Chapter 14

Diseases of the genitourinary system (N00-N99)

Excludes2: certain conditions originating in the perinatal period (P04-P96)

certain infectious and parasitic diseases (A00-B99)
complications of pregnancy, childbirth and the puerperium (O00-O9A)
congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E88)
injury, poisoning and certain other consequences of external causes (S00-T88)
neoplasms (C00-D49)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

This chapter contains the following blocks:

N00-N08 Glomerular diseases
N10-N16 Renal tubulo-interstitial diseases
N17-N19 Acute kidney failure and chronic kidney disease
N20-N23 Urolithiasis
N25-N29 Other disorders of kidney and ureter
N30-N39 Other diseases of the urinary system
N40-N53 Diseases of male genital organs
N60-N65 Disorders of breast
N70-N77 Inflammatory diseases of female pelvic organs
N80-N98 Noninflammatory disorders of female genital tract
N99 Intraoperative and postprocedural complications and disorders of genitourinary system, not elsewhere
classified

Glomerular diseases (N00-N08)

Code also any associated kidney failure (N17-N19).

Excludes1: hypertensive chronic kidney disease (I12.-)

N00 Acute nephritic syndrome

Includes: acute glomerular disease

acute glomerulonephritis
acute nephritis

Excludes1: acute tubulo-interstitial nephritis (N10)

nephritic syndrome NOS (N05.-)

N00.0 Acute nephritic syndrome with minor glomerular abnormality

Acute nephritic syndrome with minimal change lesion

N00.1 Acute nephritic syndrome with focal and segmental glomerular lesions
Acute nephritic syndrome with focal and segmental hyalinosis
Acute nephritic syndrome with focal and segmental sclerosis
Acute nephritic syndrome with focal glomerulonephritis

N00.2 Acute nephritic syndrome with diffuse membranous glomerulonephritis

N00.3 Acute nephritic syndrome with diffuse mesangial proliferative glomerulonephritis

N00.4 Acute nephritic syndrome with diffuse endocapillary proliferative glomerulonephritis

N00.5 Acute nephritic syndrome with diffuse mesangiocapillary glomerulonephritis

Acute nephritic syndrome with membranoproliferative glomerulonephritis, types 1 and 3, or NOS

N00.6 Acute nephritic syndrome with dense deposit disease

Acute nephritic syndrome with membranoproliferative glomerulonephritis, type 2
 N00.7 Acute nephritic syndrome with diffuse crescentic glomerulonephritis
Acute nephritic syndrome with extracapillary glomerulonephritis

N00.8 Acute nephritic syndrome with other morphologic changes

Acute nephritic syndrome with proliferative glomerulonephritis NOS

N00.9 Acute nephritic syndrome with unspecified morphologic changes

N01 Rapidly progressive nephritic syndrome

Includes: rapidly progressive glomerular disease

rapidly progressive glomerulonephritis
rapidly progressive nephritis

Excludes1: nephritic syndrome NOS (N05.-)

N01.0 Rapidly progressive nephritic syndrome with minor glomerular abnormality

Rapidly progressive nephritic syndrome with minimal change lesion

N01.1 Rapidly progressive nephritic syndrome with focal and segmental glomerular lesions
Rapidly progressive nephritic syndrome with focal and segmental hyalinosis
Rapidly progressive nephritic syndrome with focal and segmental sclerosis
Rapidly progressive nephritic syndrome with focal glomerulonephritis

N01.2 Rapidly progressive nephritic syndrome with diffuse membranous glomerulonephritis

N01.3 Rapidly progressive nephritic syndrome with diffuse mesangial proliferative glomerulonephritis

N01.4 Rapidly progressive nephritic syndrome with diffuse endocapillary proliferative glomerulonephritis

N01.5 Rapidly progressive nephritic syndrome with diffuse mesangiocapillary glomerulonephritis

Rapidly progressive nephritic syndrome with membranoproliferative glomerulonephritis, types 1 and 3, or NOS

N01.6 Rapidly progressive nephritic syndrome with dense deposit disease

Rapidly progressive nephritic syndrome with membranoproliferative glomerulonephritis, type 2

N01.7 Rapidly progressive nephritic syndrome with diffuse crescentic glomerulonephritis

Rapidly progressive nephritic syndrome with extracapillary glomerulonephritis

N01.8 Rapidly progressive nephritic syndrome with other morphologic changes

Rapidly progressive nephritic syndrome with proliferative glomerulonephritis NOS

N01.9 Rapidly progressive nephritic syndrome with unspecified morphologic changes

N02 Recurrent and persistent hematuria

Excludes1: acute cystitis with hematuria (N30.01)

hematuria NOS (R31.9)
hematuria not associated with specified morphologic lesions (R31.-)

N02.0 Recurrent and persistent hematuria with minor glomerular abnormality

Recurrent and persistent hematuria with minimal change lesion

N02.1 Recurrent and persistent hematuria with focal and segmental glomerular lesions
Recurrent and persistent hematuria with focal and segmental hyalinosis
Recurrent and persistent hematuria with focal and segmental sclerosis
Recurrent and persistent hematuria with focal glomerulonephritis

N02.2 Recurrent and persistent hematuria with diffuse membranous glomerulonephritis

N02.3 Recurrent and persistent hematuria with diffuse mesangial proliferative glomerulonephritis

N02.4 Recurrent and persistent hematuria with diffuse endocapillary proliferative glomerulonephritis
 N02.5 Recurrent and persistent hematuria with diffuse mesangiocapillary glomerulonephritis
Recurrent and persistent hematuria with membranoproliferative glomerulonephritis, types 1 and 3, or NOS

N02.6 Recurrent and persistent hematuria with dense deposit disease

Recurrent and persistent hematuria with membranoproliferative glomerulonephritis, type 2

N02.7 Recurrent and persistent hematuria with diffuse crescentic glomerulonephritis

Recurrent and persistent hematuria with extracapillary glomerulonephritis

N02.8 Recurrent and persistent hematuria with other morphologic changes

Recurrent and persistent hematuria with proliferative glomerulonephritis NOS

N02.9 Recurrent and persistent hematuria with unspecified morphologic changes

N03 Chronic nephritic syndrome

Includes: chronic glomerular disease

chronic glomerulonephritis
chronic nephritis

Excludes1: chronic tubulo-interstitial nephritis (N11.-)

diffuse sclerosing glomerulonephritis (N05.8-)
nephritic syndrome NOS (N05.-)

N03.0 Chronic nephritic syndrome with minor glomerular abnormality

Chronic nephritic syndrome with minimal change lesion

N03.1 Chronic nephritic syndrome with focal and segmental glomerular lesions
Chronic nephritic syndrome with focal and segmental hyalinosis
Chronic nephritic syndrome with focal and segmental sclerosis
Chronic nephritic syndrome with focal glomerulonephritis

N03.2 Chronic nephritic syndrome with diffuse membranous glomerulonephritis

N03.3 Chronic nephritic syndrome with diffuse mesangial proliferative glomerulonephritis

N03.4 Chronic nephritic syndrome with diffuse endocapillary proliferative glomerulonephritis

N03.5 Chronic nephritic syndrome with diffuse mesangiocapillary glomerulonephritis

Chronic nephritic syndrome with membranoproliferative glomerulonephritis, types 1 and 3, or NOS

N03.6 Chronic nephritic syndrome with dense deposit disease

Chronic nephritic syndrome with membranoproliferative glomerulonephritis, type 2

N03.7 Chronic nephritic syndrome with diffuse crescentic glomerulonephritis

Chronic nephritic syndrome with extracapillary glomerulonephritis

N03.8 Chronic nephritic syndrome with other morphologic changes

Chronic nephritic syndrome with proliferative glomerulonephritis NOS

N03.9 Chronic nephritic syndrome with unspecified morphologic changes

N04 Nephrotic syndrome

Includes: congenital nephrotic syndrome

lipoid nephrosis

N04.0 Nephrotic syndrome with minor glomerular abnormality

Nephrotic syndrome with minimal change lesion

N04.1 Nephrotic syndrome with focal and segmental glomerular lesions

Nephrotic syndrome with focal and segmental hyalinosis
Nephrotic syndrome with focal and segmental sclerosis
 Nephrotic syndrome with focal glomerulonephritis

N04.2 Nephrotic syndrome with diffuse membranous glomerulonephritis

N04.3 Nephrotic syndrome with diffuse mesangial proliferative glomerulonephritis

N04.4 Nephrotic syndrome with diffuse endocapillary proliferative glomerulonephritis

N04.5 Nephrotic syndrome with diffuse mesangiocapillary glomerulonephritis

Nephrotic syndrome with membranoproliferative glomerulonephritis, types 1 and 3, or NOS

N04.6 Nephrotic syndrome with dense deposit disease

Nephrotic syndrome with membranoproliferative glomerulonephritis, type 2

N04.7 Nephrotic syndrome with diffuse crescentic glomerulonephritis

Nephrotic syndrome with extracapillary glomerulonephritis

N04.8 Nephrotic syndrome with other morphologic changes

Nephrotic syndrome with proliferative glomerulonephritis NOS

N04.9 Nephrotic syndrome with unspecified morphologic changes

N05 Unspecified nephritic syndrome

Includes: glomerular disease NOS

glomerulonephritis NOS
nephritis NOS
nephropathy NOS and renal disease NOS with morphological lesion specified in .0-.8

Excludes1: nephropathy NOS with no stated morphological lesion (N28.9)

renal disease NOS with no stated morphological lesion (N28.9)
tubulo-interstitial nephritis NOS (N12)

N05.0 Unspecified nephritic syndrome with minor glomerular abnormality

Unspecified nephritic syndrome with minimal change lesion

N05.1 Unspecified nephritic syndrome with focal and segmental glomerular lesions
Unspecified nephritic syndrome with focal and segmental hyalinosis
Unspecified nephritic syndrome with focal and segmental sclerosis
Unspecified nephritic syndrome with focal glomerulonephritis

N05.2 Unspecified nephritic syndrome with diffuse membranous glomerulonephritis

N05.3 Unspecified nephritic syndrome with diffuse mesangial proliferative glomerulonephritis

N05.4 Unspecified nephritic syndrome with diffuse endocapillary proliferative glomerulonephritis

N05.5 Unspecified nephritic syndrome with diffuse mesangiocapillary glomerulonephritis

Unspecified nephritic syndrome with membranoproliferative glomerulonephritis, types 1 and 3, or NOS

N05.6 Unspecified nephritic syndrome with dense deposit disease

Unspecified nephritic syndrome with membranoproliferative glomerulonephritis, type 2

N05.7 Unspecified nephritic syndrome with diffuse crescentic glomerulonephritis

Unspecified nephritic syndrome with extracapillary glomerulonephritis

N05.8 Unspecified nephritic syndrome with other morphologic changes

Unspecified nephritic syndrome with proliferative glomerulonephritis NOS

N05.9 Unspecified nephritic syndrome with unspecified morphologic changes

N06 Isolated proteinuria with specified morphological lesion

 Excludes1: Proteinuria not associated with specific morphologic lesions (R80.0)

N06.0 Isolated proteinuria with minor glomerular abnormality

Isolated proteinuria with minimal change lesion

N06.1 Isolated proteinuria with focal and segmental glomerular lesions

Isolated proteinuria with focal and segmental hyalinosis
Isolated proteinuria with focal and segmental sclerosis
Isolated proteinuria with focal glomerulonephritis

N06.2 Isolated proteinuria with diffuse membranous glomerulonephritis

N06.3 Isolated proteinuria with diffuse mesangial proliferative glomerulonephritis

N06.4 Isolated proteinuria with diffuse endocapillary proliferative glomerulonephritis

N06.5 Isolated proteinuria with diffuse mesangiocapillary glomerulonephritis

Isolated proteinuria with membranoproliferative glomerulonephritis, types 1 and 3, or NOS

N06.6 Isolated proteinuria with dense deposit disease

Isolated proteinuria with membranoproliferative glomerulonephritis, type 2

N06.7 Isolated proteinuria with diffuse crescentic glomerulonephritis

Isolated proteinuria with extracapillary glomerulonephritis

N06.8 Isolated proteinuria with other morphologic lesion

Isolated proteinuria with proliferative glomerulonephritis NOS

N06.9 Isolated proteinuria with unspecified morphologic lesion

N07 Hereditary nephropathy, not elsewhere classified

Excludes2: Alport's syndrome (Q87.81-)

hereditary amyloid nephropathy (E85.-)
nail patella syndrome (Q87.2)
non-neuropathic heredofamilial amyloidosis (E85.-)

N07.0 Hereditary nephropathy, not elsewhere classified with minor glomerular abnormality
Hereditary nephropathy, not elsewhere classified with minimal change lesion

N07.1 Hereditary nephropathy, not elsewhere classified with focal and segmental glomerular lesions
Hereditary nephropathy, not elsewhere classified with focal and segmental hyalinosis
Hereditary nephropathy, not elsewhere classified with focal and segmental sclerosis
Hereditary nephropathy, not elsewhere classified with focal glomerulonephritis

N07.2 Hereditary nephropathy, not elsewhere classified with diffuse membranous glomerulonephritis

N07.3 Hereditary nephropathy, not elsewhere classified with diffuse mesangial proliferative
glomerulonephritis

N07.4 Hereditary nephropathy, not elsewhere classified with diffuse endocapillary proliferative
glomerulonephritis

N07.5 Hereditary nephropathy, not elsewhere classified with diffuse mesangiocapillary glomerulonephritis
Hereditary nephropathy, not elsewhere classified with membranoproliferative glomerulonephritis, types 1 and
3, or NOS

N07.6 Hereditary nephropathy, not elsewhere classified with dense deposit disease
Hereditary nephropathy, not elsewhere classified with membranoproliferative glomerulonephritis, type 2

N07.7 Hereditary nephropathy, not elsewhere classified with diffuse crescentic glomerulonephritis
Hereditary nephropathy, not elsewhere classified with extracapillary glomerulonephritis
 N07.8 Hereditary nephropathy, not elsewhere classified with other morphologic lesions
Hereditary nephropathy, not elsewhere classified with proliferative glomerulonephritis NOS

N07.9 Hereditary nephropathy, not elsewhere classified with unspecified morphologic lesions

N08 Glomerular disorders in diseases classified elsewhere

Glomerulonephritis
Nephritis
Nephropathy

Code first underlying disease, such as:

amyloidosis (E85.-)
congenital syphilis (A50.5)
cryoglobulinemia (D89.1)
disseminated intravascular coagulation (D65)
gout (M1A.-, M10.-)
microscopic polyangiitis (M31.7)
multiple myeloma (C90.0-)
sepsis (A40.0-A41.9)
sickle-cell disease (D57.0-D57.8)

Excludes1: glomerulonephritis, nephritis and nephropathy (in):

antiglomerular basement membrane disease (M31.0)
diabetes (E08-E13 with .21)
gonococcal (A54.21)
Goodpasture's syndrome (M31.0)
hemolytic-uremic syndrome (D59.3)
lupus (M32.14)
mumps (B26.83)
syphilis (A52.75)
systemic lupus erythematosus (M32.14)
Wegener's granulomatosis (M31.31)
pyelonephritis in diseases classified elsewhere (N16)
renal tubulo-interstitial disorders classified elsewhere (N16)

Renal tubulo-interstitial diseases (N10-N16)

Includes: pyelonephritis

Excludes1: pyeloureteritis cystica (N28.85)

N10 Acute pyelonephritis

Acute infectious interstitial nephritis
Acute pyelitis
Acute tubulo-interstitial nephritis
Hemoglobin nephrosis
Myoglobin nephrosis

Use additional code (B95-B97), to identify infectious agent.

N11 Chronic tubulo-interstitial nephritis

Includes: chronic infectious interstitial nephritis

chronic pyelitis
chronic pyelonephritis

Use additional code (B95-B97), to identify infectious agent.

N11.0 Nonobstructive reflux-associated chronic pyelonephritis

Pyelonephritis (chronic) associated with (vesicoureteral) reflux

Excludes1: vesicoureteral reflux NOS (N13.70)

 N11.1 Chronic obstructive pyelonephritis
Pyelonephritis (chronic) associated with anomaly of pelviureteric junction
Pyelonephritis (chronic) associated with anomaly of pyeloureteric junction
Pyelonephritis (chronic) associated with crossing of vessel
Pyelonephritis (chronic) associated with kinking of ureter
Pyelonephritis (chronic) associated with obstruction of ureter
Pyelonephritis (chronic) associated with stricture of pelviureteric junction
Pyelonephritis (chronic) associated with stricture of ureter

Excludes1: calculous pyelonephritis (N20.9)

obstructive uropathy (N13.-)

N11.8 Other chronic tubulo-interstitial nephritis

Nonobstructive chronic pyelonephritis NOS

N11.9 Chronic tubulo-interstitial nephritis, unspecified

Chronic interstitial nephritis NOS
Chronic pyelitis NOS
Chronic pyelonephritis NOS

N12 Tubulo-interstitial nephritis, not specified as acute or chronic

Interstitial nephritis NOS
Pyelitis NOS
Pyelonephritis NOS

Excludes1: calculous pyelonephritis (N20.9)

N13 Obstructive and reflux uropathy

Excludes2: calculus of kidney and ureter without hydronephrosis (N20.-)

congenital obstructive defects of renal pelvis and ureter (Q62.0-Q62.3)
hydronephrosis with ureteropelvic junction obstruction (Q62.11)
obstructive pyelonephritis (N11.1)

N13.0 Hydronephrosis with ureteropelvic junction obstruction

Hydronephrosis due to acquired occlusion of ureteropelvic junction

Excludes2: Hydronephrosis with ureteropelvic junction obstruction due to calculus (N13.2)

N13.1 Hydronephrosis with ureteral stricture, not elsewhere classified

Excludes1: Hydronephrosis with ureteral stricture with infection (N13.6)

N13.2 Hydronephrosis with renal and ureteral calculous obstruction

Excludes1: Hydronephrosis with renal and ureteral calculous obstruction with infection (N13.6)

N13.3 Other and unspecified hydronephrosis

Excludes1: hydronephrosis with infection (N13.6)

N13.30 Unspecified hydronephrosis

N13.39 Other hydronephrosis

N13.4 Hydroureter

Excludes1: congenital hydroureter (Q62.3-)

hydroureter with infection (N13.6)
vesicoureteral-reflux with hydroureter (N13.73-)

N13.5 Crossing vessel and stricture of ureter without hydronephrosis

Kinking and stricture of ureter without hydronephrosis
 Excludes1: Crossing vessel and stricture of ureter without hydronephrosis with infection (N13.6)

N13.6 Pyonephrosis
Conditions in N13.0-N13.5 with infection
Obstructive uropathy with infection

Use additional code (B95-B97), to identify infectious agent.

N13.7 Vesicoureteral-reflux

Excludes1: reflux-associated pyelonephritis (N11.0)

N13.70 Vesicoureteral-reflux, unspecified

Vesicoureteral-reflux NOS

N13.71 Vesicoureteral-reflux without reflux nephropathy

N13.72 Vesicoureteral-reflux with reflux nephropathy without hydroureter

N13.721 Vesicoureteral-reflux with reflux nephropathy without hydroureter, unilateral

N13.722 Vesicoureteral-reflux with reflux nephropathy without hydroureter, bilateral

N13.729 Vesicoureteral-reflux with reflux nephropathy without hydroureter, unspecified

N13.73 Vesicoureteral-reflux with reflux nephropathy with hydroureter

N13.731 Vesicoureteral-reflux with reflux nephropathy with hydroureter, unilateral

N13.732 Vesicoureteral-reflux with reflux nephropathy with hydroureter, bilateral

N13.739 Vesicoureteral-reflux with reflux nephropathy with hydroureter, unspecified

N13.8 Other obstructive and reflux uropathy

Urinary tract obstruction due to specified cause

Code first, if applicable, any causal condition, such as:

enlarged prostate (N40.1)

N13.9 Obstructive and reflux uropathy, unspecified

Urinary tract obstruction NOS

N14 Drug- and heavy-metal-induced tubulo-interstitial and tubular conditions

Code first poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4 or 6)

Use additional code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

N14.0 Analgesic nephropathy

N14.1 Nephropathy induced by other drugs, medicaments and biological substances

N14.2 Nephropathy induced by unspecified drug, medicament or biological substance

N14.3 Nephropathy induced by heavy metals

N14.4 Toxic nephropathy, not elsewhere classified

N15 Other renal tubulo-interstitial diseases

N15.0 Balkan nephropathy

Balkan endemic nephropathy

N15.1 Renal and perinephric abscess

 N15.8 Other specified renal tubulo-interstitial diseases

N15.9 Renal tubulo-interstitial disease, unspecified

Infection of kidney NOS

Excludes1: urinary tract infection NOS (N39.0)

N16 Renal tubulo-interstitial disorders in diseases classified elsewhere

Pyelonephritis
Tubulo-interstitial nephritis

Code first underlying disease, such as:

brucellosis (A23.0-A23.9)
cryoglobulinemia (D89.1)
glycogen storage disease (E74.0)
leukemia (C91-C95)
lymphoma (C81.0-C85.9, C96.0-C96.9)
multiple myeloma (C90.0-)
sepsis (A40.0-A41.9)
Wilson's disease (E83.0)

Excludes1: diphtheritic pyelonephritis and tubulo-interstitial nephritis (A36.84)

pyelonephritis and tubulo-interstitial nephritis in candidiasis (B37.49)
pyelonephritis and tubulo-interstitial nephritis in cystinosis (E72.04)
pyelonephritis and tubulo-interstitial nephritis in salmonella infection (A02.25)
pyelonephritis and tubulo-interstitial nephritis in sarcoidosis (D86.84)
pyelonephritis and tubulo-interstitial nephritis in sicca syndrome [Sjogren's] (M35.04)
pyelonephritis and tubulo-interstitial nephritis in systemic lupus erythematosus (M32.15)
pyelonephritis and tubulo-interstitial nephritis in toxoplasmosis (B58.83)
renal tubular degeneration in diabetes (E08-E13 with .29)
syphilitic pyelonephritis and tubulo-interstitial nephritis (A52.75)

Acute kidney failure and chronic kidney disease (N17-N19)

Excludes2: congenital renal failure (P96.0)

drug- and heavy-metal-induced tubulo-interstitial and tubular conditions (N14.-)
extrarenal uremia (R39.2)
hemolytic-uremic syndrome (D59.3)
hepatorenal syndrome (K76.7)
postpartum hepatorenal syndrome (O90.4)
posttraumatic renal failure (T79.5)
prerenal uremia (R39.2)
renal failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.4)
renal failure following labor and delivery (O90.4)
renal failure postprocedural (N99.0)

N17 Acute kidney failure

Code also associated underlying condition

Excludes1: posttraumatic renal failure (T79.5)

N17.0 Acute kidney failure with tubular necrosis

Acute tubular necrosis
Renal tubular necrosis
Tubular necrosis NOS

N17.1 Acute kidney failure with acute cortical necrosis

Acute cortical necrosis
Cortical necrosis NOS
Renal cortical necrosis
 N17.2 Acute kidney failure with medullary necrosis
Medullary [papillary] necrosis NOS
Acute medullary [papillary] necrosis
Renal medullary [papillary] necrosis

N17.8 Other acute kidney failure

N17.9 Acute kidney failure, unspecified

Acute kidney injury (nontraumatic)

Excludes2: traumatic kidney injury (S37.0-)

N18 Chronic kidney disease (CKD)

Code first any associated:

diabetic chronic kidney disease (E08.22, E09.22, E10.22, E11.22, E13.22)
hypertensive chronic kidney disease (I12.-, I13.-)

Use additional code to identify kidney transplant status, if applicable, (Z94.0)

N18.1 Chronic kidney disease, stage 1

N18.2 Chronic kidney disease, stage 2 (mild)

N18.3 Chronic kidney disease, stage 3 (moderate)

N18.4 Chronic kidney disease, stage 4 (severe)

N18.5 Chronic kidney disease, stage 5

Excludes1: chronic kidney disease, stage 5 requiring chronic dialysis (N18.6)

N18.6 End stage renal disease

Chronic kidney disease requiring chronic dialysis

Use additional code to identify dialysis status (Z99.2)

N18.9 Chronic kidney disease, unspecified

Chronic renal disease
Chronic renal failure NOS
Chronic renal insufficiency
Chronic uremia NOS
Diffuse sclerosing glomerulonephritis NOS

N19 Unspecified kidney failure

Uremia NOS

Excludes1: acute kidney failure (N17.-)

chronic kidney disease (N18.-)
chronic uremia (N18.9)
extrarenal uremia (R39.2)
prerenal uremia (R39.2)
renal insufficiency (acute) (N28.9)
uremia of newborn (P96.0)

Urolithiasis (N20-N23)

N20 Calculus of kidney and ureter

Calculous pyelonephritis

Excludes1: nephrocalcinosis (E83.5)

that with hydronephrosis (N13.2)
 N20.0 Calculus of kidney
Nephrolithiasis NOS
Renal calculus
Renal stone
Staghorn calculus
Stone in kidney

N20.1 Calculus of ureter

Ureteric stone

N20.2 Calculus of kidney with calculus of ureter

N20.9 Urinary calculus, unspecified

N21 Calculus of lower urinary tract

Includes: calculus of lower urinary tract with cystitis and urethritis

N21.0 Calculus in bladder

Calculus in diverticulum of bladder
Urinary bladder stone

Excludes2: staghorn calculus (N20.0)

N21.1 Calculus in urethra

Excludes2: calculus of prostate (N42.0)

N21.8 Other lower urinary tract calculus

N21.9 Calculus of lower urinary tract, unspecified

Excludes1: calculus of urinary tract NOS (N20.9)

N22 Calculus of urinary tract in diseases classified elsewhere

Code first underlying disease, such as:

gout (M1A.-, M10.-)
schistosomiasis (B65.0-B65.9)

N23 Unspecified renal colic

Other disorders of kidney and ureter (N25-N29)

Excludes2: disorders of kidney and ureter with urolithiasis (N20-N23)

N25 Disorders resulting from impaired renal tubular function

N25.0 Renal osteodystrophy

Azotemic osteodystrophy
Phosphate-losing tubular disorders
Renal rickets
Renal short stature

Excludes2: metabolic disorders classifiable to E70-E88

N25.1 Nephrogenic diabetes insipidus

Excludes1: diabetes insipidus NOS (E23.2)

N25.8 Other disorders resulting from impaired renal tubular function

N25.81 Secondary hyperparathyroidism of renal origin

 Excludes1: secondary hyperparathyroidism, non-renal (E21.1)

Excludes2: metabolic disorders classifiable to E70-E88

N25.89 Other disorders resulting from impaired renal tubular function

Hypokalemic nephropathy
Lightwood-Albright syndrome
Renal tubular acidosis NOS

N25.9 Disorder resulting from impaired renal tubular function, unspecified

N26 Unspecified contracted kidney

Excludes1: contracted kidney due to hypertension (I12.-)

diffuse sclerosing glomerulonephritis (N05.8.-)
hypertensive nephrosclerosis (arteriolar) (arteriosclerotic) (I12.-)
small kidney of unknown cause (N27.-)

N26.1 Atrophy of kidney (terminal)

N26.2 Page kidney

N26.9 Renal sclerosis, unspecified

N27 Small kidney of unknown cause

Includes: oligonephronia

N27.0 Small kidney, unilateral

N27.1 Small kidney, bilateral

N27.9 Small kidney, unspecified

N28 Other disorders of kidney and ureter, not elsewhere classified

N28.0 Ischemia and infarction of kidney

Renal artery embolism
Renal artery obstruction
Renal artery occlusion
Renal artery thrombosis
Renal infarct

Excludes1: atherosclerosis of renal artery (extrarenal part) (I70.1)

congenital stenosis of renal artery (Q27.1)
Goldblatt's kidney (I70.1)

N28.1 Cyst of kidney, acquired

Cyst (multiple) (solitary) of kidney (acquired)

Excludes1: cystic kidney disease (congenital) (Q61.-)

N28.8 Other specified disorders of kidney and ureter

Excludes1: hydroureter (N13.4)

ureteric stricture with hydronephrosis (N13.1)
ureteric stricture without hydronephrosis (N13.5)

N28.81 Hypertrophy of kidney

N28.82 Megaloureter

N28.83 Nephroptosis
 N28.84 Pyelitis cystica

N28.85 Pyeloureteritis cystica

N28.86 Ureteritis cystica

N28.89 Other specified disorders of kidney and ureter

N28.9 Disorder of kidney and ureter, unspecified

Nephropathy NOS
Renal disease (acute) NOS
Renal insufficiency (acute)

Excludes1: chronic renal insufficiency (N18.9)

unspecified nephritic syndrome (N05.-)

N29 Other disorders of kidney and ureter in diseases classified elsewhere

Code first underlying disease, such as:

amyloidosis (E85.-)
nephrocalcinosis (E83.5)
schistosomiasis (B65.0-B65.9)

Excludes1: disorders of kidney and ureter in:

cystinosis (E72.0)
gonorrhea (A54.21)
syphilis (A52.75)
tuberculosis (A18.11)

Other diseases of the urinary system (N30-N39)

Excludes1: urinary infection (complicating):

abortion or ectopic or molar pregnancy (O00-O07, O08.8)
pregnancy, childbirth and the puerperium (O23.-, O75.3, O86.2-)

N30 Cystitis

Use additional code to identify infectious agent (B95-B97)

Excludes1: prostatocystitis (N41.3)

N30.0 Acute cystitis

Excludes1: irradiation cystitis (N30.4-)

trigonitis (N30.3-)

N30.00 Acute cystitis without hematuria

N30.01 Acute cystitis with hematuria

N30.1 Interstitial cystitis (chronic)

N30.10 Interstitial cystitis (chronic) without hematuria

N30.11 Interstitial cystitis (chronic) with hematuria

N30.2 Other chronic cystitis

N30.20 Other chronic cystitis without hematuria

N30.21 Other chronic cystitis with hematuria

N30.3 Trigonitis
 Urethrotrigonitis

N30.30 Trigonitis without hematuria

N30.31 Trigonitis with hematuria

N30.4 Irradiation cystitis

N30.40 Irradiation cystitis without hematuria

N30.41 Irradiation cystitis with hematuria

N30.8 Other cystitis

Abscess of bladder

N30.80 Other cystitis without hematuria

N30.81 Other cystitis with hematuria

N30.9 Cystitis, unspecified

N30.90 Cystitis, unspecified without hematuria

N30.91 Cystitis, unspecified with hematuria

N31 Neuromuscular dysfunction of bladder, not elsewhere classified

Use additional code to identify any associated urinary incontinence (N39.3-N39.4-)

Excludes1: cord bladder NOS (G95.89)

neurogenic bladder due to cauda equina syndrome (G83.4)
neuromuscular dysfunction due to spinal cord lesion (G95.89)

N31.0 Uninhibited neuropathic bladder, not elsewhere classified

N31.1 Reflex neuropathic bladder, not elsewhere classified

N31.2 Flaccid neuropathic bladder, not elsewhere classified

Atonic (motor) (sensory) neuropathic bladder
Autonomous neuropathic bladder
Nonreflex neuropathic bladder

N31.8 Other neuromuscular dysfunction of bladder

N31.9 Neuromuscular dysfunction of bladder, unspecified

Neurogenic bladder dysfunction NOS

N32 Other disorders of bladder

Excludes2: calculus of bladder (N21.0)

cystocele (N81.1-)
hernia or prolapse of bladder, female (N81.1-)

N32.0 Bladder-neck obstruction

Bladder-neck stenosis (acquired)

Excludes1: congenital bladder-neck obstruction (Q64.3-)

N32.1 Vesicointestinal fistula

Vesicorectal fistula

N32.2 Vesical fistula, not elsewhere classified

Excludes1: fistula between bladder and female genital tract (N82.0-N82.1)

 N32.3 Diverticulum of bladder

Excludes1: congenital diverticulum of bladder (Q64.6)

diverticulitis of bladder (N30.8-)

N32.8 Other specified disorders of bladder

N32.81 Overactive bladder

Detrusor muscle hyperactivity

Excludes1: frequent urination due to specified bladder condition- code to condition

N32.89 Other specified disorders of bladder

Bladder hemorrhage
Bladder hypertrophy
Calcified bladder
Contracted bladder

N32.9 Bladder disorder, unspecified

N33 Bladder disorders in diseases classified elsewhere

Code first underlying disease, such as:

schistosomiasis (B65.0-B65.9)

Excludes1: bladder disorder in syphilis (A52.76)

bladder disorder in tuberculosis (A18.12)
candidal cystitis (B37.41)
chlamydial cystitis (A56.01)
cystitis in gonorrhea (A54.01)
cystitis in neurogenic bladder (N31.-)
diphtheritic cystitis (A36.85)
syphilitic cystitis (A52.76)
trichomonal cystitis (A59.03)

N34 Urethritis and urethral syndrome

Use additional code (B95-B97), to identify infectious agent.

Excludes2: Reiter's disease (M02.3-)

urethritis in diseases with a predominantly sexual mode of transmission (A50-A64)
urethrotrigonitis (N30.3-)

N34.0 Urethral abscess

Abscess (of) Cowper's gland
Abscess (of) Littré's gland
Abscess (of) urethral (gland)
Periurethral abscess

Excludes1: urethral caruncle (N36.2)

N34.1 Nonspecific urethritis

Nongonococcal urethritis
Nonvenereal urethritis

N34.2 Other urethritis

Meatitis, urethral
Postmenopausal urethritis
Ulcer of urethra (meatus)
Urethritis NOS

N34.3 Urethral syndrome, unspecified

N35 Urethral stricture

Excludes1: congenital urethral stricture (Q64.3-)

postprocedural urethral stricture (N99.1-)

N35.0 Post-traumatic urethral stricture

Urethral stricture due to injury

Excludes1: postprocedural urethral stricture (N99.1-)

N35.01 Post-traumatic urethral stricture, male

N35.010 Post-traumatic urethral stricture, male, meatal

N35.011 Post-traumatic bulbous urethral stricture

N35.012 Post-traumatic membranous urethral stricture

N35.013 Post-traumatic anterior urethral stricture

N35.014 Post-traumatic urethral stricture, male, unspecified

N35.016 Post-traumatic urethral stricture, male, overlapping sites

N35.02 Post-traumatic urethral stricture, female

N35.021 Urethral stricture due to childbirth

N35.028 Other post-traumatic urethral stricture, female

N35.1 Postinfective urethral stricture, not elsewhere classified

Excludes1: urethral stricture associated with schistosomiasis (B65.-, N29)

gonococcal urethral stricture (A54.01)
syphilitic urethral stricture (A52.76)

N35.11 Postinfective urethral stricture, not elsewhere classified, male

N35.111 Postinfective urethral stricture, not elsewhere classified, male, meatal

N35.112 Postinfective bulbous urethral stricture, not elsewhere classified, male

N35.113 Postinfective membranous urethral stricture, not elsewhere classified, male

N35.114 Postinfective anterior urethral stricture, not elsewhere classified, male

N35.116 Postinfective urethral stricture, not elsewhere classified, male, overlapping sites

N35.119 Postinfective urethral stricture, not elsewhere classified, male, unspecified

N35.12 Postinfective urethral stricture, not elsewhere classified, female

N35.8 Other urethral stricture

Excludes1: postprocedural urethral stricture (N99.1-)

N35.81 Other urethral stricture, male

N35.811 Other urethral stricture, male, meatal

N35.812 Other urethral bulbous stricture, male

N35.813 Other membranous urethral stricture, male

N35.814 Other anterior urethral stricture, male, anterior

 N35.816 Other urethral stricture, male, overlapping sites

N35.819 Other urethral stricture, male, unspecified site

N35.82 Other urethral stricture, female

N35.9 Urethral stricture, unspecified

N35.91 Urethral stricture, unspecified, male

N35.911 Unspecified urethral stricture, male, meatal

N35.912 Unspecified bulbous urethral stricture, male

N35.913 Unspecified membranous urethral stricture, male

N35.914 Unspecified anterior urethral stricture, male

N35.916 Unspecified urethral stricture, male, overlapping sites

N35.919 Unspecified urethral stricture, male, unspecified site

Pinhole meatus NOS
Urethral stricture NOS

N35.92 Unspecified urethral stricture, female

N36 Other disorders of urethra

N36.0 Urethral fistula

Urethroperineal fistula
Urethrorectal fistula
Urinary fistula NOS

Excludes1: urethroscrotal fistula (N50.89)

urethrovaginal fistula (N82.1)
urethrovesicovaginal fistula (N82.1)

N36.1 Urethral diverticulum

N36.2 Urethral caruncle

N36.4 Urethral functional and muscular disorders

Use additional code to identify associated urinary stress incontinence (N39.3)

N36.41 Hypermobility of urethra

N36.42 Intrinsic sphincter deficiency (ISD)

N36.43 Combined hypermobility of urethra and intrinsic sphincter deficiency

N36.44 Muscular disorders of urethra

Bladder sphincter dyssynergy

N36.5 Urethral false passage

N36.8 Other specified disorders of urethra

Excludes1: congenital urethrocele (Q64.7)

female urethrocele (N81.0)

N36.9 Urethral disorder, unspecified

N37 Urethral disorders in diseases classified elsewhere

 Code first underlying disease

Excludes1: urethritis (in):

candidal infection (B37.41)
chlamydial (A56.01)
gonorrhea (A54.01)
syphilis (A52.76)
trichomonal infection (A59.03)
tuberculosis (A18.13)

N39 Other disorders of urinary system

Excludes2: hematuria NOS (R31.-)

recurrent or persistent hematuria (N02.-)
recurrent or persistent hematuria with specified morphological lesion (N02.-)
proteinuria NOS (R80.-)

N39.0 Urinary tract infection, site not specified

Use additional code (B95-B97), to identify infectious agent.

Excludes1: candidiasis of urinary tract (B37.4-)

neonatal urinary tract infection (P39.3)
urinary tract infection of specified site, such as:
cystitis (N30.-)
urethritis (N34.-)

N39.3 Stress incontinence (female) (male)

Code also any associated overactive bladder (N32.81)

Excludes1: mixed incontinence (N39.46)

N39.4 Other specified urinary incontinence

Code also any associated overactive bladder (N32.81)

Excludes1: enuresis NOS (R32)

functional urinary incontinence (R39.81)
urinary incontinence associated with cognitive impairment (R39.81)
urinary incontinence NOS (R32)
urinary incontinence of nonorganic origin (F98.0)

N39.41 Urge incontinence

Excludes1: mixed incontinence (N39.46)

N39.42 Incontinence without sensory awareness

Insensible (urinary) incontinence

N39.43 Post-void dribbling

N39.44 Nocturnal enuresis

N39.45 Continuous leakage

N39.46 Mixed incontinence

Urge and stress incontinence

N39.49 Other specified urinary incontinence

N39.490 Overflow incontinence

 N39.491 Coital incontinence

N39.492 Postural (urinary) incontinence

N39.498 Other specified urinary incontinence

Reflex incontinence
Total incontinence

N39.8 Other specified disorders of urinary system

N39.9 Disorder of urinary system, unspecified

Diseases of male genital organs (N40-N53)

N40 Benign prostatic hyperplasia

Includes: adenofibromatous hypertrophy of prostate

benign hypertrophy of the prostate
benign prostatic hypertrophy
BPH
enlarged prostate
nodular prostate
polyp of prostate

Excludes1: benign neoplasms of prostate (adenoma, benign) (fibroadenoma) (fibroma) (myoma) (D29.1)

Excludes2: malignant neoplasm of prostate (C61)

N40.0 Benign prostatic hyperplasia without lower urinary tract symptoms

Enlarged prostate without LUTS
Enlarged prostate NOS

N40.1 Benign prostatic hyperplasia with lower urinary tract symptoms

Enlarged prostate with LUTS

Use additional code for associated symptoms, when specified:

incomplete bladder emptying (R39.14)
nocturia (R35.1)
straining on urination (R39.16)
urinary frequency (R35.0)
urinary hesitancy (R39.11)
urinary incontinence (N39.4-)
urinary obstruction (N13.8)
urinary retention (R33.8)
urinary urgency (R39.15)
weak urinary stream (R39.12)

N40.2 Nodular prostate without lower urinary tract symptoms

Nodular prostate without LUTS

N40.3 Nodular prostate with lower urinary tract symptoms

Use additional code for associated symptoms, when specified:

incomplete bladder emptying (R39.14)
nocturia (R35.1)
straining on urination (R39.16)
urinary frequency (R35.0)
urinary hesitancy (R39.11)
urinary incontinence (N39.4-)
urinary obstruction (N13.8)
urinary retention (R33.8)
urinary urgency (R39.15)
 weak urinary stream (R39.12)

N41 Inflammatory diseases of prostate

Use additional code (B95-B97), to identify infectious agent.

N41.0 Acute prostatitis

N41.1 Chronic prostatitis

N41.2 Abscess of prostate

N41.3 Prostatocystitis

N41.4 Granulomatous prostatitis

N41.8 Other inflammatory diseases of prostate

N41.9 Inflammatory disease of prostate, unspecified

Prostatitis NOS

N42 Other and unspecified disorders of prostate

N42.0 Calculus of prostate

Prostatic stone

N42.1 Congestion and hemorrhage of prostate

Excludes1: enlarged prostate (N40.-)

hematuria (R31.-)
hyperplasia of prostate (N40.-)
inflammatory diseases of prostate (N41.-)

N42.3 Dysplasia of prostate

N42.30 Unspecified dysplasia of prostate

N42.31 Prostatic intraepithelial neoplasia

PIN
Prostatic intraepithelial neoplasia I (PIN I)
Prostatic intraepithelial neoplasia II (PIN II)

Excludes1: prostatic intraepithelial neoplasia III (PIN III) (D07.5)

N42.32 Atypical small acinar proliferation of prostate

N42.39 Other dysplasia of prostate

N42.8 Other specified disorders of prostate

N42.81 Prostatodynia syndrome

Painful prostate syndrome

N42.82 Prostatosis syndrome

N42.83 Cyst of prostate

N42.89 Other specified disorders of prostate

N42.9 Disorder of prostate, unspecified

N43 Hydrocele and spermatocele

Includes: hydrocele of spermatic cord, testis or tunica vaginalis

 Excludes1: congenital hydrocele (P83.5)

N43.0 Encysted hydrocele

N43.1 Infected hydrocele

Use additional code (B95-B97), to identify infectious agent

N43.2 Other hydrocele

N43.3 Hydrocele, unspecified

N43.4 Spermatocele of epididymis

Spermatic cyst

N43.40 Spermatocele of epididymis, unspecified

N43.41 Spermatocele of epididymis, single

N43.42 Spermatocele of epididymis, multiple

N44 Noninflammatory disorders of testis

N44.0 Torsion of testis

N44.00 Torsion of testis, unspecified

N44.01 Extravaginal torsion of spermatic cord

N44.02 Intravaginal torsion of spermatic cord

Torsion of spermatic cord NOS

N44.03 Torsion of appendix testis

N44.04 Torsion of appendix epididymis

N44.1 Cyst of tunica albuginea testis

N44.2 Benign cyst of testis

N44.8 Other noninflammatory disorders of the testis

N45 Orchitis and epididymitis

Use additional code (B95-B97), to identify infectious agent.

N45.1 Epididymitis

N45.2 Orchitis

N45.3 Epididymo-orchitis

N45.4 Abscess of epididymis or testis

N46 Male infertility

Excludes1: vasectomy status (Z98.52)

N46.0 Azoospermia
Absolute male infertility
Male infertility due to germinal (cell) aplasia
Male infertility due to spermatogenic arrest (complete)

N46.01 Organic azoospermia

 Azoospermia NOS

N46.02 Azoospermia due to extratesticular causes

Code also associated cause

N46.021 Azoospermia due to drug therapy

N46.022 Azoospermia due to infection

N46.023 Azoospermia due to obstruction of efferent ducts

N46.024 Azoospermia due to radiation

N46.025 Azoospermia due to systemic disease

N46.029 Azoospermia due to other extratesticular causes

N46.1 Oligospermia
Male infertility due to germinal cell desquamation
Male infertility due to hypospermatogenesis
Male infertility due to incomplete spermatogenic arrest

N46.11 Organic oligospermia

Oligospermia NOS

N46.12 Oligospermia due to extratesticular causes

Code also associated cause

N46.121 Oligospermia due to drug therapy

N46.122 Oligospermia due to infection

N46.123 Oligospermia due to obstruction of efferent ducts

N46.124 Oligospermia due to radiation

N46.125 Oligospermia due to systemic disease

N46.129 Oligospermia due to other extratesticular causes

N46.8 Other male infertility

N46.9 Male infertility, unspecified

N47 Disorders of prepuce

N47.0 Adherent prepuce, newborn

N47.1 Phimosis

N47.2 Paraphimosis

N47.3 Deficient foreskin

N47.4 Benign cyst of prepuce

N47.5 Adhesions of prepuce and glans penis

N47.6 Balanoposthitis

Use additional code (B95-B97), to identify infectious agent.

Excludes1: balanitis (N48.1)

 N47.7 Other inflammatory diseases of prepuce

Use additional code (B95-B97), to identify infectious agent.

N47.8 Other disorders of prepuce

N48 Other disorders of penis

N48.0 Leukoplakia of penis

Balanitis xerotica obliterans
Kraurosis of penis
Lichen sclerosus of external male genital organs

Excludes1: carcinoma in situ of penis (D07.4)

N48.1 Balanitis

Use additional code (B95-B97), to identify infectious agent

Excludes1: amebic balanitis (A06.8)

balanitis xerotica obliterans (N48.0)
candidal balanitis (B37.42)
gonococcal balanitis (A54.23)
herpesviral [herpes simplex] balanitis (A60.01)

N48.2 Other inflammatory disorders of penis

Use additional code (B95-B97), to identify infectious agent.

Excludes1: balanitis (N48.1)

balanitis xerotica obliterans (N48.0)
balanoposthitis (N47.6)

N48.21 Abscess of corpus cavernosum and penis

N48.22 Cellulitis of corpus cavernosum and penis

N48.29 Other inflammatory disorders of penis

N48.3 Priapism
Painful erection

Code first underlying cause

N48.30 Priapism, unspecified

N48.31 Priapism due to trauma

N48.32 Priapism due to disease classified elsewhere

N48.33 Priapism, drug-induced

N48.39 Other priapism

N48.5 Ulcer of penis

N48.6 Induration penis plastica

Peyronie's disease
Plastic induration of penis

N48.8 Other specified disorders of penis

N48.81 Thrombosis of superficial vein of penis

 N48.82 Acquired torsion of penis
Acquired torsion of penis NOS

Excludes1: congenital torsion of penis (Q55.63)

N48.83 Acquired buried penis

Excludes1: congenital hidden penis (Q55.64)

N48.89 Other specified disorders of penis

N48.9 Disorder of penis, unspecified

N49 Inflammatory disorders of male genital organs, not elsewhere classified

Use additional code (B95-B97), to identify infectious agent

Excludes1: inflammation of penis (N48.1, N48.2-)

orchitis and epididymitis (N45.-)

N49.0 Inflammatory disorders of seminal vesicle

Vesiculitis NOS

N49.1 Inflammatory disorders of spermatic cord, tunica vaginalis and vas deferens
Vasitis

N49.2 Inflammatory disorders of scrotum

N49.3 Fournier gangrene

N49.8 Inflammatory disorders of other specified male genital organs

Inflammation of multiple sites in male genital organs

N49.9 Inflammatory disorder of unspecified male genital organ

Abscess of unspecified male genital organ
Boil of unspecified male genital organ
Carbuncle of unspecified male genital organ
Cellulitis of unspecified male genital organ

N50 Other and unspecified disorders of male genital organs

Excludes2: torsion of testis (N44.0-)

N50.0 Atrophy of testis

N50.1 Vascular disorders of male genital organs

Hematocele, NOS, of male genital organs
Hemorrhage of male genital organs
Thrombosis of male genital organs

N50.3 Cyst of epididymis

N50.8 Other specified disorders of male genital organs

N50.81 Testicular pain

N50.811 Right testicular pain

N50.812 Left testicular pain

N50.819 Testicular pain, unspecified

N50.82 Scrotal pain

 N50.89 Other specified disorders of the male genital organs
Atrophy of scrotum, seminal vesicle, spermatic cord, tunica vaginalis and vas deferens
Chylocele, tunica vaginalis (nonfilarial) NOS
Edema of scrotum, seminal vesicle, spermatic cord, tunica vaginalis and vas deferens
Hypertrophy of scrotum, seminal vesicle, spermatic cord, tunica vaginalis and vas deferens
Stricture of spermatic cord, tunica vaginalis, and vas deferens
Ulcer of scrotum, seminal vesicle, spermatic cord, testis, tunica vaginalis and vas deferens
Urethroscrotal fistula

N50.9 Disorder of male genital organs, unspecified

N51 Disorders of male genital organs in diseases classified elsewhere

Code first underlying disease, such as:

filariasis (B74.0-B74.9)

Excludes1: amebic balanitis (A06.8)

candidal balanitis (B37.42)
gonococcal balanitis (A54.23)
gonococcal prostatitis (A54.22)
herpesviral [herpes simplex] balanitis (A60.01)
trichomonal prostatitis (A59.02)
tuberculous prostatitis (A18.14)

N52 Male erectile dysfunction

Excludes1: psychogenic impotence (F52.21)

N52.0 Vasculogenic erectile dysfunction

N52.01 Erectile dysfunction due to arterial insufficiency

N52.02 Corporo-venous occlusive erectile dysfunction

N52.03 Combined arterial insufficiency and corporo-venous occlusive erectile dysfunction

N52.1 Erectile dysfunction due to diseases classified elsewhere

Code first underlying disease

N52.2 Drug-induced erectile dysfunction

N52.3 Postprocedural erectile dysfunction

N52.31 Erectile dysfunction following radical prostatectomy

N52.32 Erectile dysfunction following radical cystectomy

N52.33 Erectile dysfunction following urethral surgery

N52.34 Erectile dysfunction following simple prostatectomy

N52.35 Erectile dysfunction following radiation therapy

N52.36 Erectile dysfunction following interstitial seed therapy

N52.37 Erectile dysfunction following prostate ablative therapy

Erectile dysfunction following cryotherapy
Erectile dysfunction following other prostate ablative therapies
Erectile dysfunction following ultrasound ablative therapies

N52.39 Other and unspecified postprocedural erectile dysfunction

 N52.8 Other male erectile dysfunction

N52.9 Male erectile dysfunction, unspecified

Impotence NOS

N53 Other male sexual dysfunction

Excludes1: psychogenic sexual dysfunction (F52.-)

N53.1 Ejaculatory dysfunction

Excludes1: premature ejaculation (F52.4)

N53.11 Retarded ejaculation

N53.12 Painful ejaculation

N53.13 Anejaculatory orgasm

N53.14 Retrograde ejaculation

N53.19 Other ejaculatory dysfunction

Ejaculatory dysfunction NOS

N53.8 Other male sexual dysfunction

N53.9 Unspecified male sexual dysfunction

Disorders of breast (N60-N65)

Excludes1: disorders of breast associated with childbirth (O91-O92)

N60 Benign mammary dysplasia

Includes: fibrocystic mastopathy

N60.0 Solitary cyst of breast

Cyst of breast

N60.01 Solitary cyst of right breast

N60.02 Solitary cyst of left breast

N60.09 Solitary cyst of unspecified breast

N60.1 Diffuse cystic mastopathy

Cystic breast
Fibrocystic disease of breast

Excludes1: diffuse cystic mastopathy with epithelial proliferation (N60.3-)

N60.11 Diffuse cystic mastopathy of right breast

N60.12 Diffuse cystic mastopathy of left breast

N60.19 Diffuse cystic mastopathy of unspecified breast

N60.2 Fibroadenosis of breast

Adenofibrosis of breast

Excludes2: fibroadenoma of breast (D24.-)

N60.21 Fibroadenosis of right breast

 N60.22 Fibroadenosis of left breast

N60.29 Fibroadenosis of unspecified breast

N60.3 Fibrosclerosis of breast

Cystic mastopathy with epithelial proliferation

N60.31 Fibrosclerosis of right breast

N60.32 Fibrosclerosis of left breast

N60.39 Fibrosclerosis of unspecified breast

N60.4 Mammary duct ectasia

N60.41 Mammary duct ectasia of right breast

N60.42 Mammary duct ectasia of left breast

N60.49 Mammary duct ectasia of unspecified breast

N60.8 Other benign mammary dysplasias

N60.81 Other benign mammary dysplasias of right breast

N60.82 Other benign mammary dysplasias of left breast

N60.89 Other benign mammary dysplasias of unspecified breast

N60.9 Unspecified benign mammary dysplasia

N60.91 Unspecified benign mammary dysplasia of right breast

N60.92 Unspecified benign mammary dysplasia of left breast

N60.99 Unspecified benign mammary dysplasia of unspecified breast

N61 Inflammatory disorders of breast

Excludes1: inflammatory carcinoma of breast (C50.9)

inflammatory disorder of breast associated with childbirth (O91.-)
neonatal infective mastitis (P39.0)
thrombophlebitis of breast [Mondor's disease] (I80.8)

N61.0 Mastitis without abscess

Infective mastitis (acute) (nonpuerperal) (subacute)
Mastitis (acute) (nonpuerperal) (subacute) NOS
Cellulitis (acute) (nonpuerperal) (subacute) of breast NOS
Cellulitis (acute) (nonpuerperal) (subacute) of nipple NOS

N61.1 Abscess of the breast and nipple

Abscess (acute) (chronic) (nonpuerperal) of areola
Abscess (acute) (chronic) (nonpuerperal) of breast
Carbuncle of breast
Mastitis with abscess

N62 Hypertrophy of breast

Gynecomastia
Hypertrophy of breast NOS
Massive pubertal hypertrophy of breast

Excludes1: breast engorgement of newborn (P83.4)

disproportion of reconstructed breast (N65.1)
N63 Unspecified lump in breast
Nodule(s) NOS in breast

N63.0 Unspecified lump in unspecified breast

N63.1 Unspecified lump in the right breast

N63.10 Unspecified lump in the right breast, unspecified quadrant

N63.11 Unspecified lump in the right breast, upper outer quadrant

N63.12 Unspecified lump in the right breast, upper inner quadrant

N63.13 Unspecified lump in the right breast, lower outer quadrant

N63.14 Unspecified lump in the right breast, lower inner quadrant

N63.2 Unspecified lump in the left breast

N63.20 Unspecified lump in the left breast, unspecified quadrant

N63.21 Unspecified lump in the left breast, upper outer quadrant

N63.22 Unspecified lump in the left breast, upper inner quadrant

N63.23 Unspecified lump in the left breast, lower outer quadrant

N63.24 Unspecified lump in the left breast, lower inner quadrant

N63.3 Unspecified lump in axillary tail

N63.31 Unspecified lump in axillary tail of the right breast

N63.32 Unspecified lump in axillary tail of the left breast

N63.4 Unspecified lump in breast, subareolar

N63.41 Unspecified lump in right breast, subareolar

N63.42 Unspecified lump in left breast, subareolar

N64 Other disorders of breast

Excludes2: mechanical complication of breast prosthesis and implant (T85.4-)

N64.0 Fissure and fistula of nipple

N64.1 Fat necrosis of breast

Fat necrosis (segmental) of breast

Code first breast necrosis due to breast graft (T85.898)

N64.2 Atrophy of breast

N64.3 Galactorrhea not associated with childbirth

N64.4 Mastodynia

N64.5 Other signs and symptoms in breast

Excludes2: abnormal findings on diagnostic imaging of breast (R92.-)

N64.51 Induration of breast

N64.52 Nipple discharge

 Excludes1: abnormal findings in nipple discharge (R89.-)

N64.53 Retraction of nipple

N64.59 Other signs and symptoms in breast

N64.8 Other specified disorders of breast

N64.81 Ptosis of breast

Excludes1: ptosis of native breast in relation to reconstructed breast (N65.1)

N64.82 Hypoplasia of breast

Micromastia

Excludes1: congenital absence of breast (Q83.0)

hypoplasia of native breast in relation to reconstructed breast (N65.1)

N64.89 Other specified disorders of breast

Galactocele
Subinvolution of breast (postlactational)

N64.9 Disorder of breast, unspecified

N65 Deformity and disproportion of reconstructed breast

N65.0 Deformity of reconstructed breast

Contour irregularity in reconstructed breast
Excess tissue in reconstructed breast
Misshapen reconstructed breast

N65.1 Disproportion of reconstructed breast

Breast asymmetry between native breast and reconstructed breast
Disproportion between native breast and reconstructed breast

Inflammatory diseases of female pelvic organs (N70-N77)

Excludes1: inflammatory diseases of female pelvic organs complicating:

abortion or ectopic or molar pregnancy (O00-O07, O08.0)
pregnancy, childbirth and the puerperium (O23.-, O75.3, O85, O86.-)

N70 Salpingitis and oophoritis

Includes: abscess (of) fallopian tube

abscess (of) ovary
pyosalpinx
salpingo-oophoritis
tubo-ovarian abscess
tubo-ovarian inflammatory disease

Use additional code (B95-B97), to identify infectious agent

Excludes1: gonococcal infection (A54.24)

tuberculous infection (A18.17)

N70.0 Acute salpingitis and oophoritis

N70.01 Acute salpingitis

N70.02 Acute oophoritis

N70.03 Acute salpingitis and oophoritis

 N70.1 Chronic salpingitis and oophoritis
Hydrosalpinx

N70.11 Chronic salpingitis

N70.12 Chronic oophoritis

N70.13 Chronic salpingitis and oophoritis

N70.9 Salpingitis and oophoritis, unspecified

N70.91 Salpingitis, unspecified

N70.92 Oophoritis, unspecified

N70.93 Salpingitis and oophoritis, unspecified

N71 Inflammatory disease of uterus, except cervix

Includes: endo (myo) metritis

metritis
myometritis
pyometra
uterine abscess

Use additional code (B95-B97), to identify infectious agent

Excludes1: hyperplastic endometritis (N85.0-)

infection of uterus following delivery (O85, O86.-)

N71.0 Acute inflammatory disease of uterus

N71.1 Chronic inflammatory disease of uterus

N71.9 Inflammatory disease of uterus, unspecified

N72 Inflammatory disease of cervix uteri

Includes: cervicitis (with or without erosion or ectropion)

endocervicitis (with or without erosion or ectropion)
exocervicitis (with or without erosion or ectropion)

Use additional code (B95-B97), to identify infectious agent

Excludes1: erosion and ectropion of cervix without cervicitis (N86)

N73 Other female pelvic inflammatory diseases

Use additional code (B95-B97), to identify infectious agent.

N73.0 Acute parametritis and pelvic cellulitis

Abscess of broad ligament
Abscess of parametrium
Pelvic cellulitis, female

N73.1 Chronic parametritis and pelvic cellulitis

Any condition in N73.0 specified as chronic

Excludes1: tuberculous parametritis and pelvic cellultis (A18.17)

N73.2 Unspecified parametritis and pelvic cellulitis

Any condition in N73.0 unspecified whether acute or chronic

N73.3 Female acute pelvic peritonitis

 N73.4 Female chronic pelvic peritonitis

Excludes1: tuberculous pelvic (female) peritonitis (A18.17)

N73.5 Female pelvic peritonitis, unspecified

N73.6 Female pelvic peritoneal adhesions (postinfective)

Excludes2: postprocedural pelvic peritoneal adhesions (N99.4)

N73.8 Other specified female pelvic inflammatory diseases

N73.9 Female pelvic inflammatory disease, unspecified

Female pelvic infection or inflammation NOS

N74 Female pelvic inflammatory disorders in diseases classified elsewhere

Code first underlying disease

Excludes1: chlamydial cervicitis (A56.02)

chlamydial pelvic inflammatory disease (A56.11)
gonococcal cervicitis (A54.03)
gonococcal pelvic inflammatory disease (A54.24)
herpesviral [herpes simplex] cervicitis (A60.03)
herpesviral [herpes simplex] pelvic inflammatory disease (A60.09)
syphilitic cervicitis (A52.76)
syphilitic pelvic inflammatory disease (A52.76)
trichomonal cervicitis (A59.09)
tuberculous cervicitis (A18.16)
tuberculous pelvic inflammatory disease (A18.17)

N75 Diseases of Bartholin's gland

N75.0 Cyst of Bartholin's gland

N75.1 Abscess of Bartholin's gland

N75.8 Other diseases of Bartholin's gland

Bartholinitis

N75.9 Disease of Bartholin's gland, unspecified

N76 Other inflammation of vagina and vulva

Use additional code (B95-B97), to identify infectious agent

Excludes2: senile (atrophic) vaginitis (N95.2)

vulvar vestibulitis (N94.810)

N76.0 Acute vaginitis

Acute vulvovaginitis
Vaginitis NOS
Vulvovaginitis NOS

N76.1 Subacute and chronic vaginitis

Chronic vulvovaginitis
Subacute vulvovaginitis

N76.2 Acute vulvitis

Vulvitis NOS

N76.3 Subacute and chronic vulvitis

 N76.4 Abscess of vulva
Furuncle of vulva

N76.5 Ulceration of vagina

N76.6 Ulceration of vulva

N76.8 Other specified inflammation of vagina and vulva

N76.81 Mucositis (ulcerative) of vagina and vulva

Code also type of associated therapy, such as:

antineoplastic and immunosuppressive drugs (T45.1X-)
radiological procedure and radiotherapy (Y84.2)

Excludes2: gastrointestinal mucositis (ulcerative) (K92.81)

nasal mucositis (ulcerative) (J34.81)
oral mucositis (ulcerative) (K12.3-)

N76.89 Other specified inflammation of vagina and vulva

N77 Vulvovaginal ulceration and inflammation in diseases classified elsewhere

N77.0 Ulceration of vulva in diseases classified elsewhere

Code first underlying disease, such as:

Behçet's disease (M35.2)

Excludes1: ulceration of vulva in gonococcal infection (A54.02)

ulceration of vulva in herpesviral [herpes simplex] infection (A60.04)
ulceration of vulva in syphilis (A51.0)
ulceration of vulva in tuberculosis (A18.18)

N77.1 Vaginitis, vulvitis and vulvovaginitis in diseases classified elsewhere

Code first underlying disease, such as:

pinworm (B80)

Excludes1: candidal vulvovaginitis (B37.3)

chlamydial vulvovaginitis (A56.02)
gonococcal vulvovaginitis (A54.02)
herpesviral [herpes simplex] vulvovaginitis (A60.04)
trichomonal vulvovaginitis (A59.01)
tuberculous vulvovaginitis (A18.18)
vulvovaginitis in early syphilis (A51.0)
vulvovaginitis in late syphilis (A52.76)

Noninflammatory disorders of female genital tract (N80-N98)

N80 Endometriosis

N80.0 Endometriosis of uterus

Adenomyosis

Excludes1: stromal endometriosis (D39.0)

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

Endometriosis of thorax

N80.9 Endometriosis, unspecified

N81 Female genital prolapse

Excludes1: genital prolapse complicating pregnancy, labor or delivery (O34.5-)

prolapse and hernia of ovary and fallopian tube (N83.4-)
prolapse of vaginal vault after hysterectomy (N99.3)

N81.0 Urethrocele

Excludes1: urethrocele with cystocele (N81.1-)

urethrocele with prolapse of uterus (N81.2-N81.4)

N81.1 Cystocele
Cystocele with urethrocele
Cystourethrocele

Excludes1: cystocele with prolapse of uterus (N81.2-N81.4)

N81.10 Cystocele, unspecified

Prolapse of (anterior) vaginal wall NOS

N81.11 Cystocele, midline

N81.12 Cystocele, lateral

Paravaginal cystocele

N81.2 Incomplete uterovaginal prolapse

First degree uterine prolapse
Prolapse of cervix NOS
Second degree uterine prolapse

Excludes1: cervical stump prolapse (N81.85)

N81.3 Complete uterovaginal prolapse

Procidentia (uteri) NOS
Third degree uterine prolapse

N81.4 Uterovaginal prolapse, unspecified

Prolapse of uterus NOS

N81.5 Vaginal enterocele

Excludes1: enterocele with prolapse of uterus (N81.2-N81.4)

N81.6 Rectocele
Prolapse of posterior vaginal wall

Use additional code for any associated fecal incontinence, if applicable (R15.-)

Excludes2: perineocele (N81.81)

rectal prolapse (K62.3)
rectocele with prolapse of uterus (N81.2-N81.4)

N81.8 Other female genital prolapse

 N81.81 Perineocele

N81.82 Incompetence or weakening of pubocervical tissue

N81.83 Incompetence or weakening of rectovaginal tissue

N81.84 Pelvic muscle wasting

Disuse atrophy of pelvic muscles and anal sphincter

N81.85 Cervical stump prolapse

N81.89 Other female genital prolapse

Deficient perineum
Old laceration of muscles of pelvic floor

N81.9 Female genital prolapse, unspecified

N82 Fistulae involving female genital tract

Excludes1: vesicointestinal fistulae (N32.1)

N82.0 Vesicovaginal fistula

N82.1 Other female urinary-genital tract fistulae

Cervicovesical fistula
Ureterovaginal fistula
Urethrovaginal fistula
Uteroureteric fistula
Uterovesical fistula

N82.2 Fistula of vagina to small intestine

N82.3 Fistula of vagina to large intestine

Rectovaginal fistula

N82.4 Other female intestinal-genital tract fistulae

Intestinouterine fistula

N82.5 Female genital tract-skin fistulae

Uterus to abdominal wall fistula
Vaginoperineal fistula

N82.8 Other female genital tract fistulae

N82.9 Female genital tract fistula, unspecified

N83 Noninflammatory disorders of ovary, fallopian tube and broad ligament

Excludes2: hydrosalpinx (N70.1-)

N83.0 Follicular cyst of ovary

Cyst of graafian follicle
Hemorrhagic follicular cyst (of ovary)

N83.00 Follicular cyst of ovary, unspecified side

N83.01 Follicular cyst of right ovary

N83.02 Follicular cyst of left ovary

N83.1 Corpus luteum cyst

Hemorrhagic corpus luteum cyst

N83.10 Corpus luteum cyst of ovary, unspecified side

 N83.11 Corpus luteum cyst of right ovary

N83.12 Corpus luteum cyst of left ovary

N83.2 Other and unspecified ovarian cysts

Excludes1: developmental ovarian cyst (Q50.1)

neoplastic ovarian cyst (D27.-)
polycystic ovarian syndrome (E28.2)
Stein-Leventhal syndrome (E28.2)

N83.20 Unspecified ovarian cysts

N83.201 Unspecified ovarian cyst, right side

N83.202 Unspecified ovarian cyst, left side

N83.209 Unspecified ovarian cyst, unspecified side

Ovarian cyst, NOS

N83.29 Other ovarian cysts

Retention cyst of ovary
Simple cyst of ovary

N83.291 Other ovarian cyst, right side

N83.292 Other ovarian cyst, left side

N83.299 Other ovarian cyst, unspecified side

N83.3 Acquired atrophy of ovary and fallopian tube

N83.31 Acquired atrophy of ovary

N83.311 Acquired atrophy of right ovary

N83.312 Acquired atrophy of left ovary

N83.319 Acquired atrophy of ovary, unspecified side

Acquired atrophy of ovary, NOS

N83.32 Acquired atrophy of fallopian tube

N83.321 Acquired atrophy of right fallopian tube

N83.322 Acquired atrophy of left fallopian tube

N83.329 Acquired atrophy of fallopian tube, unspecified side

Acquired atrophy of fallopian tube, NOS

N83.33 Acquired atrophy of ovary and fallopian tube

N83.331 Acquired atrophy of right ovary and fallopian tube

N83.332 Acquired atrophy of left ovary and fallopian tube

N83.339 Acquired atrophy of ovary and fallopian tube, unspecified side

Acquired atrophy of ovary and fallopian tube, NOS

N83.4 Prolapse and hernia of ovary and fallopian tube

N83.40 Prolapse and hernia of ovary and fallopian tube, unspecified side
Prolapse and hernia of ovary and fallopian tube, NOS
 N83.41 Prolapse and hernia of right ovary and fallopian tube

N83.42 Prolapse and hernia of left ovary and fallopian tube

N83.5 Torsion of ovary, ovarian pedicle and fallopian tube

Torsion of accessory tube

N83.51 Torsion of ovary and ovarian pedicle

N83.511 Torsion of right ovary and ovarian pedicle

N83.512 Torsion of left ovary and ovarian pedicle

N83.519 Torsion of ovary and ovarian pedicle, unspecified side

Torsion of ovary and ovarian pedicle, NOS

N83.52 Torsion of fallopian tube

Torsion of hydatid of Morgagni

N83.521 Torsion of right fallopian tube

N83.522 Torsion of left fallopian tube

N83.529 Torsion of fallopian tube, unspecified side

Torsion of fallopian tube, NOS

N83.53 Torsion of ovary, ovarian pedicle and fallopian tube

N83.6 Hematosalpinx

Excludes1: hematosalpinx (with) (in):

hematocolpos (N89.7)
hematometra (N85.7)
tubal pregnancy (O00.1-)

N83.7 Hematoma of broad ligament

N83.8 Other noninflammatory disorders of ovary, fallopian tube and broad ligament
Broad ligament laceration syndrome [Allen-Masters]

N83.9 Noninflammatory disorder of ovary, fallopian tube and broad ligament, unspecified

N84 Polyp of female genital tract

Excludes1: adenomatous polyp (D28.-)

placental polyp (O90.89)

N84.0 Polyp of corpus uteri

Polyp of endometrium
Polyp of uterus NOS

Excludes1: polypoid endometrial hyperplasia (N85.0-)

N84.1 Polyp of cervix uteri

Mucous polyp of cervix

N84.2 Polyp of vagina

N84.3 Polyp of vulva

Polyp of labia

N84.8 Polyp of other parts of female genital tract

N84.9 Polyp of female genital tract, unspecified

N85 Other noninflammatory disorders of uterus, except cervix

Excludes1: endometriosis (N80.-)

inflammatory diseases of uterus (N71.-)
noninflammatory disorders of cervix, except malposition (N86-N88)
polyp of corpus uteri (N84.0)
uterine prolapse (N81.-)

N85.0 Endometrial hyperplasia

N85.00 Endometrial hyperplasia, unspecified

Hyperplasia (adenomatous) (cystic) (glandular) of endometrium
Hyperplastic endometritis

N85.01 Benign endometrial hyperplasia

Endometrial hyperplasia (complex) (simple) without atypia

N85.02 Endometrial intraepithelial neoplasia [EIN]

Endometrial hyperplasia with atypia

Excludes1: malignant neoplasm of endometrium (with endometrial intraepithelial neoplasia [EIN])

(C54.1)

N85.2 Hypertrophy of uterus

Bulky or enlarged uterus

Excludes1: puerperal hypertrophy of uterus (O90.89)

N85.3 Subinvolution of uterus

Excludes1: puerperal subinvolution of uterus (O90.89)

N85.4 Malposition of uterus

Anteversion of uterus
Retroflexion of uterus
Retroversion of uterus

Excludes1: malposition of uterus complicating pregnancy, labor or delivery (O34.5-, O65.5)

N85.5 Inversion of uterus

Excludes1: current obstetric trauma (O71.2)

postpartum inversion of uterus (O71.2)

N85.6 Intrauterine synechiae

N85.7 Hematometra
Hematosalpinx with hematometra

Excludes1: hematometra with hematocolpos (N89.7)

N85.8 Other specified noninflammatory disorders of uterus

Atrophy of uterus, acquired
Fibrosis of uterus NOS

N85.9 Noninflammatory disorder of uterus, unspecified

Disorder of uterus NOS

N86 Erosion and ectropion of cervix uteri

Decubitus (trophic) ulcer of cervix
Eversion of cervix

Excludes1: erosion and ectropion of cervix with cervicitis (N72)

N87 Dysplasia of cervix uteri

Excludes1: abnormal results from cervical cytologic examination without histologic confirmation (R87.61-)
carcinoma in situ of cervix uteri (D06.-)
cervical intraepithelial neoplasia III [CIN III] (D06.-)
HGSIL of cervix (R87.613)
severe dysplasia of cervix uteri (D06.-)

N87.0 Mild cervical dysplasia

Cervical intraepithelial neoplasia I [CIN I]

N87.1 Moderate cervical dysplasia

Cervical intraepithelial neoplasia II [CIN II]

N87.9 Dysplasia of cervix uteri, unspecified

Anaplasia of cervix
Cervical atypism
Cervical dysplasia NOS

N88 Other noninflammatory disorders of cervix uteri

Excludes2: inflammatory disease of cervix (N72)

polyp of cervix (N84.1)

N88.0 Leukoplakia of cervix uteri

N88.1 Old laceration of cervix uteri

Adhesions of cervix

Excludes1: current obstetric trauma (O71.3)

N88.2 Stricture and stenosis of cervix uteri

Excludes1: stricture and stenosis of cervix uteri complicating labor (O65.5)

N88.3 Incompetence of cervix uteri

Investigation and management of (suspected) cervical incompetence in a nonpregnant woman

Excludes1: cervical incompetence complicating pregnancy (O34.3-)

N88.4 Hypertrophic elongation of cervix uteri

N88.8 Other specified noninflammatory disorders of cervix uteri

Excludes1: current obstetric trauma (O71.3)

N88.9 Noninflammatory disorder of cervix uteri, unspecified

N89 Other noninflammatory disorders of vagina

Excludes1: abnormal results from vaginal cytologic examination without histologic confirmation (R87.62-)
carcinoma in situ of vagina (D07.2)
HGSIL of vagina (R87.623)
inflammation of vagina (N76.-)
senile (atrophic) vaginitis (N95.2)
severe dysplasia of vagina (D07.2)
trichomonal leukorrhea (A59.00)
vaginal intraepithelial neoplasia [VAIN], grade III (D07.2)

N89.0 Mild vaginal dysplasia

Vaginal intraepithelial neoplasia [VAIN], grade I

N89.1 Moderate vaginal dysplasia

 Vaginal intraepithelial neoplasia [VAIN], grade II

N89.3 Dysplasia of vagina, unspecified

N89.4 Leukoplakia of vagina

N89.5 Stricture and atresia of vagina

Vaginal adhesions
Vaginal stenosis

Excludes1: congenital atresia or stricture (Q52.4)

postprocedural adhesions of vagina (N99.2)

N89.6 Tight hymenal ring

Rigid hymen
Tight introitus

Excludes1: imperforate hymen (Q52.3)

N89.7 Hematocolpos
Hematocolpos with hematometra or hematosalpinx

N89.8 Other specified noninflammatory disorders of vagina

Leukorrhea NOS
Old vaginal laceration
Pessary ulcer of vagina

Excludes1: current obstetric trauma (O70.-, O71.4, O71.7-O71.8)

old laceration involving muscles of pelvic floor (N81.8)

N89.9 Noninflammatory disorder of vagina, unspecified

N90 Other noninflammatory disorders of vulva and perineum

Excludes1: anogenital (venereal) warts (A63.0)

carcinoma in situ of vulva (D07.1)
condyloma acuminatum (A63.0)
current obstetric trauma (O70.-, O71.7-O71.8)
inflammation of vulva (N76.-)
severe dysplasia of vulva (D07.1)
vulvar intraepithelial neoplasm III [VIN III] (D07.1)

N90.0 Mild vulvar dysplasia

Vulvar intraepithelial neoplasia [VIN], grade I

N90.1 Moderate vulvar dysplasia

Vulvar intraepithelial neoplasia [VIN], grade II

N90.3 Dysplasia of vulva, unspecified

N90.4 Leukoplakia of vulva

Dystrophy of vulva
Kraurosis of vulva
Lichen sclerosus of external female genital organs

N90.5 Atrophy of vulva

Stenosis of vulva

N90.6 Hypertrophy of vulva

N90.60 Unspecified hypertrophy of vulva

Unspecified hypertrophy of labia
 N90.61 Childhood asymmetric labium majus enlargement
CALME

N90.69 Other specified hypertrophy of vulva

Other specified hypertrophy of labia

N90.7 Vulvar cyst

N90.8 Other specified noninflammatory disorders of vulva and perineum

N90.81 Female genital mutilation status

Female genital cutting status

N90.810 Female genital mutilation status, unspecified

Female genital cutting status, unspecified
Female genital mutilation status NOS

N90.811 Female genital mutilation Type I status

Clitorectomy status
Female genital cutting Type I status

N90.812 Female genital mutilation Type II status

Clitorectomy with excision of labia minora status
Female genital cutting Type II status

N90.813 Female genital mutilation Type III status

Female genital cutting Type III status
Infibulation status

N90.818 Other female genital mutilation status

Female genital cutting Type IV status
Female genital mutilation Type IV status
Other female genital cutting status

N90.89 Other specified noninflammatory disorders of vulva and perineum

Adhesions of vulva
Hypertrophy of clitoris

N90.9 Noninflammatory disorder of vulva and perineum, unspecified

N91 Absent, scanty and rare menstruation

Excludes1: ovarian dysfunction (E28.-)

N91.0 Primary amenorrhea

N91.1 Secondary amenorrhea

N91.2 Amenorrhea, unspecified

N91.3 Primary oligomenorrhea

N91.4 Secondary oligomenorrhea

N91.5 Oligomenorrhea, unspecified

Hypomenorrhea NOS

N92 Excessive, frequent and irregular menstruation

Excludes1: postmenopausal bleeding (N95.0)

precocious puberty (menstruation) (E30.1)

N92.0 Excessive and frequent menstruation with regular cycle

 Heavy periods NOS
Menorrhagia NOS
Polymenorrhea

N92.1 Excessive and frequent menstruation with irregular cycle

Irregular intermenstrual bleeding
Irregular, shortened intervals between menstrual bleeding
Menometrorrhagia
Metrorrhagia

N92.2 Excessive menstruation at puberty

Excessive bleeding associated with onset of menstrual periods
Pubertal menorrhagia
Puberty bleeding

N92.3 Ovulation bleeding

Regular intermenstrual bleeding

N92.4 Excessive bleeding in the premenopausal period

Climacteric menorrhagia or metrorrhagia
Menopausal menorrhagia or metrorrhagia
Preclimacteric menorrhagia or metrorrhagia
Premenopausal menorrhagia or metrorrhagia

N92.5 Other specified irregular menstruation

N92.6 Irregular menstruation, unspecified

Irregular bleeding NOS
Irregular periods NOS

Excludes1: irregular menstruation with:

lengthened intervals or scanty bleeding (N91.3-N91.5)
shortened intervals or excessive bleeding (N92.1)

N93 Other abnormal uterine and vaginal bleeding

Excludes1: neonatal vaginal hemorrhage (P54.6)

precocious puberty (menstruation) (E30.1)
pseudomenses (P54.6)

N93.0 Postcoital and contact bleeding

N93.1 Pre-pubertal vaginal bleeding

N93.8 Other specified abnormal uterine and vaginal bleeding

Dysfunctional or functional uterine or vaginal bleeding NOS

N93.9 Abnormal uterine and vaginal bleeding, unspecified

N94 Pain and other conditions associated with female genital organs and menstrual cycle

N94.0 Mittelschmerz

N94.1 Dyspareunia

Excludes1: psychogenic dyspareunia (F52.6)

N94.10 Unspecified dyspareunia

N94.11 Superficial (introital) dyspareunia

N94.12 Deep dyspareunia

 N94.19 Other specified dyspareunia

N94.2 Vaginismus

Excludes1: psychogenic vaginismus (F52.5)

N94.3 Premenstrual tension syndrome

Code also associated menstrual migraine (G43.82-, G43.83-)

Excludes1: Premenstrual dysphoric disorder (F32.81)

N94.4 Primary dysmenorrhea

N94.5 Secondary dysmenorrhea

N94.6 Dysmenorrhea, unspecified

Excludes1: psychogenic dysmenorrhea (F45.8)

N94.8 Other specified conditions associated with female genital organs and menstrual cycle

N94.81 Vulvodynia

N94.810 Vulvar vestibulitis

N94.818 Other vulvodynia

N94.819 Vulvodynia, unspecified

Vulvodynia NOS

N94.89 Other specified conditions associated with female genital organs and menstrual cycle

N94.9 Unspecified condition associated with female genital organs and menstrual cycle

N95 Menopausal and other perimenopausal disorders

Menopausal and other perimenopausal disorders due to naturally occurring (age-related) menopause and
perimenopause

Excludes1: excessive bleeding in the premenopausal period (N92.4)

menopausal and perimenopausal disorders due to artificial or premature menopause (E89.4-, E28.31-)
premature menopause (E28.31-)

Excludes2: postmenopausal osteoporosis (M81.0-)

postmenopausal osteoporosis with current pathological fracture (M80.0-)
postmenopausal urethritis (N34.2)

N95.0 Postmenopausal bleeding

N95.1 Menopausal and female climacteric states

Symptoms such as flushing, sleeplessness, headache, lack of concentration, associated with natural (age-
related) menopause

Use additional code for associated symptoms

Excludes1: asymptomatic menopausal state (Z78.0)

symptoms associated with artificial menopause (E89.41)
symptoms associated with premature menopause (E28.310)

N95.2 Postmenopausal atrophic vaginitis

Senile (atrophic) vaginitis

N95.8 Other specified menopausal and perimenopausal disorders

 N95.9 Unspecified menopausal and perimenopausal disorder

N96 Recurrent pregnancy loss

Investigation or care in a nonpregnant woman with history of recurrent pregnancy loss

Excludes1: recurrent pregancy loss with current pregnancy (O26.2-)

N97 Female infertility

Includes: inability to achieve a pregnancy

sterility, female NOS

Excludes1: female infertility associated with:

hypopituitarism (E23.0)
Stein-Leventhal syndrome (E28.2)

Excludes2: incompetence of cervix uteri (N88.3)

N97.0 Female infertility associated with anovulation

N97.1 Female infertility of tubal origin

Female infertility associated with congenital anomaly of tube
Female infertility due to tubal block
Female infertility due to tubal occlusion
Female infertility due to tubal stenosis

N97.2 Female infertility of uterine origin

Female infertility associated with congenital anomaly of uterus
Female infertility due to nonimplantation of ovum

N97.8 Female infertility of other origin

N97.9 Female infertility, unspecified

N98 Complications associated with artificial fertilization

N98.0 Infection associated with artificial insemination

N98.1 Hyperstimulation of ovaries

Hyperstimulation of ovaries NOS
Hyperstimulation of ovaries associated with induced ovulation

N98.2 Complications of attempted introduction of fertilized ovum following in vitro fertilization

N98.3 Complications of attempted introduction of embryo in embryo transfer

N98.8 Other complications associated with artificial fertilization

N98.9 Complication associated with artificial fertilization, unspecified

Intraoperative and postprocedural complications and disorders of genitourinary system, not elsewhere classified
(N99)

N99 Intraoperative and postprocedural complications and disorders of genitourinary system, not elsewhere
classified

Excludes2: irradiation cystitis (N30.4-)

postoophorectomy osteoporosis with current pathological fracture (M80.8-)
postoophorectomy osteoporosis without current pathological fracture (M81.8)

N99.0 Postprocedural (acute) (chronic) kidney failure

Use additional code to type of kidney disease

N99.1 Postprocedural urethral stricture
Postcatheterization urethral stricture

N99.11 Postprocedural urethral stricture, male

N99.110 Postprocedural urethral stricture, male, meatal

N99.111 Postprocedural bulbous urethral stricture, male

N99.112 Postprocedural membranous urethral stricture, male

N99.113 Postprocedural anterior bulbous urethral stricture, male

N99.114 Postprocedural urethral stricture, male, unspecified

N99.115 Postprocedural fossa navicularis urethral stricture

N99.116 Postprocedural urethral stricture, male, overlapping sites

N99.12 Postprocedural urethral stricture, female

N99.2 Postprocedural adhesions of vagina

N99.3 Prolapse of vaginal vault after hysterectomy

N99.4 Postprocedural pelvic peritoneal adhesions

Excludes2: pelvic peritoneal adhesions NOS (N73.6)

postinfective pelvic peritoneal adhesions (N73.6)

N99.5 Complications of stoma of urinary tract

Excludes2: mechanical complication of urinary catheter (T83.0-)

N99.51 Complication of cystostomy

N99.510 Cystostomy hemorrhage

N99.511 Cystostomy infection

N99.512 Cystostomy malfunction

N99.518 Other cystostomy complication

N99.52 Complication of incontinent external stoma of urinary tract

N99.520 Hemorrhage of incontinent external stoma of urinary tract

N99.521 Infection of incontinent external stoma of urinary tract

N99.522 Malfunction of incontinent external stoma of urinary tract

N99.523 Herniation of incontinent stoma of urinary tract

N99.524 Stenosis of incontinent stoma of urinary tract

N99.528 Other complication of incontinent external stoma of urinary tract

N99.53 Complication of continent stoma of urinary tract

N99.530 Hemorrhage of continent stoma of urinary tract

N99.531 Infection of continent stoma of urinary tract

N99.532 Malfunction of continent stoma of urinary tract

 N99.533 Herniation of continent stoma of urinary tract

N99.534 Stenosis of continent stoma of urinary tract

N99.538 Other complication of continent stoma of urinary tract

N99.6 Intraoperative hemorrhage and hematoma of a genitourinary system organ or structure complicating a
procedure

Excludes1: intraoperative hemorrhage and hematoma of a genitourinary system organ or structure due to
accidental puncture or laceration during a procedure (N99.7-)

N99.61 Intraoperative hemorrhage and hematoma of a genitourinary system organ or structure

complicating a genitourinary system procedure

N99.62 Intraoperative hemorrhage and hematoma of a genitourinary system organ or structure

complicating other procedure

N99.7 Accidental puncture and laceration of a genitourinary system organ or structure during a procedure

N99.71 Accidental puncture and laceration of a genitourinary system organ or structure during a
genitourinary system procedure

N99.72 Accidental puncture and laceration of a genitourinary system organ or structure during other
procedure

N99.8 Other intraoperative and postprocedural complications and disorders of genitourinary system

N99.81 Other intraoperative complications of genitourinary system

N99.82 Postprocedural hemorrhage of a genitourinary system organ or structure following a procedure

N99.820 Postprocedural hemorrhage of a genitourinary system organ or structure following a

genitourinary system procedure

N99.821 Postprocedural hemorrhage of a genitourinary system organ or structure following

other procedure

N99.83 Residual ovary syndrome

N99.84 Postprocedural hematoma and seroma of a genitourinary system organ or structure following a
procedure

N99.840 Postprocedural hematoma of a genitourinary system organ or structure following a

genitourinary system procedure

N99.841 Postprocedural hematoma of a genitourinary system organ or structure following other

procedure

N99.842 Postprocedural seroma of a genitourinary system organ or structure following a

genitourinary system procedure

N99.843 Postprocedural seroma of a genitourinary system organ or structure following other

procedure

N99.89 Other postprocedural complications and disorders of genitourinary system