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v1.0.0
ICD-10 Guide
ICD-10 CodesN70.9

N70.9

Billable

Salpingitis and oophoritis, unspecified

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

Code Description

ICD-10 N70.9 is a billable code used to indicate a diagnosis of salpingitis and oophoritis, unspecified.

Key Diagnostic Point:

Salpingitis and oophoritis are inflammatory conditions affecting the fallopian tubes and ovaries, respectively. Salpingitis refers specifically to the inflammation of the fallopian tubes, while oophoritis pertains to the inflammation of the ovaries. These conditions are often caused by infections, including sexually transmitted infections (STIs) such as Chlamydia trachomatis and Neisseria gonorrhoeae, but can also result from other bacterial infections. The inflammation can lead to pelvic inflammatory disease (PID), which encompasses a broader spectrum of reproductive tract infections. Symptoms may include pelvic pain, fever, abnormal vaginal discharge, and dyspareunia. Diagnosis typically involves a combination of clinical evaluation, laboratory tests, and imaging studies. Treatment often includes antibiotics to address the underlying infection, and in some cases, surgical intervention may be necessary to manage complications such as abscess formation. Accurate coding is essential for proper treatment reimbursement and tracking of disease prevalence.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between acute and chronic conditions
  • Identifying the underlying cause of inflammation
  • Potential overlap with other gynecological conditions
  • Variability in clinical presentation

Audit Risk Factors

  • Insufficient documentation of symptoms and clinical findings
  • Lack of specificity in diagnosis leading to potential upcoding
  • Inadequate follow-up documentation for treatment efficacy
  • Failure to document the relationship between PID and salpingitis/oophoritis

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

Detailed patient history, physical examination findings, laboratory results, and imaging studies.

Common Clinical Scenarios

Patients presenting with pelvic pain, abnormal discharge, or fever; follow-up for PID treatment.

Billing Considerations

Ensure documentation specifies the type of infection and any surgical interventions performed.

Infectious Disease

Documentation Requirements

Comprehensive history of STIs, laboratory confirmation of pathogens, and treatment response.

Common Clinical Scenarios

Management of complicated PID cases requiring hospitalization or advanced antibiotic therapy.

Billing Considerations

Document any co-infections and the rationale for antibiotic choices.

Coding Guidelines

Inclusion Criteria

Use N70.9 When
  • According to ICD
  • CM guidelines, N70
  • 9 should be used when the specific type of salpingitis or oophoritis is not documented
  • Coders must ensure that the diagnosis is supported by clinical findings and that no more specific codes are applicable

Exclusion Criteria

Do NOT use N70.9 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58300CPT Code

Laparoscopy, surgical, with salpingectomy

Clinical Scenario

Used when surgical intervention is required for severe salpingitis.

Documentation Requirements

Operative report detailing the procedure and indication.

Specialty Considerations

Ensure the procedure is linked to the diagnosis of salpingitis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of gynecological conditions, improving the accuracy of data collection and reimbursement processes. N70.9 provides a broad category for unspecified cases, but coders must strive for specificity when possible.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of gynecological conditions, improving the accuracy of data collection and reimbursement processes. N70.9 provides a broad category for unspecified cases, but coders must strive for specificity when possible.

Reimbursement & Billing Impact

reimbursement processes. N70.9 provides a broad category for unspecified cases, but coders must strive for specificity when possible.

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 salpingitis and oophoritis?

Salpingitis refers specifically to the inflammation of the fallopian tubes, while oophoritis refers to the inflammation of the ovaries. Both conditions can occur simultaneously and are often associated with pelvic inflammatory disease.