ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesN97.0

N97.0

Billable

Female infertility associated with anovulation

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

Code Description

ICD-10 N97.0 is a billable code used to indicate a diagnosis of female infertility associated with anovulation.

Key Diagnostic Point:

Female infertility associated with anovulation is a condition characterized by the inability to conceive due to the absence of ovulation. Anovulation can result from various factors, including hormonal imbalances, polycystic ovary syndrome (PCOS), thyroid disorders, and excessive physical or emotional stress. Women with anovulation may experience irregular menstrual cycles or amenorrhea, which complicates the diagnosis and management of infertility. The condition is often diagnosed through a combination of clinical evaluation, hormonal testing, and imaging studies to assess ovarian function. Treatment options may include lifestyle modifications, hormonal therapies, and assisted reproductive technologies, depending on the underlying cause. Understanding the nuances of anovulation is crucial for healthcare providers to develop effective treatment plans and improve reproductive health outcomes for women facing infertility challenges.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes for anovulation that require thorough evaluation.
  • Need for comprehensive documentation of menstrual history and hormonal assessments.
  • Potential overlap with other infertility codes, necessitating careful differentiation.
  • Variability in treatment approaches based on individual patient factors.

Audit Risk Factors

  • Inadequate documentation of menstrual history.
  • Failure to document the underlying cause of anovulation.
  • Misclassification of anovulation as other types of infertility.
  • Lack of supporting evidence for treatment decisions.

Specialty Focus

Medical Specialties

Reproductive Endocrinology

Documentation Requirements

Detailed hormonal profiles, menstrual cycle history, and results from imaging studies.

Common Clinical Scenarios

Patients presenting with irregular menstrual cycles, PCOS, or unexplained infertility.

Billing Considerations

Ensure comprehensive documentation of all diagnostic tests and treatment plans.

Obstetrics and Gynecology

Documentation Requirements

Complete gynecological history, including menstrual patterns and previous pregnancies.

Common Clinical Scenarios

Women seeking fertility evaluation or treatment for menstrual irregularities.

Billing Considerations

Document any referrals to specialists for further evaluation of anovulation.

Coding Guidelines

Inclusion Criteria

Use N97.0 When
  • According to ICD
  • 10 coding guidelines, N97
  • 0 should be used when the primary diagnosis is female infertility due to anovulation
  • It is important to document the specific cause of anovulation when known, as this may affect treatment and management

Exclusion Criteria

Do NOT use N97.0 When
  • Exclusion criteria include infertility due to other factors such as anatomical abnormalities or male factor infertility

Related ICD-10 Codes

Related CPT Codes

58321CPT Code

Ovarian stimulation

Clinical Scenario

Used in conjunction with N97.0 for patients undergoing fertility treatment.

Documentation Requirements

Document the rationale for ovarian stimulation and patient response.

Specialty Considerations

Reproductive endocrinologists should ensure all treatment protocols are well-documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of female infertility, including anovulation. This specificity aids in better tracking of infertility causes and treatment outcomes, ultimately improving patient care and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of female infertility, including anovulation. This specificity aids in better tracking of infertility causes and treatment outcomes, ultimately improving patient care and resource allocation.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    American Society for Reproductive Medicine

Coding & Billing References

  • •
    American Society for Reproductive Medicine

Frequently Asked Questions

What is the primary cause of N97.0?

N97.0 is primarily caused by anovulation, which can result from hormonal imbalances, stress, or underlying medical conditions such as PCOS.