Female infertility
Chapter 14:Diseases of the genitourinary system
ICD-10 N97 is a billable code used to indicate a diagnosis of female infertility.
Female infertility is defined as the inability of a woman to conceive after one year of unprotected intercourse. This condition can arise from various factors affecting the reproductive system, including hormonal imbalances, anatomical abnormalities, and underlying medical conditions. Menstrual disorders, such as irregular cycles or amenorrhea, can significantly impact fertility by disrupting ovulation. Additionally, menopausal disorders, which may lead to premature ovarian failure, can also contribute to infertility. Complications from artificial fertilization techniques, such as in vitro fertilization (IVF), may further complicate the diagnosis and management of infertility. Accurate diagnosis often requires a comprehensive evaluation, including hormonal assessments, imaging studies, and possibly laparoscopy to identify any anatomical issues. Understanding the multifactorial nature of female infertility is crucial for effective treatment and management, which may include lifestyle modifications, medical therapies, or assisted reproductive technologies.
Detailed history of menstrual cycles, hormonal evaluations, and previous fertility treatments.
Patients presenting with irregular cycles, history of miscarriage, or previous unsuccessful fertility treatments.
Ensure all diagnostic tests and treatments are documented to support the infertility diagnosis.
Comprehensive documentation of gynecological history, physical exams, and any relevant imaging studies.
Women seeking evaluation for infertility after one year of trying to conceive.
Document any referrals to specialists and the rationale for treatment decisions.
Used for diagnostic evaluation of infertility when anatomical issues are suspected.
Document indications for the procedure and findings.
Ensure alignment with infertility diagnosis and any associated conditions.
Used when assisted reproductive technology is indicated.
Document the patient's infertility diagnosis and treatment plan.
Include details of previous treatments and outcomes.
Primary infertility refers to the inability to conceive after one year of unprotected intercourse in women who have never been pregnant, while secondary infertility refers to the inability to conceive after one year of unprotected intercourse in women who have previously been pregnant.
Documentation should include a detailed medical history, menstrual cycle patterns, results of any hormonal tests, imaging studies, and records of previous fertility treatments.
