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v1.0.0
ICD-10 Guide
ICD-10 CodesN85.8

N85.8

Billable

Other specified noninflammatory disorders of uterus

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

Code Description

ICD-10 N85.8 is a billable code used to indicate a diagnosis of other specified noninflammatory disorders of uterus.

Key Diagnostic Point:

N85.8 encompasses a variety of noninflammatory disorders affecting the uterus that do not fall under more specific categories. These disorders may include conditions such as uterine fibroids (leiomyomas), endometrial hyperplasia without atypia, and other benign growths or abnormalities of the uterine tissue. Unlike inflammatory conditions, these disorders are characterized by structural changes rather than infections or inflammatory processes. Uterine fibroids, for instance, are common benign tumors that can lead to symptoms such as heavy menstrual bleeding, pelvic pain, and pressure symptoms. Endometrial hyperplasia, while often benign, can progress to endometrial carcinoma if left untreated. Accurate coding of these conditions is crucial for appropriate management and treatment planning, as they can significantly impact a patient's quality of life and reproductive health.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of conditions included under the code
  • Need for precise documentation to differentiate from inflammatory disorders
  • Potential overlap with other codes for uterine disorders
  • Variability in clinical presentation and symptoms

Audit Risk Factors

  • Inadequate documentation of the specific disorder
  • Failure to specify the nature of the noninflammatory condition
  • Misclassification of inflammatory versus noninflammatory disorders
  • Lack of supporting diagnostic imaging or pathology reports

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed clinical notes including patient history, physical examination findings, and results from imaging studies or biopsies.

Common Clinical Scenarios

Management of uterine fibroids, evaluation of abnormal uterine bleeding, and assessment of endometrial hyperplasia.

Billing Considerations

Ensure clear differentiation between benign and malignant conditions, and document any treatment plans or surgical interventions.

Pathology

Documentation Requirements

Pathology reports detailing histological findings and any relevant diagnostic criteria.

Common Clinical Scenarios

Evaluation of endometrial samples for hyperplasia or neoplasia.

Billing Considerations

Accurate reporting of findings is essential for proper coding and treatment planning.

Coding Guidelines

Inclusion Criteria

Use N85.8 When
  • According to ICD
  • 10 coding guidelines, N85
  • 8 should be used when a specific noninflammatory disorder of the uterus is documented but does not fit into more defined categories
  • Coders should ensure that the documentation supports the diagnosis and that any related conditions are also coded appropriately

Exclusion Criteria

Do NOT use N85.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58140CPT Code

Hysterectomy, abdominal, total

Clinical Scenario

Used when a patient with uterine fibroids undergoes a hysterectomy due to severe symptoms.

Documentation Requirements

Operative report detailing the indication for surgery and findings.

Specialty Considerations

Ensure that the diagnosis aligns with the surgical procedure performed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of noninflammatory uterine disorders, improving the accuracy of diagnoses and treatment plans. N85.8 provides a broader category for conditions that may not have been adequately captured in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of noninflammatory uterine disorders, improving the accuracy of diagnoses and treatment plans. N85.8 provides a broader category for conditions that may not have been adequately captured in ICD-9.

Reimbursement & Billing Impact

reimbursement.

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 types of conditions are included under N85.8?

N85.8 includes various noninflammatory disorders of the uterus, such as uterine fibroids, endometrial hyperplasia without atypia, and other benign growths or abnormalities that do not involve inflammation.

How can I ensure accurate coding for N85.8?

To ensure accurate coding, provide detailed documentation of the patient's symptoms, diagnostic findings, and any treatments planned or performed. Differentiate clearly between inflammatory and noninflammatory conditions.