Medical Codes to Report Endometriosis
Summary - Endometriosis can cause painful and heavy periods, as well as fertility issues. This blog discusses the causes and symptoms of the condition and its ICD-10 codes.
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Endometriosis is a painful disorder that occurs when endometrium (cells similar to the lining of the uterus) grows outside the uterus. The condition most commonly involves ovaries, fallopian tubes and the tissue lining the pelvis. In rare cases, endometrial-like tissue may be found beyond the area where pelvic organs are located such as - the digestive tract, the lungs, rectum, cervix or the vulva. If left untreated, the condition can cause severe pain, particularly during menstrual periods. It can also lead to fertility problems. Obstetrics and gynecology medical billing and coding companies help providers report gynecological conditions on claims using appropriate diagnosis and procedure codes. Causes and Symptoms Although the exact cause of endometriosis is not known, possible causes include retrograde menstruation, embryonic cell transformation, immune system disorder and surgical scar implantation. Other factors that can cause the condition include not giving birth, starting periods at an early age, going through menopause at an older age, short menstrual cycles, heavy menstrual periods (that last longer than seven days), having higher levels of estrogen in your body and disorders of the reproductive tract. Pelvic pain related to painful menstrual periods is one of the primary symptoms of endometriosis. Other symptoms include • • • • • • •
Pain during intercourse Abnormal or heavy menstrual flow or bleeding Bloating or nausea Diarrhea and constipation Fatigue Infertility Pain with bowel movements or urination
Diagnosis and Treatment Diagnosis of endometriosis begins with a gynecologist conducting a detailed medical history review and a physical examination, including a pelvic exam. Diagnostic tests to check for physical symptoms of endometriosis include –
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• • • •
Pelvic exam Ultrasound Magnetic resonance imaging (MRI) Laparoscopy
Treatment options include a combination of pain medications, hormone therapy and surgical destruction of lesions (Laparotomy or Hysterectomy). Medical Codes to Report Endometriosis ICD-10 Codes • • • • • • • • • •
N80 Endometriosis N80.0 Endometriosis of uterus N80.1 Endometriosis of ovary N80.2 Endometriosis of fallopian tube N80.3 Endometriosis of pelvic peritoneum N80.4 Endometriosis of rectovaginal septum and vagina N80.5 Endometriosis of intestine N80.6 Endometriosis in cutaneous scar N80.8 Other endometriosis N80.9 Endometriosis, unspecified
CPT Code • 58662 - Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method As obstetrics and gynecology medical billing and coding can be challenging, physicians can rely on outsourced medical billing services to submit accurate claims. Reputable billing and coding companies provide the services of expert coders and billers who are familiar with the latest codes and billing guidelines.
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