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Home/Diagnosis/ICD-10 Coding for Endometrial Hyperplasia

ICD-10 Coding for Endometrial Hyperplasia

N85.00
N85.01
N85.02

Complete ICD-10-CM coding and documentation guide for icd-10 coding for endometrial hyperplasia includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Endometrial Thickening
Hyperplasia of Endometrium
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Key Information: ICD-10 Coding for Endometrial Hyperplasia

Essential facts and insights about ICD-10 Coding for Endometrial Hyperplasia

Use ICD-10 code N85.00 for endometrial hyperplasia, unspecified, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Endometrial hyperplasia, unspecified

Billable Code
N85.00
Billable

Diagnostic Criteria

  • • Biopsy confirms hyperplasia but type is unspecified

Applicable To

  • • Unspecified endometrial hyperplasia

Important Notes

  • • Ensure biopsy confirmation before using this code.

Benign endometrial hyperplasia without atypia

Billable Code
N85.01
Billable

Diagnostic Criteria

  • • Biopsy confirms benign hyperplasia without atypia

Applicable To

  • • Simple endometrial hyperplasia without atypia

Important Notes

  • • Ensure biopsy confirms absence of atypia.

Endometrial intraepithelial neoplasia (EIN)

Billable Code
N85.02
Billable

Diagnostic Criteria

  • • Biopsy confirms hyperplasia with atypia

Applicable To

  • • Complex hyperplasia with atypia

Important Notes

  • • Ensure biopsy confirms presence of atypia.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z79.810

Long term (current) use of selective estrogen receptor modulators (SERMs)

Use when patient is on tamoxifen therapy.

Frequently Asked Questions

What is the ICD-10 code for endometrial hyperplasia?

The ICD-10 codes for endometrial hyperplasia include N85.00 for unspecified, N85.01 for benign without atypia, and N85.02 for endometrial intraepithelial neoplasia (EIN).

When should R93.89 be used instead of N85.00?

R93.89 should be used when imaging shows endometrial thickening without biopsy confirmation, while N85.00 requires biopsy confirmation.

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