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v1.0.0
ICD-10 Guide
ICD-10 CodesN73.8

N73.8

Billable

Other specified female pelvic inflammatory diseases

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

Code Description

ICD-10 N73.8 is a billable code used to indicate a diagnosis of other specified female pelvic inflammatory diseases.

Key Diagnostic Point:

N73.8 encompasses a variety of female pelvic inflammatory diseases that do not fall under more specific categories. This includes conditions such as salpingitis (inflammation of the fallopian tubes), oophoritis (inflammation of the ovaries), and endometritis (inflammation of the endometrium). Pelvic inflammatory disease (PID) is a broader term that refers to the infection of the female reproductive organs, which can lead to severe complications if left untreated. Cervicitis, or inflammation of the cervix, may also be included under this code when it is part of a broader inflammatory process. Treatment often involves antibiotics to combat the underlying infection, and gynecological procedures may be necessary for diagnosis or management, such as laparoscopy or hysteroscopy. Accurate coding requires a thorough understanding of the specific condition being treated, as well as the clinical context in which it occurs.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of conditions included under the code
  • Need for precise documentation of symptoms and treatments
  • Differentiation from other pelvic inflammatory diseases
  • Potential for overlapping diagnoses

Audit Risk Factors

  • Inadequate documentation of the specific condition
  • Failure to link diagnosis with appropriate treatment
  • Misclassification of the type of pelvic inflammatory disease
  • Lack of clarity in clinical notes regarding symptoms

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

Detailed clinical notes on symptoms, diagnostic tests, and treatment plans.

Common Clinical Scenarios

Diagnosis and management of PID, salpingitis, or oophoritis.

Billing Considerations

Ensure that all relevant diagnostic tests and treatments are documented to support the coding.

Infectious Disease

Documentation Requirements

Comprehensive history of infections, treatment response, and follow-up care.

Common Clinical Scenarios

Management of recurrent pelvic infections and antibiotic resistance.

Billing Considerations

Documenting the specific pathogens involved can aid in accurate coding.

Coding Guidelines

Inclusion Criteria

Use N73.8 When
  • According to ICD
  • 10 guidelines, N73
  • 8 should be used when the specific type of pelvic inflammatory disease is not classified elsewhere
  • Coders should ensure that the documentation supports the diagnosis and that any related conditions are also coded appropriately

Exclusion Criteria

Do NOT use N73.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58661CPT Code

Laparoscopy, surgical, with or without biopsy

Clinical Scenario

Used for diagnosis and treatment of PID or related conditions.

Documentation Requirements

Document indications for surgery and findings during the procedure.

Specialty Considerations

Gynecologists should ensure that all relevant findings are documented.

99213CPT Code

Office visit, established patient, level 3

Clinical Scenario

Follow-up visit for a patient treated for PID.

Documentation Requirements

Document symptoms, treatment response, and any new findings.

Specialty Considerations

Primary care providers should ensure continuity of care documentation.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of pelvic inflammatory diseases, improving the accuracy of diagnoses and treatment tracking. N73.8 provides a catch-all for conditions that do not fit into more specific categories, but it requires careful documentation to ensure appropriate use.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of pelvic inflammatory diseases, improving the accuracy of diagnoses and treatment tracking. N73.8 provides a catch-all for conditions that do not fit into more specific categories, but it requires careful documentation to ensure appropriate use.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of pelvic inflammatory diseases, improving the accuracy of diagnoses and treatment tracking. N73.8 provides a catch-all for conditions that do not fit into more specific categories, but it requires careful documentation to ensure appropriate use.

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 conditions are included under N73.8?

N73.8 includes various unspecified female pelvic inflammatory diseases, such as salpingitis, oophoritis, and cervicitis, among others.

When should I use N73.8 instead of more specific codes?

Use N73.8 when the specific type of pelvic inflammatory disease is not documented or when the condition does not fit into more specific categories.