ICD-10 common codes for Gynecology and Obstetrics
Code Diagnoses Code Diagnoses Menstrual abnormalities Z11.8 Trichomoniasis screening Contact with and (suspected) exposure to infections N91.2 Amenorrhea Z20.2 with a predominantly sexual mode of transmission N91.5 Oligomenorrhea Z72.51 High risk heterosexual behavior N92.0 Menorrhagia Z72.52 High risk homosexual behavior N92.1 Metrorrhagia Z73.53 High risk bisexual behavior N92.6 Irregular menses Z72.89 Other problems related to lifestyle N93.8 Dysfunctional uterine bleeding Disorders of cervix N94.3 Premenstrual syndrome D06.9 Cervical Intraepithelial Neoplasia III (CIN III) N94.6 Dysmenorrhea N72 Cervical Inflammation Disorders of genital area N72 Cervicitis/Endocervicitis L29.3 Vaginal itch N84.1 Cervical Polyp N73.9 Pelvic inflammatory disease (PID) N87.1 Mild Dysplasia Of Cervix (CIN I) N75.0 Bartholin’s cyst N87.2 Moderate Dysplasia Of Cervix (CIN II) N76.0 Vaginitis, unspecified N76.4 Vulvar abscess Menopause N76.5 Vaginal ulcer N95.0 Postmenopausal bleeding N76.6 Ulcer of vulva N95.1 Menopausal symptoms N89.4 Leukoplakia of vagina N95.2 Senile atrophic vaginitis N89.8 Vaginal cyst N95.8 Perimenopausal bleeding N89.8 Vaginal discharge N95.8 Postsurgical menopause N89.9 Noninflammatory disorder of vagina Abnormal Pap Smear results N90.89 Vulvar lesion R87.610 ASC-US, Cervix N93.9 Vaginal bleeding R87.611 ASC-H, Cervix N94.9 Pelvic pain R87.612 LGSIL, Cervix R19.00 Pelvic mass R87.613 HGSIL, Cervix Screening for Infectious Diseases R87.615 Unsatisfactory Cervical Cytology sample Z11.3 Syphilis screening R87.619 Abnormal Pap Smear Result, Cervix Z11.3 Venereal disease screening R87.628 Abnormal Pap Smear Result, Vagina Z11.51 HPV screening R87.810 Cervical High-Risk HPV Test Positive Z11.59 Hepatitis screening R87.811 Vaginal High-Risk HPV Test Positive
Z11.59 HIV screening Disorders of uterus and ovary Z11.59 Rubella screening D25.9 Uterine fibroid/leiomyoma Z11.8 Chlamydial trachomatis screening E28.39 Ovarian failure Z11.8 Screening for yeast infection E28.9 Ovarian dysfunction ICD-10 common codes for Gynecology and Obstetrics
Code Diagnoses Code Diagnoses N80.0 Adenomyosis B37.3 Candidiasis, vulva and vagina
N80.0 Cervical endometriosis B96.89 Gram-negative anaerobic infection N80.9 Endometriosis, unspecified Neoplasm of female genital organs N83.20 Ovarian cyst C50.919 Breast cancer N84.0 Uterine polyp C51.9 Vulvar cancer N85.2 Enlarged uterus C52 Vaginal cancer N85.8 Uterine cyst C53.0 Endocervical cancer N94.89 Ovarian mass C53.9 Cervical cancer Routine examination codes C54.1 Endometrial cancer Z01.419 Routine gynecological examination C55 Uterine cancer Z12.4 Routine cervical papanicolau smear C56.9 Ovarian cancer Z12.72 Vaginal pap smear status post-hysterectomy Pregnancy: supervision of pregnancy and postpartum Z77.9 High-risk for developing cervical cancer O09.511 Advanced maternal age, first trimester Disorders of breast O09.512 Advanced maternal age, second trimester N60.09 Cyst of breast O09.513 Advanced maternal age, third trimester N60.19 Fibrocystic breast O09.519 Advanced maternal age, unspecified trimester N61.1 Breast abscess Advanced maternal age, other than first pregnancy, O09.521 N61.1 Mastitis (breast abscess) first trimester Advanced maternal age, other than first pregnancy, N64.3 Galactorrhea not associated with childbirth O09.522 second trimester N64.4 Mastodynia (pain in breast) Advanced maternal age, other than first pregnancy, O09.523 N64.52 Nipple discharge third trimester
Advanced maternal age, other than first pregnancy, N64.59 Breast tenderness O09.529 unspecified trimester Genital Tract Infections Pregnancy resulting from in vitro fertilization, O09.811 A51.0 Genital syphilis first trimester
A59.00 Trichomoniasis, urogenital Pregnancy resulting from in vitro fertilization, O09.812 second trimester A59.01 Trichomoniasis, vulvovaginitis Pregnancy resulting from in vitro fertilization, O09.813 A60.04 Herpetic ulceration of vulva third trimester
A60.04 Herpetic vulvovaginitis Pregnancy resulting from in vitro fertilization, O09.819 unspecified trimester A60.9 Genital herpes O09.891 High-risk pregnancy, first trimester A74.89 Chlamydia trachomatis O09.892 High-risk pregnancy, second trimester A74.9 Chlamydial infection ICD-10 common codes for Gynecology and Obstetrics
Code Diagnoses Code Diagnoses O09.893 High-risk pregnancy, third trimester Genetic carrier status
O09.899 High-risk pregnancy, unspecified trimester Z14.1 Cystic fibrosis gene carrier
Z13.9 Screening Z14.8 Genetic carrier status, other than cystic fibrosis
Z34.00 Normal first pregnancy, unspecified trimester Z84.81 Family history of genetic disease carrier
Z34.01 Normal first pregnancy, first trimester Complications of pregnancy
Z34.02 Normal first pregnancy, second trimester Gestational hypertension, without O13.1 significant proteinuria, first trimester Z34.03 Normal first pregnancy, third trimester Gestational hypertension, without Normal pregnancy other than first, unspecified, O13.2 Z34.90 significant proteinuria, second trimester unspecified trimester Gestational hypertension, without Normal pregnancy other than first, unspecified, O13.3 Z34.91 significant proteinuria, third trimester first trimester Gestational hypertension, without Normal pregnancy other than first, unspecified, O13.9 Z34.92 significant proteinuria, unspecified trimester second trimester O14.00 Mild pre-eclampsia, unspecified trimester Normal pregnancy other than first, unspecified, Z34.93 third trimester O14.02 Mild pre-eclampsia, second trimester
Z36 Antenatal screening for chromosal anomaly O14.03 Mild pre-eclampsia, third trimester
Antenatal screening for alpha-fetoprotein in Mild to moderate pre-eclampsia, Z36 O14.04 amniotic fluid complicating childbirth
Z36 First trimester screen Mild to moderate pre-eclampsia, O14.05 complicating puerperium Z36 Routine fetal ultrasound O24.419 Gestational diabetes, unspecified control Z39.2 Routine postpartum follow-up Habitual aborter with current pregnancy, O26.20 Genetic testing unspecified trimester
Nonprocreative screening for genetic disease Habitual aborter with current pregnancy, Z13.71 O26.21 carrier status first trimester
Z31.430 Genetic screening for cystic fibrosis, female Habitual aborter with current pregnancy, O26.22 second trimester Testing of female for genetic disease carrier status, Z31.430 procreative Habitual aborter with current pregnancy, O26.23 third trimester Z31.438 Genetic procreative testing of female O26.851 Spotting complicating pregnancy, first trimester Testing of male for genetic disease carrier status, Z31.440 procreative O26.852 Spotting complicating pregnancy, second trimester
Testing of partner of female with recurrent O26.853 Spotting complicating pregnancy, third trimester Z31.441 pregnancy loss Spotting complicating pregnancy, O26.859 Z31.49 Procreative management testing unspecified trimester
Z31.5 Genetic counseling O30.001 Twin pregnancy, first trimester ICD-10 common codes for Gynecology and Obstetrics
Code Diagnoses Code Diagnoses Placenta previa without hemorrhage, O30.002 Twin pregnancy, second trimester O44.03 third trimester O30.003 Twin pregnancy, third trimester Hemorrhage from placenta previa, O44.10 O30.009 Twin pregnancy, unspecified trimester unspecified trimester
Rh incompatibility affecting management O44.11 Hemorrhage from placenta previa, first trimester O36.0110 of pregnancy, first trimester O44.12 Hemorrhage from placenta previa, second trimester Rh incompatibility affecting management O36.0120 O44.13 Hemorrhage from placenta previa, third trimester of pregnancy, second trimester Post-term pregnancy Rh incompatibility affecting management O48.0 O36.0130 (between 40 & 42 weeks gestation) of pregnancy, third trimester O99.345 Postpartum depression Rh incompatibility affecting management O36.0190 of pregnancy, unspecified trimester Pregnancy with abortive outcomes
O36.5910 Poor fetal growth, first trimester O00.10 Tubal pregnancy without intrauterine pregnancy
O36.5920 Poor fetal growth, second trimester O00.11 Tubal pregnancy with intrauterine pregnancy
Unspecified ectopic pregnancy without O36.5930 Poor fetal growth, third trimester O00.90 intrauterine pregnancy O36.5990 Poor fetal growth, unspecified trimester Unspecified ectopic pregnancy with O00.91 O36.60X0 Excessive fetal growth, unspecified trimester intrauterine pregnancy
O36.61X0 Excessive fetal growth, first trimester O01.9 Hydatidiform mole
O36.62X0 Excessive fetal growth, second trimester O02.0 Blighted ovum
O36.63X0 Excessive fetal growth, third trimester O02.0 Molar pregnancy
Placenta previa without hemorrhage, O02.1 Missed abortion O44.00 unspecified trimester O03.9 Spontaneous abortion (miscarriage) Placenta previa without hemorrhage, O44.01 O20.0 Threatened abortion first trimester O36.4XX0 Intrauterine death, unspecified Placenta previa without hemorrhage, O44.02 second trimester 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 2017 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.
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