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ICD-9-CM and ICD-10-CM Codes for Gynecology and Obstetrics · ICD-9-CM and ICD-10-CM Codes for Gynecology and Obstetrics. ICD-9 Code Diagnoses ICD-10 Code 611.6 Galactorrhea Not Associated

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Page 1: ICD-9-CM and ICD-10-CM Codes for Gynecology and Obstetrics · ICD-9-CM and ICD-10-CM Codes for Gynecology and Obstetrics. ICD-9 Code Diagnoses ICD-10 Code 611.6 Galactorrhea Not Associated

ICD-9 Code

DiagnosesICD-10Code

Menstral Abnormalities

625.3 Dysmenorrhea N94.6

625.4 Premenstrual Syndrome N94.3

626.0 Amenorrhea N91.2

626.1 Oligomenorrhea N91.5

626.2 Menorrhagia N92.0

626.4 Irregular Menses N92.6

626.6 Metrorrhagia N92.1

626.8 Dysfunctional Uterine Bleeding N93.8

Disorders Of Genital Area614.9 Pelvic Inflammatory Disease (PID) N73.9

616.1 Vaginitis, Unspecified N76.0

616.2 Bartholin’s Cyst N75.0

616.4 Vulvar Abscess N76.4

616.5 Ulcer Of Vulva N76.6

616.89 Vaginal Ulcer N76.5

623.1 Leukoplakia Of Vagina N89.4

623.5 Vaginal Discharge N89.8

623.8 Vaginal Bleeding N93.9

623.8 Vaginal Cyst N89.8

623.9 Noninflammatory Disorder Of Vagina N89.9

624.8 Vulvar Lesion N90.89

625.9 Pelvic Pain N94.9

698.1 Vaginal Itch L29.3

789.3 Pelvic Mass R19.00

Special Screening ExaminationsV73.81 HPV Screening Z11.51

V73.88 Chlamydial Trachomatis Screening Z11.8

V73.89 Hepatitis Screening Z11.59

V73.89 HIV Screening Z11.59

V73.89 Rubella Screening Z11.59

V74.5 Venereal Disease Screening Z11.3

V74.8 Syphilis Screening Z11.3

V75.4 Screening For Yeast Infection Z11.8

V75.8 Trichomoniasis Screening Z11.8

Disorders Of Cervix

233.1 Cervical Intraepithelial Neoplasia III (CIN III) D06.9

616.0 Cervical Inflammation N72

616.0 Cervicitis/Endocervicitis N72

622.7 Cervical Polyp N84.1

622.11 Mild Dysplasia Of Cervix (CIN I) N87.1

Diagnostic Services

ICD-9 Code

DiagnosesICD-10Code

622.12 Moderate Dysplasia Of Cervix (CIN II) N87.2

Menopause627.1 Postmenopausal Bleeding N95.0

627.2 Menopausal Symptoms N95.1

627.3 Senile Atrophic Vaginitis N95.2

627.4 Postsurgical Menopause N95.8

627.8 Perimenopausal Bleeding N95.8

Abnormal Pap Smear Results795.00 Abnormal Pap Smear Result, Cervix R87.619

795.01 ASC-US, Cervix R87.610

795.02 ASC-H, Cervix R87.611

795.03 LGSIL, Cervix R87.612

795.04 HGSIL, Cervix R87.613

795.05 Cervical High-Risk HPV DNA Test Positive R87.810

795.08 Unsatisfactory Cervical Cytology Sample R87.615

795.10 Abnormal Pap Smear Result, Vagina R87.628

795.15 Vaginal High-Risk HPV DNA Test Positive R87.811

Disorders Of Uterus And Ovary218.9 Uterine Fibroid/Leiomyoma D25.9

256.39 Ovarian Failure E28.39

256.9 Ovarian Dysfunction E28.9

617.0 Adenomyosis N80.0

617.0 Cervical Endometriosis N80.0

617.9 Endometriosis, Unspecified N80.9

620.2 Ovarian Cyst N83.20

621.0 Uterine Polyp N84.0

621.2 Enlarged Uterus N85.2

621.8 Uterine Cyst N85.8

625.8 Ovarian Mass N94.89

Routine Examination Codes

V15.89 High-Risk For Developing Cervical Cancer Z77.9

V72.31 Routine Gynecological Examination Z01.419

V76.2 Routine Cervical Papanicolau Smear Z12.4

V76.47 Vaginal Pap Smear Status Post-Hysterectomy Z12.72

Disorders Of Breast610.0 Cyst Of Breast N60.09

610.1 Fibrocystic Breast N60.19

611.0 Breast Abscess N61

611.0 Mastitis (Breast Abscess) N61

ICD-9-CM and ICD-10-CM Codes for Gynecology and Obstetrics

Page 2: ICD-9-CM and ICD-10-CM Codes for Gynecology and Obstetrics · ICD-9-CM and ICD-10-CM Codes for Gynecology and Obstetrics. ICD-9 Code Diagnoses ICD-10 Code 611.6 Galactorrhea Not Associated

ICD-9 Code

DiagnosesICD-10Code

611.6 Galactorrhea Not Associated With Childbirth N64.3

611.71 Mastodynia (Pain In Breast) N64.4

611.79 Breast Tenderness N64.59

611.79 Nipple Discharge N64.52

Infectious Diseases041.84 Gram-Negative Anaerobic Infection B96.89

054.10 Genital Herpes A60.9

054.11 Herpetic Vulvovaginitis A60.04

054.12 Herpetic Ulceration Of Vulva A60.04

079.98 Chlamydial Infection A74.9

091.0 Genital Syphilis A51.0

099.41 Chlamydia Trachomatis A74.89

112.1 Candidiasis, Vulva And Vagina B37.3

131.00 Trichomoniasis, Urogenital A59.00

131.01 Trichomoniasis, Vulvovaginitis A59.01Neoplasm Of Female Genital Organs

174.9 Breast Cancer C50.919

179 Uterine Cancer C55

180.0 Endocervical Cancer C53.0

180.9 Cervical Cancer C53.9

182.0 Endometrial Cancer C54.1

183.0 Ovarian Cancer C56.9

184.0 Vaginal Cancer C52

184.4 Vulvar Cancer C51.9PregnancySupervision Of Pregnancy And PostpartumV22.0 Normal First Pregnancy

Normal First Pregnancy, Unspecified Trimester Z34.00

Normal First Pregnancy, First Trimester Z34.01

Normal First Pregnancy, Second Trimester Z34.02

Normal First Pregnancy, Third Trimester Z34.03

V22.1 Normal Pregnancy Other Than FirstNormal Pregnancy Other Than First, Unspecified, Unspecified Trimester Z34.90

Normal Pregnancy Other Than First, Unspecified, First Trimester Z34.91

Normal Pregnancy Other Than First, Unspecified, Second Trimester Z34.92

Normal Pregnancy Other Than First, Unspecified, Third Trimester Z34.93

ICD-9 Code

DiagnosesICD-10Code

V23.81 Advanced Maternal Age, First PregnancyAdvanced Maternal Age, First Trimester O09.511

Advanced Maternal Age, Second Trimester O09.512

Advanced Maternal Age, Third Trimester O09.513

Advanced Maternal Age, Unspecified Trimester O09.519

V23.82 Advanced Maternal Age, Other Than First PregnancyAdvanced Maternal Age, Other Than First Pregnancy, First Trimester

O09.521

Advanced Maternal Age, Other Than First Pregnancy, Second Trimester O09.522

Advanced Maternal Age, Other Than First Pregnancy, Third Trimester

O09.523

Advanced Maternal Age, Other Than First Pregnancy, Unspecified Trimester

O09.529

V23.86 Pregnancy Resulting From In Vitro FertilizationPregnancy Resulting From In Vitro Fertilization, First Trimester

O09.811

Pregnancy Resulting From In Vitro Fertilization, Second Trimester

O09.812

Pregnancy Resulting From In Vitro Fertilization, Third Trimester

O09.813

Pregnancy Resulting From In Vitro Fertilization, Unspecified Trimester

O09.819

V23.89 High-Risk Pregnancy

High-Risk Pregnancy, First Trimester O09.891High-Risk Pregnancy, Second Trimester O09.892

High-Risk Pregnancy, Third Trimester O09.893High-Risk Pregnancy, Unspecified Trimester O09.899

V24.2 Routine Postpartum Follow-up Z39.2

V28.0 Antenatal Screening For Chromosal Anomaly Z36

V28.2 Antenatal Screening For Alpha-Fetoprotein In Amniotic Fluid Z36

V28.9 First Trimester Screen Z36

V28.3 Routine Fetal Ultrasound Z36

V82.9 Screening Z13.9

Page 3: ICD-9-CM and ICD-10-CM Codes for Gynecology and Obstetrics · ICD-9-CM and ICD-10-CM Codes for Gynecology and Obstetrics. ICD-9 Code Diagnoses ICD-10 Code 611.6 Galactorrhea Not Associated

ICD-9 Code

DiagnosesICD-10Code

Genetic TestingV26.29 Procreative Management Testing Z31.49

V26.31 Testing Of Female For Genetic Disease Carrier Status

V26.32 Genetic Testing Of Female

V26.33 Genetic Counseling Z31.5

V26.34 Testing Of Male For Genetic Disease Carrier StatusTesting Of Male For Genetic Disease Carrier Status, Procreative

Z31.440

V26.35 Testing Of Partner Of FemaleWith Recurrent Pregnancy Loss Z31.441

V77.6 Special Screening For Cystic FibrosisGenetic Screening For Cystic Fibrosis, Female Z31.430

V82.71 Screening For Genetic Disease Carrier StatusNonprocreative Screening For Genetic Disease Carrier Status Z13.71

Testing Of Female For Genetic Disease Carrier Status, Procreative

Z31.430

Genetic Procreative Testing Of Female Z31.438

Genetic Carrier Status

V18.9 Family History Of Genetic Disease Carrier Z84.81

V83.81 Cystic Fibrosis Gene Carrier Z14.1

V83.89 Genetic Carrier Status, Other Than Cystic Fibrosis Z14.8

Complications Of Pregnancy

641.0 Placenta Previa Without Hemorrhage, UnspecifiedPlacenta Previa Without Hemorrhage, Unspecified Trimester O44.00

Placenta Previa Without Hemorrhage, First Trimester O44.01

Placenta Previa Without Hemorrhage, Second Trimester O44.02

Placenta Previa Without Hemorrhage, Third Trimester O44.03

641.13 Hemorrhage From Placenta Previa, Antepartum ConditionHemorrhage From Placenta Previa, Unspecified Trimester O44.10

Hemorrhage From Placenta Previa, First Trimester O44.11

Hemorrhage From Placenta Previa, Second Trimester O44.12

ICD-9 Code

DiagnosesICD-10Code

Hemorrhage From Placenta Previa, First Trimester O44.11

Hemorrhage From Placenta Previa, Second Trimester O44.12

Hemorrhage From Placenta Previa, Third Trimester O44.13

642.30 Gestational Hypertension, Unspecified

642.33 Gestational Hypertension, Antepartum ConditionGestational Hypertension, Without Significant Proteinuria, First Trimester O13.1

Gestational Hypertension, Without Significant Proteinuria, Second Trimester

O13.2

Gestational Hypertension, Without Significant Proteinuria, Third Trimester O13.3

Gestational Hypertension, Without Significant Proteinuria, Unspecified Trimester

O13.9

642.40 Mild Pre-Eclampsia, Unspecified

642.43 Mild Pre-Eclampsia, Antepartum ConditionMild Pre-Eclampsia, Unspecified Trimester O14.00

Mild Pre-Eclampsia, Second Trimester O14.02

Mild Pre-Eclampsia, Third Trimester O14.03

645.10 Post-Term Pregnancy (Between 40 & 42 Weeks Gestation) O48.0

646.30 Habitual Aborter With Current Pregnancy, UnspecifiedHabitual Aborter With Current Pregnancy, Unspecified Trimester

O26.20

Habitual Aborter With Current Pregnancy, First Trimester O26.21

Habitual Aborter With Current Pregnancy, Second Trimester O26.22

Habitual Aborter With Current Pregnancy, Third Trimester O26.23

648.44 Postpartum Depression O99.345

648.80 Gestational Diabetes, UnspecifiedGestational Diabetes, Unspecified Control O24.419

649.50 Spotting Complicating Pregnancy, Unspecified Spotting Complicating Pregnancy, First Trimester O26.851

Spotting Complicating Pregnancy, Second Trimester O26.852

Page 4: ICD-9-CM and ICD-10-CM Codes for Gynecology and Obstetrics · ICD-9-CM and ICD-10-CM Codes for Gynecology and Obstetrics. ICD-9 Code Diagnoses ICD-10 Code 611.6 Galactorrhea Not Associated

* The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

This list is intended to assist ordering physicians in providing ICD-10 Diagnostics codes as required by Medicare and other Insurers. It includes some commonly found ICD-10 codes.

This list was compiled from the ICD-10-CM 2015 AMA manual. A current ICD-10-CM book should be used as a complete reference. The ultimate responsibility for correct coding belongs to the ordering physician.

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© 2015 Quest Diagnostics Incorporated. All rights reserved. MI3859 06/2015

ICD-9 Code

DiagnosesICD-10Code

Spotting Complicating Pregnancy, Third Trimester O26.853

Spotting Complicating Pregnancy, Unspecified Trimester

O26.859

651.00 Twin Pregnancy, Unspecified

Twin Pregnancy, First Trimester O30.001Twin Pregnancy, Second Trimester O30.002

Twin Pregnancy, Third Trimester O30.003

Twin Pregnancy, Unspecified Trimester O30.009

656.10 Rh Incompatibility Affecting Management Of PregnancyRh Incompatibility Affecting Management Of Pregnancy, First Trimester

O36.0110

Rh Incompatibility Affecting Management Of Pregnancy, Second Trimester

O36.0120

Rh Incompatibility Affecting Management Of Pregnancy, Third Trimester

O36.0130

Rh Incompatibility Affecting Management Of Pregnancy, Unspecified Trimester

O36.0190

656.50 Poor Fetal Growth, UnspecifiedPoor Fetal Growth, First Trimester O36.5910

Poor Fetal Growth, Second Trimester O36.5920

ICD-9 Code

DiagnosesICD-10Code

Poor Fetal Growth, Third Trimester O36.5930

Poor Fetal Growth, Unspecified Trimester O36.5990

656.60 Excessive Fetal Growth, UnspecifiedExcessive Fetal Growth, Unspecified Trimester O36.60X0

Excessive Fetal Growth, First Trimester O36.61X0

Excessive Fetal Growth, Second Trimester O36.62X0

Excessive Fetal Growth, Third Trimester O36.63X0

Pregnancy With Abortive Outcomes630 Hydatidiform Mole O01.9

631.8 Blighted Ovum O02.0

631.8 Molar Pregnancy O02.0

632 Missed Abortion O02.1

633.10 Tubal Pregnancy Without Intrauterine Pregnancy Tubal Pregnancy O00.1

633.90 Ectopic Pregnancy Without Intrauterine PregnancyEctopic Pregnancy, Unspecified O00.9

634.90 Spontaneous Abortion (Miscarriage) O03.9

637.90 Abortion Z33.2

640.00 Threatened Abortion O20.0

656.40 Intrauterine Death, Unspecified O36.4XX0

Diagnostic Services