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v1.0.0
ICD-10 Guide
DiagnosesStatus Post Hysterectomy

Status Post Hysterectomy

ICD-10 Coding for Status Post Hysterectomy(Z90.710, Z90.711)

PRIMARY SPECIALTYGynecology
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Status Post Hysterectomy?
Essential facts and insights about Status Post Hysterectomy

Key Clinical Considerations:

  • Absence of uterus confirmed by surgical history
  • Management of post-operative symptoms such as pain or hormonal changes
  • Monitoring for complications like infection or hemorrhage

Clinical Information

Clinical Criteria & Documentation Requirements

  • Surgical history detailing the type of hysterectomy performed
  • Post-operative follow-up notes including any complications
  • Use of specific terms like 'status post total abdominal hysterectomy' or 'status post laparoscopic hysterectomy'

Coding Guidelines

Usage Guidelines & Examples

  • Ensure accurate coding to avoid denials related to post-operative care.
  • Common errors include misclassifying the type of hysterectomy or failing to document complications.

Code Exclusions

Important Exclusions

  • Conditions like uterine cancer or other gynecological disorders that may require different coding.
  • Alternative codes for complications not related to the hysterectomy.

Related ICD-10 Codes

Primary Codes
Z90.710
Acquired absence of uterus
Ancillary Codes
Z85.42
G89.18
Differential Codes
Z90.711
Z90.711
if the cervix is retained after hysterectomy.
Z90.710
Z90.710
if both cervix and uterus are removed.

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Gynecology

Specialty Applications

  • Women of reproductive age post-hysterectomy
  • Gynecological follow-up care settings

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Document the type of hysterectomy, date of surgery, and any complications.

Billing considerations?

Ensure correct coding to reflect the surgical history and any ongoing management of symptoms.