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ICD-10 Guide
ICD-10 CodesN70.11

N70.11

Billable

Chronic salpingitis

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/18/2025

Code Description

ICD-10 N70.11 is a billable code used to indicate a diagnosis of chronic salpingitis.

Key Diagnostic Point:

Chronic salpingitis is an inflammatory condition of the fallopian tubes that persists over time, often resulting from recurrent infections. It is commonly associated with pelvic inflammatory disease (PID), which can also involve the ovaries (oophoritis) and the uterus (endometritis). Chronic salpingitis may present with symptoms such as pelvic pain, abnormal vaginal discharge, and infertility. The condition can be caused by sexually transmitted infections (STIs) like Chlamydia trachomatis and Neisseria gonorrhoeae, as well as non-STI pathogens. Diagnosis typically involves a combination of clinical evaluation, imaging studies such as ultrasound or hysterosalpingography, and sometimes laparoscopy. Treatment often includes antibiotic therapy to address the underlying infection, and in some cases, surgical intervention may be necessary to remove affected tissue or to address complications such as abscess formation. Chronic salpingitis can lead to significant reproductive health issues, including ectopic pregnancy and infertility, making early diagnosis and management crucial.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between acute and chronic forms of salpingitis
  • Identifying associated conditions like PID and oophoritis
  • Understanding the implications of recurrent infections
  • Navigating documentation requirements for antibiotic treatment

Audit Risk Factors

  • Inadequate documentation of chronicity
  • Failure to document associated conditions
  • Misclassification of acute vs. chronic salpingitis
  • Lack of clarity in treatment plans, especially regarding antibiotic use

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

Detailed patient history, including previous infections, treatment responses, and current symptoms.

Common Clinical Scenarios

Patients presenting with pelvic pain, infertility evaluations, and recurrent infections.

Billing Considerations

Accurate documentation of the duration and frequency of symptoms is essential for coding chronic conditions.

Infectious Disease

Documentation Requirements

Comprehensive records of laboratory results, treatment regimens, and patient follow-up.

Common Clinical Scenarios

Management of STIs leading to chronic salpingitis and monitoring treatment efficacy.

Billing Considerations

Documentation should clearly outline the infectious etiology and response to antibiotic therapy.

Coding Guidelines

Inclusion Criteria

Use N70.11 When
  • According to ICD
  • 10 coding guidelines, chronic salpingitis is classified under N70
  • Coders must ensure that the diagnosis is supported by clinical documentation indicating the chronic nature of the condition

Exclusion Criteria

Do NOT use N70.11 When
  • Exclusion criteria include acute salpingitis and other acute pelvic inflammatory diseases unless specified

Related ICD-10 Codes

Related CPT Codes

58661CPT Code

Laparoscopy, surgical, with salpingectomy

Clinical Scenario

Used when surgical intervention is required for chronic salpingitis with complications.

Documentation Requirements

Operative report detailing the procedure and indication for surgery.

Specialty Considerations

Gynecologists must ensure that the surgical necessity is well-documented to support the procedure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of chronic conditions like salpingitis, improving the accuracy of data collection and reimbursement processes. This specificity helps in tracking the prevalence and treatment outcomes of chronic salpingitis more effectively.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of chronic conditions like salpingitis, improving the accuracy of data collection and reimbursement processes. This specificity helps in tracking the prevalence and treatment outcomes of chronic salpingitis more effectively.

Reimbursement & Billing Impact

reimbursement processes. This specificity helps in tracking the prevalence and treatment outcomes of chronic salpingitis more effectively.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between acute and chronic salpingitis?

Acute salpingitis is a sudden onset of inflammation often due to an infection, while chronic salpingitis is a long-term condition that may result from repeated infections or unresolved acute episodes. Chronic salpingitis typically requires more extensive documentation and management.