)
N17.0 Acute kidney failure with tubular necrosis Acute tubular necrosis Renal tubular necrosis Tubular necrosis NOS
N17.1 Acute kidney failure with acute cortical necrosis Acute cortical necrosis Cortical necrosis NOS Renal cortical necrosis
Page 9 N17.2 Acute kidney failure with medullary necrosis Medullary [papillary] necrosis NOS Acute medullary [papillary] necrosis Renal medullary [papillary] necrosis
N17.8 Other acute kidney failure
N17.9 Acute kidney failure, unspecified Acute kidney injury (nontraumatic)
Excludes2: traumatic kidney injury (S37.0-)
N18 Chronic kidney disease (CKD)
Code first any associated: diabetic chronic kidney disease (E08.22, E09.22, E10.22, E11.22, E13.22) hypertensive chronic kidney disease (I12.-, I13.-)
Use additional code to identify kidney transplant status, if applicable, (Z94.0)
N18.1 Chronic kidney disease, stage 1
N18.2 Chronic kidney disease, stage 2 (mild)
N18.3 Chronic kidney disease, stage 3 (moderate)
N18.4 Chronic kidney disease, stage 4 (severe)
N18.5 Chronic kidney disease, stage 5
Excludes1: chronic kidney disease, stage 5 requiring chronic dialysis (N18.6)
N18.6 End stage renal disease Chronic kidney disease requiring chronic dialysis
Use additional code to identify dialysis status (Z99.2)
N18.9 Chronic kidney disease, unspecified Chronic renal disease Chronic renal failure NOS Chronic renal insufficiency Chronic uremia NOS Diffuse sclerosing glomerulonephritis NOS
N19 Unspecified kidney failure Uremia NOS
Excludes1: acute kidney failure (N17.-) chronic kidney disease (N18.-) chronic uremia (N18.9) extrarenal uremia (R39.2) prerenal uremia (R39.2) renal insufficiency (acute) (N28.9) uremia of newborn (P96.0)
Urolithiasis (N20-N23)
N20 Calculus of kidney and ureter Calculous pyelonephritis
Excludes1: nephrocalcinosis (E83.5) that with hydronephrosis (N13.2)
Page 10 N20.0 Calculus of kidney Nephrolithiasis NOS Renal calculus Renal stone Staghorn calculus Stone in kidney
N20.1 Calculus of ureter Ureteric stone
N20.2 Calculus of kidney with calculus of ureter
N20.9 Urinary calculus, unspecified
N21 Calculus of lower urinary tract
Includes: calculus of lower urinary tract with cystitis and urethritis
N21.0 Calculus in bladder Calculus in diverticulum of bladder Urinary bladder stone
Excludes2: staghorn calculus (N20.0)
N21.1 Calculus in urethra
Excludes2: calculus of prostate (N42.0)
N21.8 Other lower urinary tract calculus
N21.9 Calculus of lower urinary tract, unspecified
Excludes1: calculus of urinary tract NOS (N20.9)
N22 Calculus of urinary tract in diseases classified elsewhere
Code first underlying disease, such as: gout (M1A.-, M10.-) schistosomiasis (B65.0-B65.9)
N23 Unspecified renal colic
Other disorders of kidney and ureter (N25-N29)
Excludes2: disorders of kidney and ureter with urolithiasis (N20-N23)
N25 Disorders resulting from impaired renal tubular function
N25.0 Renal osteodystrophy Azotemic osteodystrophy Phosphate-losing tubular disorders Renal rickets Renal short stature
Excludes2: metabolic disorders classifiable to E70-E88
N25.1 Nephrogenic diabetes insipidus
Excludes1: diabetes insipidus NOS (E23.2)
N25.8 Other disorders resulting from impaired renal tubular function
N25.81 Secondary hyperparathyroidism of renal origin
Page 11 Excludes1: secondary hyperparathyroidism, non-renal (E21.1)
Excludes2: metabolic disorders classifiable to E70-E88
N25.89 Other disorders resulting from impaired renal tubular function Hypokalemic nephropathy Lightwood-Albright syndrome Renal tubular acidosis NOS
N25.9 Disorder resulting from impaired renal tubular function, unspecified
N26 Unspecified contracted kidney
Excludes1: contracted kidney due to hypertension (I12.-) diffuse sclerosing glomerulonephritis (N05.8.-) hypertensive nephrosclerosis (arteriolar) (arteriosclerotic) (I12.-) small kidney of unknown cause (N27.-)
N26.1 Atrophy of kidney (terminal)
N26.2 Page kidney
N26.9 Renal sclerosis, unspecified
N27 Small kidney of unknown cause
Includes: oligonephronia
N27.0 Small kidney, unilateral
N27.1 Small kidney, bilateral
N27.9 Small kidney, unspecified
N28 Other disorders of kidney and ureter, not elsewhere classified
N28.0 Ischemia and infarction of kidney Renal artery embolism Renal artery obstruction Renal artery occlusion Renal artery thrombosis Renal infarct
Excludes1: atherosclerosis of renal artery (extrarenal part) (I70.1) congenital stenosis of renal artery (Q27.1) Goldblatt's kidney (I70.1)
N28.1 Cyst of kidney, acquired Cyst (multiple) (solitary) of kidney (acquired)
Excludes1: cystic kidney disease (congenital) (Q61.-)
N28.8 Other specified disorders of kidney and ureter
Excludes1: hydroureter (N13.4) ureteric stricture with hydronephrosis (N13.1) ureteric stricture without hydronephrosis (N13.5)
N28.81 Hypertrophy of kidney
N28.82 Megaloureter
N28.83 Nephroptosis
Page 12 N28.84 Pyelitis cystica
N28.85 Pyeloureteritis cystica
N28.86 Ureteritis cystica
N28.89 Other specified disorders of kidney and ureter
N28.9 Disorder of kidney and ureter, unspecified Nephropathy NOS Renal disease (acute) NOS Renal insufficiency (acute)
Excludes1: chronic renal insufficiency (N18.9) unspecified nephritic syndrome (N05.-)
N29 Other disorders of kidney and ureter in diseases classified elsewhere
Code first underlying disease, such as: amyloidosis (E85.-) nephrocalcinosis (E83.5) schistosomiasis (B65.0-B65.9)
Excludes1: disorders of kidney and ureter in: cystinosis (E72.0) gonorrhea (A54.21) syphilis (A52.75) tuberculosis (A18.11)
Other diseases of the urinary system (N30-N39)
Excludes1: urinary infection (complicating): abortion or ectopic or molar pregnancy (O00-O07, O08.8) pregnancy, childbirth and the puerperium (O23.-, O75.3, O86.2-)
N30 Cystitis
Use additional code to identify infectious agent (B95-B97)
Excludes1: prostatocystitis (N41.3)
N30.0 Acute cystitis
Excludes1: irradiation cystitis (N30.4-) trigonitis (N30.3-)
N30.00 Acute cystitis without hematuria
N30.01 Acute cystitis with hematuria
N30.1 Interstitial cystitis (chronic)
N30.10 Interstitial cystitis (chronic) without hematuria
N30.11 Interstitial cystitis (chronic) with hematuria
N30.2 Other chronic cystitis
N30.20 Other chronic cystitis without hematuria
N30.21 Other chronic cystitis with hematuria
N30.3 Trigonitis
Page 13 Urethrotrigonitis
N30.30 Trigonitis without hematuria
N30.31 Trigonitis with hematuria
N30.4 Irradiation cystitis
N30.40 Irradiation cystitis without hematuria
N30.41 Irradiation cystitis with hematuria
N30.8 Other cystitis Abscess of bladder
N30.80 Other cystitis without hematuria
N30.81 Other cystitis with hematuria
N30.9 Cystitis, unspecified
N30.90 Cystitis, unspecified without hematuria
N30.91 Cystitis, unspecified with hematuria
N31 Neuromuscular dysfunction of bladder, not elsewhere classified
Use additional code to identify any associated urinary incontinence (N39.3-N39.4-)
Excludes1: cord bladder NOS (G95.89) neurogenic bladder due to cauda equina syndrome (G83.4) neuromuscular dysfunction due to spinal cord lesion (G95.89)
N31.0 Uninhibited neuropathic bladder, not elsewhere classified
N31.1 Reflex neuropathic bladder, not elsewhere classified
N31.2 Flaccid neuropathic bladder, not elsewhere classified Atonic (motor) (sensory) neuropathic bladder Autonomous neuropathic bladder Nonreflex neuropathic bladder
N31.8 Other neuromuscular dysfunction of bladder
N31.9 Neuromuscular dysfunction of bladder, unspecified Neurogenic bladder dysfunction NOS
N32 Other disorders of bladder
Excludes2: calculus of bladder (N21.0) cystocele (N81.1-) hernia or prolapse of bladder, female (N81.1-)
N32.0 Bladder-neck obstruction Bladder-neck stenosis (acquired)
Excludes1: congenital bladder-neck obstruction (Q64.3-)
N32.1 Vesicointestinal fistula Vesicorectal fistula
N32.2 Vesical fistula, not elsewhere classified
Excludes1: fistula between bladder and female genital tract (N82.0-N82.1) Page 14 N32.3 Diverticulum of bladder
Excludes1: congenital diverticulum of bladder (Q64.6) diverticulitis of bladder (N30.8-)
N32.8 Other specified disorders of bladder
N32.81 Overactive bladder Detrusor muscle hyperactivity
Excludes1: frequent urination due to specified bladder condition- code to condition
N32.89 Other specified disorders of bladder Bladder hemorrhage Bladder hypertrophy Calcified bladder Contracted bladder
N32.9 Bladder disorder, unspecified
N33 Bladder disorders in diseases classified elsewhere
Code first underlying disease, such as: schistosomiasis (B65.0-B65.9)
Excludes1: bladder disorder in syphilis (A52.76) bladder disorder in tuberculosis (A18.12) candidal cystitis (B37.41) chlamydial cystitis (A56.01) cystitis in gonorrhea (A54.01) cystitis in neurogenic bladder (N31.-) diphtheritic cystitis (A36.85) syphilitic cystitis (A52.76) trichomonal cystitis (A59.03)
N34 Urethritis and urethral syndrome
Use additional code (B95-B97), to identify infectious agent.
Excludes2: Reiter's disease (M02.3-) urethritis in diseases with a predominantly sexual mode of transmission (A50-A64) urethrotrigonitis (N30.3-)
N34.0 Urethral abscess Abscess (of) Cowper's gland Abscess (of) Littré's gland Abscess (of) urethral (gland) Periurethral abscess
Excludes1: urethral caruncle (N36.2)
N34.1 Nonspecific urethritis Nongonococcal urethritis Nonvenereal urethritis
N34.2 Other urethritis Meatitis, urethral Postmenopausal urethritis Ulcer of urethra (meatus) Urethritis NOS
N34.3 Urethral syndrome, unspecified
Page 15 N35 Urethral stricture
Excludes1: congenital urethral stricture (Q64.3-) postprocedural urethral stricture (N99.1-)
N35.0 Post-traumatic urethral stricture Urethral stricture due to injury
Excludes1: postprocedural urethral stricture (N99.1-)
N35.01 Post-traumatic urethral stricture, male
N35.010 Post-traumatic urethral stricture, male, meatal
N35.011 Post-traumatic bulbous urethral stricture
N35.012 Post-traumatic membranous urethral stricture
N35.013 Post-traumatic anterior urethral stricture
N35.014 Post-traumatic urethral stricture, male, unspecified
N35.02 Post-traumatic urethral stricture, female
N35.021 Urethral stricture due to childbirth
N35.028 Other post-traumatic urethral stricture, female
N35.1 Postinfective urethral stricture, not elsewhere classified
Excludes1: urethral stricture associated with schistosomiasis (B65.-, N29) gonococcal urethral stricture (A54.01) syphilitic urethral stricture (A52.76)
N35.11 Postinfective urethral stricture, not elsewhere classified, male
N35.111 Postinfective urethral stricture, not elsewhere classified, male, meatal
N35.112 Postinfective bulbous urethral stricture, not elsewhere classified, male
N35.113 Postinfective membranous urethral stricture, not elsewhere classified, male
N35.114 Postinfective anterior urethral stricture, not elsewhere classified, male
N35.119 Postinfective urethral stricture, not elsewhere classified, male, unspecified
N35.12 Postinfective urethral stricture, not elsewhere classified, female
N35.8 Other urethral stricture
Excludes1: postprocedural urethral stricture (N99.1-)
N35.9 Urethral stricture, unspecified
N36 Other disorders of urethra
N36.0 Urethral fistula Urethroperineal fistula Urethrorectal fistula Urinary fistula NOS
Excludes1: urethroscrotal fistula (N50.89) urethrovaginal fistula (N82.1) urethrovesicovaginal fistula (N82.1) Page 16 N36.1 Urethral diverticulum
N36.2 Urethral caruncle
N36.4 Urethral functional and muscular disorders
Use additional code to identify associated urinary stress incontinence (N39.3)
N36.41 Hypermobility of urethra
N36.42 Intrinsic sphincter deficiency (ISD)
N36.43 Combined hypermobility of urethra and intrinsic sphincter deficiency
N36.44 Muscular disorders of urethra Bladder sphincter dyssynergy
N36.5 Urethral false passage
N36.8 Other specified disorders of urethra
Excludes1: congenital urethrocele (Q64.7) female urethrocele (N81.0)
N36.9 Urethral disorder, unspecified
N37 Urethral disorders in diseases classified elsewhere
Code first underlying disease
Excludes1: urethritis (in): candidal infection (B37.41) chlamydial (A56.01) gonorrhea (A54.01) syphilis (A52.76) trichomonal infection (A59.03) tuberculosis (A18.13)
N39 Other disorders of urinary system
Excludes2: hematuria NOS (R31.-) recurrent or persistent hematuria (N02.-) recurrent or persistent hematuria with specified morphological lesion (N02.-) proteinuria NOS (R80.-)
N39.0 Urinary tract infection, site not specified
Use additional code (B95-B97), to identify infectious agent.
Excludes1: candidiasis of urinary tract (B37.4-) neonatal urinary tract infection (P39.3) urinary tract infection of specified site, such as: cystitis (N30.-) urethritis (N34.-)
N39.3 Stress incontinence (female) (male)
Code also any associated overactive bladder (N32.81)
Excludes1: mixed incontinence (N39.46)
N39.4 Other specified urinary incontinence
Code also any associated overactive bladder (N32.81) Page 17 Excludes1: enuresis NOS (R32) functional urinary incontinence (R39.81) urinary incontinence associated with cognitive impairment (R39.81) urinary incontinence NOS (R32) urinary incontinence of nonorganic origin (F98.0)
N39.41 Urge incontinence
Excludes1: mixed incontinence (N39.46)
N39.42 Incontinence without sensory awareness Insensible (urinary) incontinence
N39.43 Post-void dribbling
N39.44 Nocturnal enuresis
N39.45 Continuous leakage
N39.46 Mixed incontinence Urge and stress incontinence
N39.49 Other specified urinary incontinence
N39.490 Overflow incontinence
N39.491 Coital incontinence
N39.492 Postural (urinary) incontinence
N39.498 Other specified urinary incontinence Reflex incontinence Total incontinence
N39.8 Other specified disorders of urinary system
N39.9 Disorder of urinary system, unspecified
Diseases of male genital organs (N40-N53)
N40 Benign prostatic hyperplasia
Includes: adenofibromatous hypertrophy of prostate benign hypertrophy of the prostate benign prostatic hypertrophy BPH enlarged prostate nodular prostate polyp of prostate
Excludes1: benign neoplasms of prostate (adenoma, benign) (fibroadenoma) (fibroma) (myoma) (D29.1)
Excludes2: malignant neoplasm of prostate (C61)
N40.0 Benign prostatic hyperplasia without lower urinary tract symptoms Enlarged prostate without LUTS Enlarged prostate NOS
N40.1 Benign prostatic hyperplasia with lower urinary tract symptoms Enlarged prostate with LUTS
Use additional code for associated symptoms, when specified: incomplete bladder emptying (R39.14) Page 18 nocturia (R35.1) straining on urination (R39.16) urinary frequency (R35.0) urinary hesitancy (R39.11) urinary incontinence (N39.4-) urinary obstruction (N13.8) urinary retention (R33.8) urinary urgency (R39.15) weak urinary stream (R39.12)
N40.2 Nodular prostate without lower urinary tract symptoms Nodular prostate without LUTS
N40.3 Nodular prostate with lower urinary tract symptoms
Use additional code for associated symptoms, when specified: incomplete bladder emptying (R39.14) nocturia (R35.1) straining on urination (R39.16) urinary frequency (R35.0) urinary hesitancy (R39.11) urinary incontinence (N39.4-) urinary obstruction (N13.8) urinary retention (R33.8) urinary urgency (R39.15) weak urinary stream (R39.12)
N41 Inflammatory diseases of prostate
Use additional code (B95-B97), to identify infectious agent.
N41.0 Acute prostatitis
N41.1 Chronic prostatitis
N41.2 Abscess of prostate
N41.3 Prostatocystitis
N41.4 Granulomatous prostatitis
N41.8 Other inflammatory diseases of prostate
N41.9 Inflammatory disease of prostate, unspecified Prostatitis NOS
N42 Other and unspecified disorders of prostate
N42.0 Calculus of prostate Prostatic stone
N42.1 Congestion and hemorrhage of prostate
Excludes1: enlarged prostate (N40.-) hematuria (R31.-) hyperplasia of prostate (N40.-) inflammatory diseases of prostate (N41.-)
N42.3 Dysplasia of prostate
N42.30 Unspecified dysplasia of prostate
N42.31 Prostatic intraepithelial neoplasia Page 19 PIN Prostatic intraepithelial neoplasia I (PIN I) Prostatic intraepithelial neoplasia II (PIN II)
Excludes1: prostatic intraepithelial neoplasia III (PIN III) (D07.5)
N42.32 Atypical small acinar proliferation of prostate
N42.39 Other dysplasia of prostate
N42.8 Other specified disorders of prostate
N42.81 Prostatodynia syndrome Painful prostate syndrome
N42.82 Prostatosis syndrome
N42.83 Cyst of prostate
N42.89 Other specified disorders of prostate
N42.9 Disorder of prostate, unspecified
N43 Hydrocele and spermatocele
Includes: hydrocele of spermatic cord, testis or tunica vaginalis
Excludes1: congenital hydrocele (P83.5)
N43.0 Encysted hydrocele
N43.1 Infected hydrocele
Use additional code (B95-B97), to identify infectious agent
N43.2 Other hydrocele
N43.3 Hydrocele, unspecified
N43.4 Spermatocele of epididymis Spermatic cyst
N43.40 Spermatocele of epididymis, unspecified
N43.41 Spermatocele of epididymis, single
N43.42 Spermatocele of epididymis, multiple
N44 Noninflammatory disorders of testis
N44.0 Torsion of testis
N44.00 Torsion of testis, unspecified
N44.01 Extravaginal torsion of spermatic cord
N44.02 Intravaginal torsion of spermatic cord Torsion of spermatic cord NOS
N44.03 Torsion of appendix testis
N44.04 Torsion of appendix epididymis
N44.1 Cyst of tunica albuginea testis
Page 20 N44.2 Benign cyst of testis
N44.8 Other noninflammatory disorders of the testis
N45 Orchitis and epididymitis
Use additional code (B95-B97), to identify infectious agent.
N45.1 Epididymitis
N45.2 Orchitis
N45.3 Epididymo-orchitis
N45.4 Abscess of epididymis or testis
N46 Male infertility
Excludes1: vasectomy status (Z98.52)
N46.0 Azoospermia Absolute male infertility Male infertility due to germinal (cell) aplasia Male infertility due to spermatogenic arrest (complete)
N46.01 Organic azoospermia Azoospermia NOS
N46.02 Azoospermia due to extratesticular causes
Code also associated cause
N46.021 Azoospermia due to drug therapy
N46.022 Azoospermia due to infection
N46.023 Azoospermia due to obstruction of efferent ducts
N46.024 Azoospermia due to radiation
N46.025 Azoospermia due to systemic disease
N46.029 Azoospermia due to other extratesticular causes
N46.1 Oligospermia Male infertility due to germinal cell desquamation Male infertility due to hypospermatogenesis Male infertility due to incomplete spermatogenic arrest
N46.11 Organic oligospermia Oligospermia NOS
N46.12 Oligospermia due to extratesticular causes
Code also associated cause
N46.121 Oligospermia due to drug therapy
N46.122 Oligospermia due to infection
N46.123 Oligospermia due to obstruction of efferent ducts
N46.124 Oligospermia due to radiation
Page 21 N46.125 Oligospermia due to systemic disease
N46.129 Oligospermia due to other extratesticular causes
N46.8 Other male infertility
N46.9 Male infertility, unspecified
N47 Disorders of prepuce
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 penis
N47.6 Balanoposthitis
Use additional code (B95-B97), to identify infectious agent.
Excludes1: balanitis (N48.1)
N47.7 Other inflammatory diseases of prepuce
Use additional code (B95-B97), to identify infectious agent.
N47.8 Other disorders of prepuce
N48 Other disorders of penis
N48.0 Leukoplakia of penis Balanitis xerotica obliterans Kraurosis of penis Lichen sclerosus of external male genital organs
Excludes1: carcinoma in situ of penis (D07.4)
N48.1 Balanitis
Use additional code (B95-B97), to identify infectious agent
Excludes1: amebic balanitis (A06.8) balanitis xerotica obliterans (N48.0) candidal balanitis (B37.42) gonococcal balanitis (A54.23) herpesviral [herpes simplex] balanitis (A60.01)
N48.2 Other inflammatory disorders of penis
Use additional code (B95-B97), to identify infectious agent.
Excludes1: balanitis (N48.1) balanitis xerotica obliterans (N48.0) balanoposthitis (N47.6)
N48.21 Abscess of corpus cavernosum and penis
N48.22 Cellulitis of corpus cavernosum and penis Page 22 N48.29 Other inflammatory disorders of penis
N48.3 Priapism Painful erection
Code first underlying cause
N48.30 Priapism, unspecified
N48.31 Priapism due to trauma
N48.32 Priapism due to disease classified elsewhere
N48.33 Priapism, drug-induced
N48.39 Other priapism
N48.5 Ulcer of penis
N48.6 Induration penis plastica Peyronie's disease Plastic induration of penis
N48.8 Other specified disorders of penis
N48.81 Thrombosis of superficial vein of penis
N48.82 Acquired torsion of penis Acquired torsion of penis NOS
Excludes1: congenital torsion of penis (Q55.63)
N48.83 Acquired buried penis
Excludes1: congenital hidden penis (Q55.64)
N48.89 Other specified disorders of penis
N48.9 Disorder of penis, unspecified
N49 Inflammatory disorders of male genital organs, not elsewhere classified
Use additional code (B95-B97), to identify infectious agent
Excludes1: inflammation of penis (N48.1, N48.2-) orchitis and epididymitis (N45.-)
N49.0 Inflammatory disorders of seminal vesicle Vesiculitis NOS
N49.1 Inflammatory disorders of spermatic cord, tunica vaginalis and vas deferens Vasitis
N49.2 Inflammatory disorders of scrotum
N49.3 Fournier gangrene
N49.8 Inflammatory disorders of other specified male genital organs Inflammation of multiple sites in male genital organs
N49.9 Inflammatory disorder of unspecified male genital organ Abscess of unspecified male genital organ Boil of unspecified male genital organ Carbuncle of unspecified male genital organ Page 23 Cellulitis of unspecified male genital organ
N50 Other and unspecified disorders of male genital organs
Excludes2: torsion of testis (N44.0-)
N50.0 Atrophy of testis
N50.1 Vascular disorders of male genital organs Hematocele, NOS, of male genital organs Hemorrhage of male genital organs Thrombosis of male genital organs
N50.3 Cyst of epididymis
N50.8 Other specified disorders of male genital organs
N50.81 Testicular pain
N50.811 Right testicular pain
N50.812 Left testicular pain
N50.819 Testicular pain, unspecified
N50.82 Scrotal pain
N50.89 Other specified disorders of the male genital organs Atrophy of scrotum, seminal vesicle, spermatic cord, tunica vaginalis and vas deferens Chylocele, tunica vaginalis (nonfilarial) NOS Edema of scrotum, seminal vesicle, spermatic cord, tunica vaginalis and vas deferens Hypertrophy of scrotum, seminal vesicle, spermatic cord, tunica vaginalis and vas deferens Stricture of spermatic cord, tunica vaginalis, and vas deferens Ulcer of scrotum, seminal vesicle, spermatic cord, testis, tunica vaginalis and vas deferens Urethroscrotal fistula
N50.9 Disorder of male genital organs, unspecified
N51 Disorders of male genital organs in diseases classified elsewhere
Code first underlying disease, such as: filariasis (B74.0-B74.9)
Excludes1: amebic balanitis (A06.8) candidal balanitis (B37.42) gonococcal balanitis (A54.23) gonococcal prostatitis (A54.22) herpesviral [herpes simplex] balanitis (A60.01) trichomonal prostatitis (A59.02) tuberculous prostatitis (A18.14)
N52 Male erectile dysfunction
Excludes1: psychogenic impotence (F52.21)
N52.0 Vasculogenic erectile dysfunction
N52.01 Erectile dysfunction due to arterial insufficiency
N52.02 Corporo-venous occlusive erectile dysfunction
N52.03 Combined arterial insufficiency and corporo-venous occlusive erectile dysfunction
Page 24 N52.1 Erectile dysfunction due to diseases classified elsewhere
Code first underlying disease
N52.2 Drug-induced erectile dysfunction
N52.3 Postprocedural erectile dysfunction
N52.31 Erectile dysfunction following radical prostatectomy
N52.32 Erectile dysfunction following radical cystectomy
N52.33 Erectile dysfunction following urethral surgery
N52.34 Erectile dysfunction following simple prostatectomy
N52.35 Erectile dysfunction following radiation therapy
N52.36 Erectile dysfunction following interstitial seed therapy
N52.37 Erectile dysfunction following prostate ablative therapy Erectile dysfunction following cryotherapy Erectile dysfunction following other prostate ablative therapies Erectile dysfunction following ultrasound ablative therapies
N52.39 Other and unspecified postprocedural erectile dysfunction
N52.8 Other male erectile dysfunction
N52.9 Male erectile dysfunction, unspecified Impotence NOS
N53 Other male sexual dysfunction
Excludes1: psychogenic sexual dysfunction (F52.-)
N53.1 Ejaculatory dysfunction
Excludes1: premature ejaculation (F52.4)
N53.11 Retarded ejaculation
N53.12 Painful ejaculation
N53.13 Anejaculatory orgasm
N53.14 Retrograde ejaculation
N53.19 Other ejaculatory dysfunction Ejaculatory dysfunction NOS
N53.8 Other male sexual dysfunction
N53.9 Unspecified male sexual dysfunction
Disorders of breast (N60-N65)
Excludes1: disorders of breast associated with childbirth (O91-O92)
N60 Benign mammary dysplasia
Includes: fibrocystic mastopathy
N60.0 Solitary cyst of breast Page 25 Cyst of breast
N60.01 Solitary cyst of right breast
N60.02 Solitary cyst of left breast
N60.09 Solitary cyst of unspecified breast
N60.1 Diffuse cystic mastopathy Cystic breast Fibrocystic disease of breast
Excludes1: diffuse cystic mastopathy with epithelial proliferation (N60.3-)
N60.11 Diffuse cystic mastopathy of right breast
N60.12 Diffuse cystic mastopathy of left breast
N60.19 Diffuse cystic mastopathy of unspecified breast
N60.2 Fibroadenosis of breast Adenofibrosis of breast
Excludes2: fibroadenoma of breast (D24.-)
N60.21 Fibroadenosis of right breast
N60.22 Fibroadenosis of left breast
N60.29 Fibroadenosis of unspecified breast
N60.3 Fibrosclerosis of breast Cystic mastopathy with epithelial proliferation
N60.31 Fibrosclerosis of right breast
N60.32 Fibrosclerosis of left breast
N60.39 Fibrosclerosis of unspecified breast
N60.4 Mammary duct ectasia
N60.41 Mammary duct ectasia of right breast
N60.42 Mammary duct ectasia of left breast
N60.49 Mammary duct ectasia of unspecified breast
N60.8 Other benign mammary dysplasias
N60.81 Other benign mammary dysplasias of right breast
N60.82 Other benign mammary dysplasias of left breast
N60.89 Other benign mammary dysplasias of unspecified breast
N60.9 Unspecified benign mammary dysplasia
N60.91 Unspecified benign mammary dysplasia of right breast
N60.92 Unspecified benign mammary dysplasia of left breast
N60.99 Unspecified benign mammary dysplasia of unspecified breast
N61 Inflammatory disorders of breast Page 26 Excludes1: inflammatory carcinoma of breast (C50.9) inflammatory disorder of breast associated with childbirth (O91.-) neonatal infective mastitis (P39.0) thrombophlebitis of breast [Mondor's disease] (I80.8)
N61.0 Mastitis without abscess Infective mastitis (acute) (nonpuerperal) (subacute) Mastitis (acute) (nonpuerperal) (subacute) NOS Cellulitis (acute) (nonpuerperal) (subacute) of breast NOS Cellulitis (acute) (nonpuerperal) (subacute) of nipple NOS
N61.1 Abscess of the breast and nipple Abscess (acute) (chronic) (nonpuerperal) of areola Abscess (acute) (chronic) (nonpuerperal) of breast Carbuncle of breast Mastitis with abscess
N62 Hypertrophy of breast Gynecomastia Hypertrophy of breast NOS Massive pubertal hypertrophy of breast
Excludes1: breast engorgement of newborn (P83.4) disproportion of reconstructed breast (N65.1)
N63 Unspecified lump in breast Nodule(s) NOS in breast
N63.0 Unspecified lump in unspecified breast
N63.1 Unspecified lump in the right breast
N63.10 Unspecified lump in the right breast, unspecified quadrant
N63.11 Unspecified lump in the right breast, upper outer quadrant
N63.12 Unspecified lump in the right breast, upper inner quadrant
N63.13 Unspecified lump in the right breast, lower outer quadrant
N63.14 Unspecified lump in the right breast, lower inner quadrant
N63.2 Unspecified lump in the left breast
N63.20 Unspecified lump in the left breast, unspecified quadrant
N63.21 Unspecified lump in the left breast, upper outer quadrant
N63.22 Unspecified lump in the left breast, upper inner quadrant
N63.23 Unspecified lump in the left breast, lower outer quadrant
N63.24 Unspecified lump in the left breast, lower inner quadrant
N63.3 Unspecified lump in axillary tail
N63.31 Unspecified lump in axillary tail of the right breast
N63.32 Unspecified lump in axillary tail of the left breast
N63.4 Unspecified lump in breast, subareolar
N63.41 Unspecified lump in right breast, subareolar
Page 27 N63.42 Unspecified lump in left breast, subareolar
N64 Other disorders of breast
Excludes2: mechanical complication of breast prosthesis and implant (T85.4-)
N64.0 Fissure and fistula of nipple
N64.1 Fat necrosis of breast Fat necrosis (segmental) of breast
Code first breast necrosis due to breast graft (T85.898)
N64.2 Atrophy of breast
N64.3 Galactorrhea not associated with childbirth
N64.4 Mastodynia
N64.5 Other signs and symptoms in breast
Excludes2: abnormal findings on diagnostic imaging of breast (R92.-)
N64.51 Induration of breast
N64.52 Nipple discharge
Excludes1: abnormal findings in nipple discharge (R89.-)
N64.53 Retraction of nipple
N64.59 Other signs and symptoms in breast
N64.8 Other specified disorders of breast
N64.81 Ptosis of breast
Excludes1: ptosis of native breast in relation to reconstructed breast (N65.1)
N64.82 Hypoplasia of breast Micromastia
Excludes1: congenital absence of breast (Q83.0) hypoplasia of native breast in relation to reconstructed breast (N65.1)
N64.89 Other specified disorders of breast Galactocele Subinvolution of breast (postlactational)
N64.9 Disorder of breast, unspecified
N65 Deformity and disproportion of reconstructed breast
N65.0 Deformity of reconstructed breast Contour irregularity in reconstructed breast Excess tissue in reconstructed breast Misshapen reconstructed breast
N65.1 Disproportion of reconstructed breast Breast asymmetry between native breast and reconstructed breast Disproportion between native breast and reconstructed breast
Inflammatory diseases of female pelvic organs (N70-N77)
Page 28 Excludes1: inflammatory diseases of female pelvic organs complicating: abortion or ectopic or molar pregnancy (O00-O07, O08.0) pregnancy, childbirth and the puerperium (O23.-, O75.3, O85, O86.-)
N70 Salpingitis and oophoritis
Includes: abscess (of) fallopian tube abscess (of) ovary pyosalpinx salpingo-oophoritis tubo-ovarian abscess tubo-ovarian inflammatory disease
Use additional code (B95-B97), to identify infectious agent
Excludes1: gonococcal infection (A54.24) tuberculous infection (A18.17)
N70.0 Acute salpingitis and oophoritis
N70.01 Acute salpingitis
N70.02 Acute oophoritis
N70.03 Acute salpingitis and oophoritis
N70.1 Chronic salpingitis and oophoritis Hydrosalpinx
N70.11 Chronic salpingitis
N70.12 Chronic oophoritis
N70.13 Chronic salpingitis and oophoritis
N70.9 Salpingitis and oophoritis, unspecified
N70.91 Salpingitis, unspecified
N70.92 Oophoritis, unspecified
N70.93 Salpingitis and oophoritis, unspecified
N71 Inflammatory disease of uterus, except cervix
Includes: endo (myo) metritis metritis myometritis pyometra uterine abscess
Use additional code (B95-B97), to identify infectious agent
Excludes1: hyperplastic endometritis (N85.0-) infection of uterus following delivery (O85, O86.-)
N71.0 Acute inflammatory disease of uterus
N71.1 Chronic inflammatory disease of uterus
N71.9 Inflammatory disease of uterus, unspecified
N72 Inflammatory disease of cervix uteri
Page 29 Includes: cervicitis (with or without erosion or ectropion) endocervicitis (with or without erosion or ectropion) exocervicitis (with or without erosion or ectropion)
Use additional code (B95-B97), to identify infectious agent
Excludes1: erosion and ectropion of cervix without cervicitis (N86)
N73 Other female pelvic inflammatory diseases
Use additional code (B95-B97), to identify infectious agent.
N73.0 Acute parametritis and pelvic cellulitis Abscess of broad ligament Abscess of parametrium Pelvic cellulitis, female
N73.1 Chronic parametritis and pelvic cellulitis Any condition in N73.0 specified as chronic
Excludes1: tuberculous parametritis and pelvic cellultis (A18.17)
N73.2 Unspecified parametritis and pelvic cellulitis Any condition in N73.0 unspecified whether acute or chronic
N73.3 Female acute pelvic peritonitis
N73.4 Female chronic pelvic peritonitis
Excludes1: tuberculous pelvic (female) peritonitis (A18.17)
N73.5 Female pelvic peritonitis, unspecified
N73.6 Female pelvic peritoneal adhesions (postinfective)
Excludes2: postprocedural pelvic peritoneal adhesions (N99.4)
N73.8 Other specified female pelvic inflammatory diseases
N73.9 Female pelvic inflammatory disease, unspecified Female pelvic infection or inflammation NOS
N74 Female pelvic inflammatory disorders in diseases classified elsewhere
Code first underlying disease
Excludes1: chlamydial cervicitis (A56.02) chlamydial pelvic inflammatory disease (A56.11) gonococcal cervicitis (A54.03) gonococcal pelvic inflammatory disease (A54.24) herpesviral [herpes simplex] cervicitis (A60.03) herpesviral [herpes simplex] pelvic inflammatory disease (A60.09) syphilitic cervicitis (A52.76) syphilitic pelvic inflammatory disease (A52.76) trichomonal cervicitis (A59.09) tuberculous cervicitis (A18.16) tuberculous pelvic inflammatory disease (A18.17)
N75 Diseases of Bartholin's gland
N75.0 Cyst of Bartholin's gland
N75.1 Abscess of Bartholin's gland Page 30 N75.8 Other diseases of Bartholin's gland Bartholinitis
N75.9 Disease of Bartholin's gland, unspecified
N76 Other inflammation of vagina and vulva
Use additional code (B95-B97), to identify infectious agent
Excludes2: senile (atrophic) vaginitis (N95.2) vulvar vestibulitis (N94.810)
N76.0 Acute vaginitis Acute vulvovaginitis Vaginitis NOS Vulvovaginitis NOS
N76.1 Subacute and chronic vaginitis Chronic vulvovaginitis Subacute vulvovaginitis
N76.2 Acute vulvitis Vulvitis NOS
N76.3 Subacute and chronic vulvitis
N76.4 Abscess of vulva Furuncle of vulva
N76.5 Ulceration of vagina
N76.6 Ulceration of vulva
N76.8 Other specified inflammation of vagina and vulva
N76.81 Mucositis (ulcerative) of vagina and vulva
Code also type of associated therapy, such as: antineoplastic and immunosuppressive drugs (T45.1X-) radiological procedure and radiotherapy (Y84.2)
Excludes2: gastrointestinal mucositis (ulcerative) (K92.81) nasal mucositis (ulcerative) (J34.81) oral mucositis (ulcerative) (K12.3-)
N76.89 Other specified inflammation of vagina and vulva
N77 Vulvovaginal ulceration and inflammation in diseases classified elsewhere
N77.0 Ulceration of vulva in diseases classified elsewhere
Code first underlying disease, such as: Behçet's disease (M35.2)
Excludes1: ulceration of vulva in gonococcal infection (A54.02) ulceration of vulva in herpesviral [herpes simplex] infection (A60.04) ulceration of vulva in syphilis (A51.0) ulceration of vulva in tuberculosis (A18.18)
N77.1 Vaginitis, vulvitis and vulvovaginitis in diseases classified elsewhere
Code first underlying disease, such as: pinworm (B80) Page 31 Excludes1: candidal vulvovaginitis (B37.3) chlamydial vulvovaginitis (A56.02) gonococcal vulvovaginitis (A54.02) herpesviral [herpes simplex] vulvovaginitis (A60.04) trichomonal vulvovaginitis (A59.01) tuberculous vulvovaginitis (A18.18) vulvovaginitis in early syphilis (A51.0) vulvovaginitis in late syphilis (A52.76)
Noninflammatory disorders of female genital tract (N80-N98)
N80 Endometriosis
N80.0 Endometriosis of uterus Adenomyosis
Excludes1: stromal endometriosis (D39.0)
N80.1 Endometriosis of ovary
N80.2 Endometriosis of fallopian tube
N80.3 Endometriosis of pelvic peritoneum
N80.4 Endometriosis of rectovaginal septum and vagina
N80.5 Endometriosis of intestine
N80.6 Endometriosis in cutaneous scar
N80.8 Other endometriosis Endometriosis of thorax
N80.9 Endometriosis, unspecified
N81 Female genital prolapse
Excludes1: genital prolapse complicating pregnancy, labor or delivery (O34.5-) prolapse and hernia of ovary and fallopian tube (N83.4-) prolapse of vaginal vault after hysterectomy (N99.3)
N81.0 Urethrocele
Excludes1: urethrocele with cystocele (N81.1-) urethrocele with prolapse of uterus (N81.2-N81.4)
N81.1 Cystocele Cystocele with urethrocele Cystourethrocele
Excludes1: cystocele with prolapse of uterus (N81.2-N81.4)
N81.10 Cystocele, unspecified Prolapse of (anterior) vaginal wall NOS
N81.11 Cystocele, midline
N81.12 Cystocele, lateral Paravaginal cystocele
N81.2 Incomplete uterovaginal prolapse First degree uterine prolapse Prolapse of cervix NOS Page 32 Second degree uterine prolapse
Excludes1: cervical stump prolapse (N81.85)
N81.3 Complete uterovaginal prolapse Procidentia (uteri) NOS Third degree uterine prolapse
N81.4 Uterovaginal prolapse, unspecified Prolapse of uterus NOS
N81.5 Vaginal enterocele
Excludes1: enterocele with prolapse of uterus (N81.2-N81.4)
N81.6 Rectocele Prolapse of posterior vaginal wall
Use additional code for any associated fecal incontinence, if applicable (R15.-)
Excludes2: perineocele (N81.81) rectal prolapse (K62.3) rectocele with prolapse of uterus (N81.2-N81.4)
N81.8 Other female genital prolapse
N81.81 Perineocele
N81.82 Incompetence or weakening of pubocervical tissue
N81.83 Incompetence or weakening of rectovaginal tissue
N81.84 Pelvic muscle wasting Disuse atrophy of pelvic muscles and anal sphincter
N81.85 Cervical stump prolapse
N81.89 Other female genital prolapse Deficient perineum Old laceration of muscles of pelvic floor
N81.9 Female genital prolapse, unspecified
N82 Fistulae involving female genital tract
Excludes1: vesicointestinal fistulae (N32.1)
N82.0 Vesicovaginal fistula
N82.1 Other female urinary-genital tract fistulae Cervicovesical fistula Ureterovaginal fistula Urethrovaginal fistula Uteroureteric fistula Uterovesical fistula
N82.2 Fistula of vagina to small intestine
N82.3 Fistula of vagina to large intestine Rectovaginal fistula
N82.4 Other female intestinal-genital tract fistulae Intestinouterine fistula
Page 33 N82.5 Female genital tract-skin fistulae Uterus to abdominal wall fistula Vaginoperineal fistula
N82.8 Other female genital tract fistulae
N82.9 Female genital tract fistula, unspecified
N83 Noninflammatory disorders of ovary, fallopian tube and broad ligament
Excludes2: hydrosalpinx (N70.1-)
N83.0 Follicular cyst of ovary Cyst of graafian follicle Hemorrhagic follicular cyst (of ovary)
N83.00 Follicular cyst of ovary, unspecified side
N83.01 Follicular cyst of right ovary
N83.02 Follicular cyst of left ovary
N83.1 Corpus luteum cyst Hemorrhagic corpus luteum cyst
N83.10 Corpus luteum cyst of ovary, unspecified side
N83.11 Corpus luteum cyst of right ovary
N83.12 Corpus luteum cyst of left ovary
N83.2 Other and unspecified ovarian cysts
Excludes1: developmental ovarian cyst (Q50.1) neoplastic ovarian cyst (D27.-) polycystic ovarian syndrome (E28.2) Stein-Leventhal syndrome (E28.2)
N83.20 Unspecified ovarian cysts
N83.201 Unspecified ovarian cyst, right side
N83.202 Unspecified ovarian cyst, left side
N83.209 Unspecified ovarian cyst, unspecified side Ovarian cyst, NOS
N83.29 Other ovarian cysts Retention cyst of ovary Simple cyst of ovary
N83.291 Other ovarian cyst, right side
N83.292 Other ovarian cyst, left side
N83.299 Other ovarian cyst, unspecified side
N83.3 Acquired atrophy of ovary and fallopian tube
N83.31 Acquired atrophy of ovary
N83.311 Acquired atrophy of right ovary
N83.312 Acquired atrophy of left ovary Page 34 N83.319 Acquired atrophy of ovary, unspecified side Acquired atrophy of ovary, NOS
N83.32 Acquired atrophy of fallopian tube
N83.321 Acquired atrophy of right fallopian tube
N83.322 Acquired atrophy of left fallopian tube
N83.329 Acquired atrophy of fallopian tube, unspecified side Acquired atrophy of fallopian tube, NOS
N83.33 Acquired atrophy of ovary and fallopian tube
N83.331 Acquired atrophy of right ovary and fallopian tube
N83.332 Acquired atrophy of left ovary and fallopian tube
N83.339 Acquired atrophy of ovary and fallopian tube, unspecified side Acquired atrophy of ovary and fallopian tube, NOS
N83.4 Prolapse and hernia of ovary and fallopian tube
N83.40 Prolapse and hernia of ovary and fallopian tube, unspecified side Prolapse and hernia of ovary and fallopian tube, NOS
N83.41 Prolapse and hernia of right ovary and fallopian tube
N83.42 Prolapse and hernia of left ovary and fallopian tube
N83.5 Torsion of ovary, ovarian pedicle and fallopian tube Torsion of accessory tube
N83.51 Torsion of ovary and ovarian pedicle
N83.511 Torsion of right ovary and ovarian pedicle
N83.512 Torsion of left ovary and ovarian pedicle
N83.519 Torsion of ovary and ovarian pedicle, unspecified side Torsion of ovary and ovarian pedicle, NOS
N83.52 Torsion of fallopian tube Torsion of hydatid of Morgagni
N83.521 Torsion of right fallopian tube
N83.522 Torsion of left fallopian tube
N83.529 Torsion of fallopian tube, unspecified side Torsion of fallopian tube, NOS
N83.53 Torsion of ovary, ovarian pedicle and fallopian tube
N83.6 Hematosalpinx
Excludes1: hematosalpinx (with) (in): hematocolpos (N89.7) hematometra (N85.7) tubal pregnancy (O00.1-)
N83.7 Hematoma of broad ligament
N83.8 Other noninflammatory disorders of ovary, fallopian tube and broad ligament Page 35 Broad ligament laceration syndrome [Allen-Masters]
N83.9 Noninflammatory disorder of ovary, fallopian tube and broad ligament, unspecified
N84 Polyp of female genital tract
Excludes1: adenomatous polyp (D28.-) placental polyp (O90.89)
N84.0 Polyp of corpus uteri Polyp of endometrium Polyp of uterus NOS
Excludes1: polypoid endometrial hyperplasia (N85.0-)
N84.1 Polyp of cervix uteri Mucous polyp of cervix
N84.2 Polyp of vagina
N84.3 Polyp of vulva Polyp of labia
N84.8 Polyp of other parts of female genital tract
N84.9 Polyp of female genital tract, unspecified
N85 Other noninflammatory disorders of uterus, except cervix
Excludes1: endometriosis (N80.-) inflammatory diseases of uterus (N71.-) noninflammatory disorders of cervix, except malposition (N86-N88) polyp of corpus uteri (N84.0) uterine prolapse (N81.-)
N85.0 Endometrial hyperplasia
N85.00 Endometrial hyperplasia, unspecified Hyperplasia (adenomatous) (cystic) (glandular) of endometrium Hyperplastic endometritis
N85.01 Benign endometrial hyperplasia Endometrial hyperplasia (complex) (simple) without atypia
N85.02 Endometrial intraepithelial neoplasia [EIN] Endometrial hyperplasia with atypia
Excludes1: malignant neoplasm of endometrium (with endometrial intraepithelial neoplasia [EIN]) (C54.1)
N85.2 Hypertrophy of uterus Bulky or enlarged uterus
Excludes1: puerperal hypertrophy of uterus (O90.89)
N85.3 Subinvolution of uterus
Excludes1: puerperal subinvolution of uterus (O90.89)
N85.4 Malposition of uterus Anteversion of uterus Retroflexion of uterus Retroversion of uterus Page 36 Excludes1: malposition of uterus complicating pregnancy, labor or delivery (O34.5-, O65.5)
N85.5 Inversion of uterus
Excludes1: current obstetric trauma (O71.2) postpartum inversion of uterus (O71.2)
N85.6 Intrauterine synechiae
N85.7 Hematometra Hematosalpinx with hematometra
Excludes1: hematometra with hematocolpos (N89.7)
N85.8 Other specified noninflammatory disorders of uterus Atrophy of uterus, acquired Fibrosis of uterus NOS
N85.9 Noninflammatory disorder of uterus, unspecified Disorder of uterus NOS
N86 Erosion and ectropion of cervix uteri Decubitus (trophic) ulcer of cervix Eversion of cervix
Excludes1: erosion and ectropion of cervix with cervicitis (N72)
N87 Dysplasia of cervix uteri
Excludes1: abnormal results from cervical cytologic examination without histologic confirmation (R87.61-) carcinoma in situ of cervix uteri (D06.-) cervical intraepithelial neoplasia III [CIN III] (D06.-) HGSIL of cervix (R87.613) severe dysplasia of cervix uteri (D06.-)
N87.0 Mild cervical dysplasia Cervical intraepithelial neoplasia I [CIN I]
N87.1 Moderate cervical dysplasia Cervical intraepithelial neoplasia II [CIN II]
N87.9 Dysplasia of cervix uteri, unspecified Anaplasia of cervix Cervical atypism Cervical dysplasia NOS
N88 Other noninflammatory disorders of cervix uteri
Excludes2: inflammatory disease of cervix (N72) polyp of cervix (N84.1)
N88.0 Leukoplakia of cervix uteri
N88.1 Old laceration of cervix uteri Adhesions of cervix
Excludes1: current obstetric trauma (O71.3)
N88.2 Stricture and stenosis of cervix uteri
Excludes1: stricture and stenosis of cervix uteri complicating labor (O65.5)
N88.3 Incompetence of cervix uteri Page 37 Investigation and management of (suspected) cervical incompetence in a nonpregnant woman
Excludes1: cervical incompetence complicating pregnancy (O34.3-)
N88.4 Hypertrophic elongation of cervix uteri
N88.8 Other specified noninflammatory disorders of cervix uteri
Excludes1: current obstetric trauma (O71.3)
N88.9 Noninflammatory disorder of cervix uteri, unspecified
N89 Other noninflammatory disorders of vagina
Excludes1: abnormal results from vaginal cytologic examination without histologic confirmation (R87.62-) carcinoma in situ of vagina (D07.2) HGSIL of vagina (R87.623) inflammation of vagina (N76.-) senile (atrophic) vaginitis (N95.2) severe dysplasia of vagina (D07.2) trichomonal leukorrhea (A59.00) vaginal intraepithelial neoplasia [VAIN], grade III (D07.2)
N89.0 Mild vaginal dysplasia Vaginal intraepithelial neoplasia [VAIN], grade I
N89.1 Moderate vaginal dysplasia Vaginal intraepithelial neoplasia [VAIN], grade II
N89.3 Dysplasia of vagina, unspecified
N89.4 Leukoplakia of vagina
N89.5 Stricture and atresia of vagina Vaginal adhesions Vaginal stenosis
Excludes1: congenital atresia or stricture (Q52.4) postprocedural adhesions of vagina (N99.2)
N89.6 Tight hymenal ring Rigid hymen Tight introitus
Excludes1: imperforate hymen (Q52.3)
N89.7 Hematocolpos Hematocolpos with hematometra or hematosalpinx
N89.8 Other specified noninflammatory disorders of vagina Leukorrhea NOS Old vaginal laceration Pessary ulcer of vagina
Excludes1: current obstetric trauma (O70.-, O71.4, O71.7-O71.8) old laceration involving muscles of pelvic floor (N81.8)
N89.9 Noninflammatory disorder of vagina, unspecified
N90 Other noninflammatory disorders of vulva and perineum
Excludes1: anogenital (venereal) warts (A63.0) carcinoma in situ of vulva (D07.1) Page 38 condyloma acuminatum (A63.0) current obstetric trauma (O70.-, O71.7-O71.8) inflammation of vulva (N76.-) severe dysplasia of vulva (D07.1) vulvar intraepithelial neoplasm III [VIN III] (D07.1)
N90.0 Mild vulvar dysplasia Vulvar intraepithelial neoplasia [VIN], grade I
N90.1 Moderate vulvar dysplasia Vulvar intraepithelial neoplasia [VIN], grade II
N90.3 Dysplasia of vulva, unspecified
N90.4 Leukoplakia of vulva Dystrophy of vulva Kraurosis of vulva Lichen sclerosus of external female genital organs
N90.5 Atrophy of vulva Stenosis of vulva
N90.6 Hypertrophy of vulva
N90.60 Unspecified hypertrophy of vulva Unspecified hypertrophy of labia
N90.61 Childhood asymmetric labium majus enlargement CALME
N90.69 Other specified hypertrophy of vulva Other specified hypertrophy of labia
N90.7 Vulvar cyst
N90.8 Other specified noninflammatory disorders of vulva and perineum
N90.81 Female genital mutilation status Female genital cutting status
N90.810 Female genital mutilation status, unspecified Female genital cutting status, unspecified Female genital mutilation status NOS
N90.811 Female genital mutilation Type I status Clitorectomy status Female genital cutting Type I status
N90.812 Female genital mutilation Type II status Clitorectomy with excision of labia minora status Female genital cutting Type II status
N90.813 Female genital mutilation Type III status Female genital cutting Type III status Infibulation status
N90.818 Other female genital mutilation status Female genital cutting Type IV status Female genital mutilation Type IV status Other female genital cutting status
N90.89 Other specified noninflammatory disorders of vulva and perineum Adhesions of vulva Page 39 Hypertrophy of clitoris
N90.9 Noninflammatory disorder of vulva and perineum, unspecified
N91 Absent, scanty and rare menstruation
Excludes1: ovarian dysfunction (E28.-)
N91.0 Primary amenorrhea
N91.1 Secondary amenorrhea
N91.2 Amenorrhea, unspecified
N91.3 Primary oligomenorrhea
N91.4 Secondary oligomenorrhea
N91.5 Oligomenorrhea, unspecified Hypomenorrhea NOS
N92 Excessive, frequent and irregular menstruation
Excludes1: postmenopausal bleeding (N95.0) precocious puberty (menstruation) (E30.1)
N92.0 Excessive and frequent menstruation with regular cycle Heavy periods NOS Menorrhagia NOS Polymenorrhea
N92.1 Excessive and frequent menstruation with irregular cycle Irregular intermenstrual bleeding Irregular, shortened intervals between menstrual bleeding Menometrorrhagia Metrorrhagia
N92.2 Excessive menstruation at puberty Excessive bleeding associated with onset of menstrual periods Pubertal menorrhagia Puberty bleeding
N92.3 Ovulation bleeding Regular intermenstrual bleeding
N92.4 Excessive bleeding in the premenopausal period Climacteric menorrhagia or metrorrhagia Menopausal menorrhagia or metrorrhagia Preclimacteric menorrhagia or metrorrhagia Premenopausal menorrhagia or metrorrhagia
N92.5 Other specified irregular menstruation
N92.6 Irregular menstruation, unspecified Irregular bleeding NOS Irregular periods NOS
Excludes1: irregular menstruation with: lengthened intervals or scanty bleeding (N91.3-N91.5) shortened intervals or excessive bleeding (N92.1)
N93 Other abnormal uterine and vaginal bleeding
Page 40 Excludes1: neonatal vaginal hemorrhage (P54.6) precocious puberty (menstruation) (E30.1) pseudomenses (P54.6)
N93.0 Postcoital and contact bleeding
N93.1 Pre-pubertal vaginal bleeding
N93.8 Other specified abnormal uterine and vaginal bleeding Dysfunctional or functional uterine or vaginal bleeding NOS
N93.9 Abnormal uterine and vaginal bleeding, unspecified
N94 Pain and other conditions associated with female genital organs and menstrual cycle
N94.0 Mittelschmerz
N94.1 Dyspareunia
Excludes1: psychogenic dyspareunia (F52.6)
N94.10 Unspecified dyspareunia
N94.11 Superficial (introital) dyspareunia
N94.12 Deep dyspareunia
N94.19 Other specified dyspareunia
N94.2 Vaginismus
Excludes1: psychogenic vaginismus (F52.5)
N94.3 Premenstrual tension syndrome
Code also associated menstrual migraine (G43.82-, G43.83-)
Excludes1: Premenstrual dysphoric disorder (F32.81)
N94.4 Primary dysmenorrhea
N94.5 Secondary dysmenorrhea
N94.6 Dysmenorrhea, unspecified
Excludes1: psychogenic dysmenorrhea (F45.8)
N94.8 Other specified conditions associated with female genital organs and menstrual cycle
N94.81 Vulvodynia
N94.810 Vulvar vestibulitis
N94.818 Other vulvodynia
N94.819 Vulvodynia, unspecified Vulvodynia NOS
N94.89 Other specified conditions associated with female genital organs and menstrual cycle
N94.9 Unspecified condition associated with female genital organs and menstrual cycle
N95 Menopausal and other perimenopausal disorders Menopausal and other perimenopausal disorders due to naturally occurring (age-related) menopause and
Page 41 perimenopause
Excludes1: excessive bleeding in the premenopausal period (N92.4) menopausal and perimenopausal disorders due to artificial or premature menopause (E89.4-, E28.31-) premature menopause (E28.31-)
Excludes2: postmenopausal osteoporosis (M81.0-) postmenopausal osteoporosis with current pathological fracture (M80.0-) postmenopausal urethritis (N34.2)
N95.0 Postmenopausal bleeding
N95.1 Menopausal and female climacteric states Symptoms such as flushing, sleeplessness, headache, lack of concentration, associated with natural (age- related) menopause
Use additional code for associated symptoms
Excludes1: asymptomatic menopausal state (Z78.0) symptoms associated with artificial menopause (E89.41) symptoms associated with premature menopause (E28.310)
N95.2 Postmenopausal atrophic vaginitis Senile (atrophic) vaginitis
N95.8 Other specified menopausal and perimenopausal disorders
N95.9 Unspecified menopausal and perimenopausal disorder
N96 Recurrent pregnancy loss Investigation or care in a nonpregnant woman with history of recurrent pregnancy loss
Excludes1: recurrent pregancy loss with current pregnancy (O26.2-)
Includes: inability to achieve a pregnancy sterility, female NOS
Excludes1: female infertility associated with: hypopituitarism (E23.0) Stein-Leventhal syndrome (E28.2)
Excludes2: incompetence of cervix uteri (N88.3)
N97.0 Female infertility associated with anovulation
N97.1 Female infertility of tubal origin 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
N97.2 Female infertility of uterine origin Female infertility associated with congenital anomaly of uterus Female infertility due to nonimplantation of ovum
N97.8 Female infertility of other origin
N97.9 Female infertility, unspecified
N98 Complications associated with artificial fertilization
Page 42 N98.0 Infection associated with artificial insemination
N98.1 Hyperstimulation of ovaries Hyperstimulation of ovaries NOS Hyperstimulation of ovaries associated with induced ovulation
N98.2 Complications of attempted introduction of fertilized ovum following in vitro fertilization
N98.3 Complications of attempted introduction of embryo in embryo transfer
N98.8 Other complications associated with artificial fertilization
N98.9 Complication associated with artificial fertilization, unspecified
Intraoperative and postprocedural complications and disorders of genitourinary system, not elsewhere classified (N99)
N99 Intraoperative and postprocedural complications and disorders of genitourinary system, not elsewhere classified
Excludes2: irradiation cystitis (N30.4-) postoophorectomy osteoporosis with current pathological fracture (M80.8-) postoophorectomy osteoporosis without current pathological fracture (M81.8)
N99.0 Postprocedural (acute) (chronic) kidney failure
Use additional code to type of kidney disease
N99.1 Postprocedural urethral stricture Postcatheterization urethral stricture
N99.11 Postprocedural urethral stricture, male
N99.110 Postprocedural urethral stricture, male, meatal
N99.111 Postprocedural bulbous urethral stricture, male
N99.112 Postprocedural membranous urethral stricture, male
N99.113 Postprocedural anterior bulbous urethral stricture, male
N99.114 Postprocedural urethral stricture, male, unspecified
N99.115 Postprocedural fossa navicularis urethral stricture
N99.12 Postprocedural urethral stricture, female
N99.2 Postprocedural adhesions of vagina
N99.3 Prolapse of vaginal vault after hysterectomy
N99.4 Postprocedural pelvic peritoneal adhesions
Excludes2: pelvic peritoneal adhesions NOS (N73.6) postinfective pelvic peritoneal adhesions (N73.6)
N99.5 Complications of stoma of urinary tract
Excludes2: mechanical complication of urinary catheter (T83.0-)
N99.51 Complication of cystostomy
N99.510 Cystostomy hemorrhage
Page 43 N99.511 Cystostomy infection
N99.512 Cystostomy malfunction
N99.518 Other cystostomy complication
N99.52 Complication of incontinent external stoma of urinary tract
N99.520 Hemorrhage of incontinent external stoma of urinary tract
N99.521 Infection of incontinent external stoma of urinary tract
N99.522 Malfunction of incontinent external stoma of urinary tract
N99.523 Herniation of incontinent stoma of urinary tract
N99.524 Stenosis of incontinent stoma of urinary tract
N99.528 Other complication of incontinent external stoma of urinary tract
N99.53 Complication of continent stoma of urinary tract
N99.530 Hemorrhage of continent stoma of urinary tract
N99.531 Infection of continent stoma of urinary tract
N99.532 Malfunction of continent stoma of urinary tract
N99.533 Herniation of continent stoma of urinary tract
N99.534 Stenosis of continent stoma of urinary tract
N99.538 Other complication of continent stoma of urinary tract
N99.6 Intraoperative hemorrhage and hematoma of a genitourinary system organ or structure complicating a procedure
Excludes1: intraoperative hemorrhage and hematoma of a genitourinary system organ or structure due to accidental puncture or laceration during a procedure (N99.7-)
N99.61 Intraoperative hemorrhage and hematoma of a genitourinary system organ or structure complicating a genitourinary system procedure
N99.62 Intraoperative hemorrhage and hematoma of a genitourinary system organ or structure complicating other procedure
N99.7 Accidental puncture and laceration of a genitourinary system organ or structure during a procedure
N99.71 Accidental puncture and laceration of a genitourinary system organ or structure during a genitourinary system procedure
N99.72 Accidental puncture and laceration of a genitourinary system organ or structure during other procedure
N99.8 Other intraoperative and postprocedural complications and disorders of genitourinary system
N99.81 Other intraoperative complications of genitourinary system
N99.82 Postprocedural hemorrhage of a genitourinary system organ or structure following a procedure
N99.820 Postprocedural hemorrhage of a genitourinary system organ or structure following a genitourinary system procedure
N99.821 Postprocedural hemorrhage of a genitourinary system organ or structure following Page 44 other procedure
N99.83 Residual ovary syndrome
N99.84 Postprocedural hematoma and seroma of a genitourinary system organ or structure following a procedure
N99.840 Postprocedural hematoma of a genitourinary system organ or structure following a genitourinary system procedure
N99.841 Postprocedural hematoma of a genitourinary system organ or structure following other procedure
N99.842 Postprocedural seroma of a genitourinary system organ or structure following a genitourinary system procedure
N99.843 Postprocedural seroma of a genitourinary system organ or structure following other procedure
N99.89 Other postprocedural complications and disorders of genitourinary system
Page 45