Women's Health. Instructions: Bookmarks:

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1 Instructions: To best navigate the list, first download this PDF file to your computer. Then navigate the document using the bookmarks feature in the left column. The bookmarks expand and collapse. Finally, ensure that you look at the top of each category and work down to review notes or specific instructions. Bookmarks: with expandable and collapsible topics Bookmarks: notes or specific instructions As you start using the codes, it is recommended that you also check in Index and Tabular lists to ensure there is not a code with more specificity or a different code that may be more appropriate for your patient.

2 Amenorrhea/dysmenorrhea Women's Health 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 N94 Pain and other conditions associated with female genital organs and menstrual cycle N94.4 Primary dysmenorrhea N94.5 Secondary dysmenorrhea Autoimmune disorders Rheumatoid arthritis M05 Rheumatoid arthritis with rheumatoid factor Excludes1: rheumatic fever (I00) juvenile rheumatoid arthritis (M08.-) rheumatoid arthritis of spine (M45.-) M05.0 Felty's syndrome Rheumatoid arthritis with splenoadenomegaly and leukopenia M05.00 Felty's syndrome, unspecified site M05.01 Felty's syndrome, shoulder M Felty's syndrome, right shoulder M Felty's syndrome, left shoulder M Felty's syndrome, unspecified shoulder M05.02 Felty's syndrome, elbow M Felty's syndrome, right elbow M Felty's syndrome, left elbow M Felty's syndrome, unspecified elbow M05.03 Felty's syndrome, wrist Felty's syndrome, carpal bones M Felty's syndrome, right wrist M Felty's syndrome, left wrist M Felty's syndrome, unspecified wrist M05.04 Felty's syndrome, hand Felty's syndrome, metacarpus and phalanges M Felty's syndrome, right hand M Felty's syndrome, left hand

3 M Felty's syndrome, unspecified hand M05.05 Felty's syndrome, hip M Felty's syndrome, right hip M Felty's syndrome, left hip M Felty's syndrome, unspecified hip M05.06 Felty's syndrome, knee M Felty's syndrome, right knee M Felty's syndrome, left knee M Felty's syndrome, unspecified knee M05.07 Felty's syndrome, ankle and foot Felty's syndrome, tarsus, metatarsus and phalanges M Felty's syndrome, right ankle and foot M Felty's syndrome, left ankle and foot M Felty's syndrome, unspecified ankle and foot M05.09 Felty's syndrome, multiple sites M05.1 Rheumatoid lung disease with rheumatoid arthritis **Please refer to ICD 10 Tabular list for specific codes. M05.2 Rheumatoid vasculitis with rheumatoid arthritis **Please refer to ICD 10 Tabular list for specific codes. M05.3 Rheumatoid heart disease with rheumatoid arthritis **Please refer to ICD 10 Tabular list for specific codes. M05.4 Rheumatoid myopathy with rheumatoid arthritis M05.40 Rheumatoid myopathy with rheumatoid arthritis of unspecified site M05.41 Rheumatoid myopathy with rheumatoid arthritis of shoulder M Rheumatoid myopathy with rheumatoid arthritis of right shoulder M Rheumatoid myopathy with rheumatoid arthritis of left shoulder M Rheumatoid myopathy with rheumatoid arthritis of unspecified shoulder M05.42 Rheumatoid myopathy with rheumatoid arthritis of elbow M Rheumatoid myopathy with rheumatoid arthritis of right elbow M Rheumatoid myopathy with rheumatoid arthritis of left elbow M Rheumatoid myopathy with rheumatoid arthritis of unspecified elbow M05.43 Rheumatoid myopathy with rheumatoid arthritis of wrist Rheumatoid myopathy with rheumatoid arthritis, carpal bones M Rheumatoid myopathy with rheumatoid arthritis of right wrist

4 M Rheumatoid myopathy with rheumatoid arthritis of left wrist M Rheumatoid myopathy with rheumatoid arthritis of unspecified wrist M05.44 Rheumatoid myopathy with rheumatoid arthritis of hand Rheumatoid myopathy with rheumatoid arthritis, metacarpus and phalanges M Rheumatoid myopathy with rheumatoid arthritis of right hand M Rheumatoid myopathy with rheumatoid arthritis of left hand M Rheumatoid myopathy with rheumatoid arthritis of unspecified hand M05.45 Rheumatoid myopathy with rheumatoid arthritis of hip M Rheumatoid myopathy with rheumatoid arthritis of right hip M Rheumatoid myopathy with rheumatoid arthritis of left hip M Rheumatoid myopathy with rheumatoid arthritis of unspecified hip M05.46 Rheumatoid myopathy with rheumatoid arthritis of knee M Rheumatoid myopathy with rheumatoid arthritis of right knee M Rheumatoid myopathy with rheumatoid arthritis of left knee M Rheumatoid myopathy with rheumatoid arthritis of unspecified knee M05.47 Rheumatoid myopathy with rheumatoid arthritis of ankle and foot Rheumatoid myopathy with rheumatoid arthritis, tarsus, metatarsus and phalanges M Rheumatoid myopathy with rheumatoid arthritis of right ankle and foot M Rheumatoid myopathy with rheumatoid arthritis of left ankle and foot M Rheumatoid myopathy with rheumatoid arthritis of unspecified ankle and foot

5 M05.49 Rheumatoid myopathy with rheumatoid arthritis of multiple sites M05.5 Rheumatoid polyneuropathy with rheumatoid arthritis M05.50 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified site M05.51 Rheumatoid polyneuropathy with rheumatoid arthritis of shoulder M Rheumatoid polyneuropathy with rheumatoid arthritis of right shoulder M Rheumatoid polyneuropathy with rheumatoid arthritis of left shoulder M Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified shoulder M05.52 Rheumatoid polyneuropathy with rheumatoid arthritis of elbow M Rheumatoid polyneuropathy with rheumatoid arthritis of right elbow M Rheumatoid polyneuropathy with rheumatoid arthritis of left elbow M Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified elbow M05.53 Rheumatoid polyneuropathy with rheumatoid arthritis of wrist Rheumatoid polyneuropathy with rheumatoid arthritis, carpal bones M Rheumatoid polyneuropathy with rheumatoid arthritis of right wrist M Rheumatoid polyneuropathy with rheumatoid arthritis of left wrist M Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified wrist M05.54 Rheumatoid polyneuropathy with rheumatoid arthritis of hand Rheumatoid polyneuropathy with rheumatoid arthritis, metacarpus and phalanges M Rheumatoid polyneuropathy with rheumatoid arthritis of right hand M Rheumatoid polyneuropathy with rheumatoid arthritis of left hand M Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified hand M05.55 Rheumatoid polyneuropathy with rheumatoid arthritis of hip M Rheumatoid polyneuropathy with rheumatoid arthritis of right hip M Rheumatoid polyneuropathy with rheumatoid arthritis of left hip

6 M Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified hip M05.56 Rheumatoid polyneuropathy with rheumatoid arthritis of knee M Rheumatoid polyneuropathy with rheumatoid arthritis of right knee M Rheumatoid polyneuropathy with rheumatoid arthritis of left knee M Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified knee M05.57 Rheumatoid polyneuropathy with rheumatoid arthritis of ankle and foot Rheumatoid polyneuropathy with rheumatoid arthritis, tarsus, metatarsus and phalanges M Rheumatoid polyneuropathy with rheumatoid arthritis of right ankle and foot M Rheumatoid polyneuropathy with rheumatoid arthritis of left ankle and foot M Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified ankle and foot M05.59 Rheumatoid polyneuropathy with rheumatoid arthritis of multiple sites M05.6 Rheumatoid arthritis with involvement of other organs and systems M05.60 Rheumatoid arthritis of unspecified site with involvement of other organs and systems M05.61 Rheumatoid arthritis of shoulder with involvement of other organs and systems M Rheumatoid arthritis of right shoulder with involvement of other organs and systems M Rheumatoid arthritis of left shoulder with involvement of other organs and systems M Rheumatoid arthritis of unspecified shoulder with involvement of other organs and systems M05.62 Rheumatoid arthritis of elbow with involvement of other organs and systems M Rheumatoid arthritis of right elbow with involvement of other organs and systems M Rheumatoid arthritis of left elbow with involvement of other organs and systems M Rheumatoid arthritis of unspecified elbow with involvement of other organs and systems

7 M05.63 Rheumatoid arthritis of wrist with involvement of other organs and systems Rheumatoid arthritis of carpal bones with involvement of other organs and systems M Rheumatoid arthritis of right wrist with involvement of other organs and systems M Rheumatoid arthritis of left wrist with involvement of other organs and systems M Rheumatoid arthritis of unspecified wrist with involvement of other organs and systems M05.64 Rheumatoid arthritis of hand with involvement of other organs and systems Rheumatoid arthritis of metacarpus and phalanges with involvement of other organs and systems M Rheumatoid arthritis of right hand with involvement of other organs and systems M Rheumatoid arthritis of left hand with involvement of other organs and systems M Rheumatoid arthritis of unspecified hand with involvement of other organs and systems M05.65 Rheumatoid arthritis of hip with involvement of other organs and systems M Rheumatoid arthritis of right hip with involvement of other organs and systems M Rheumatoid arthritis of left hip with involvement of other organs and systems M Rheumatoid arthritis of unspecified hip with involvement of other organs and systems M05.66 Rheumatoid arthritis of knee with involvement of other organs and systems M Rheumatoid arthritis of right knee with involvement of other organs and systems M Rheumatoid arthritis of left knee with involvement of other organs and systems M Rheumatoid arthritis of unspecified knee with involvement of other organs and systems M05.67 Rheumatoid arthritis of ankle and foot with involvement of other organs and systems Rheumatoid arthritis of tarsus, metatarsus and phalanges with involvement of other organs and systems M Rheumatoid arthritis of right ankle and foot with involvement of other organs and systems M Rheumatoid arthritis of left ankle and foot with involvement of other organs and systems

8 M Rheumatoid arthritis of unspecified ankle and foot with involvement of other organs and systems M05.69 Rheumatoid arthritis of multiple sites with involvement of other organs and systems M05.7 Rheumatoid arthritis with rheumatoid factor without organ or systems involvement M05.70 Rheumatoid arthritis with rheumatoid factor of unspecified site without organ or systems involvement M05.71 Rheumatoid arthritis with rheumatoid factor of shoulder without organ or systems involvement M Rheumatoid arthritis with rheumatoid factor of right shoulder without organ or systems involvement M Rheumatoid arthritis with rheumatoid factor of left shoulder without organ or systems involvement M Rheumatoid arthritis with rheumatoid factor of unspecified shoulder without organ or systems involvement M05.72 Rheumatoid arthritis with rheumatoid factor of elbow without organ or systems involvement M Rheumatoid arthritis with rheumatoid factor of right elbow without organ or systems involvement M Rheumatoid arthritis with rheumatoid factor of left elbow without organ or systems involvement M Rheumatoid arthritis with rheumatoid factor of unspecified elbow without organ or systems involvement M05.73 Rheumatoid arthritis with rheumatoid factor of wrist without organ or systems involvement M Rheumatoid arthritis with rheumatoid factor of right wrist without organ or systems involvement M Rheumatoid arthritis with rheumatoid factor of left wrist without organ or systems involvement M Rheumatoid arthritis with rheumatoid factor of unspecified wrist without organ or systems involvement M05.74 Rheumatoid arthritis with rheumatoid factor of hand without organ or systems involvement M Rheumatoid arthritis with rheumatoid factor of right hand without organ or systems involvement M Rheumatoid arthritis with rheumatoid factor of left hand without organ or systems involvement

9 M Rheumatoid arthritis with rheumatoid factor of unspecified hand without organ or systems involvement M05.75 Rheumatoid arthritis with rheumatoid factor of hip without organ or systems involvement M Rheumatoid arthritis with rheumatoid factor of right hip without organ or systems involvement M Rheumatoid arthritis with rheumatoid factor of left hip without organ or systems involvement M Rheumatoid arthritis with rheumatoid factor of unspecified hip without organ or systems involvement M05.76 Rheumatoid arthritis with rheumatoid factor of knee without organ or systems involvement M Rheumatoid arthritis with rheumatoid factor of right knee without organ or systems involvement M Rheumatoid arthritis with rheumatoid factor of left knee without organ or systems involvement M Rheumatoid arthritis with rheumatoid factor of unspecified knee without organ or systems involvement M05.77 Rheumatoid arthritis with rheumatoid factor of ankle and foot without organ or systems involvement M Rheumatoid arthritis with rheumatoid factor of right ankle and foot without organ or systems involvement M Rheumatoid arthritis with rheumatoid factor of left ankle and foot without organ or systems involvement M Rheumatoid arthritis with rheumatoid factor of unspecified ankle and foot without organ or systems involvement M05.79 Rheumatoid arthritis M05.8 Other rheumatoid arthritis with rheumatoid factor **Please refer to ICD 10 Tabular list for specific codes. M45 Ankylosing spondylitis (Rheumatoid arthritis of spine) Rheumatoid arthritis of spine Excludes1: arthropathy in Reiter's disease (M02.3-) juvenile (ankylosing) spondylitis (M08.1) Excludes2: Behçet's disease (M35.2) M45.0 Ankylosing spondylitis of multiple sites in spine M45.1 Ankylosing spondylitis of occipito-atlanto-axial region M45.2 Ankylosing spondylitis of cervical region M45.3 Ankylosing spondylitis of cervicothoracic region M45.4 Ankylosing spondylitis of thoracic region M45.5 Ankylosing spondylitis of thoracolumbar region

10 M45.6 Ankylosing spondylitis lumbar region M45.7 Ankylosing spondylitis of lumbosacral region M45.8 Ankylosing spondylitis sacral and sacrococcygeal region M45.9 Ankylosing spondylitis of unspecified sites in spine Lupus M32 Systemic lupus erythematosus (SLE) Excludes1: lupus erythematosus (discoid) (NOS) (L93.0) M32.0 Drug-induced systemic lupus erythematosus Use additional code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5) M32.1 Systemic lupus erythematosus with organ or system involvement M32.10 Systemic lupus erythematosus, organ or system involvement unspecified M32.11 Endocarditis in systemic lupus erythematosus Libman-Sacks disease M32.12 Pericarditis in systemic lupus erythematosus Lupus pericarditis M32.13 Lung involvement in systemic lupus erythematosus Pleural effusion due to systemic lupus erythematosus M32.14 Glomerular disease in systemic lupus erythematosus Lupus renal disease NOS M32.15 Tubulo-interstitial nephropathy in systemic lupus erythematosus M32.19 Other organ or system involvement in systemic lupus erythematosus M32.8 Other forms of systemic lupus erythematosus M32.9 Systemic lupus erythematosus, unspecified SLE NOS Systemic lupus erythematosus NOS Systemic lupus erythematosus without organ involvement L93 Lupus erythematosus Use additional code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5) Excludes1: lupus exedens (A18.4) lupus vulgaris (A18.4) scleroderma (M34.-) systemic lupus erythematosus (M32.-) L93.0 Discoid lupus erythematosus Lupus erythematosus NOS L93.1 Subacute cutaneous lupus erythematosus L93.2 Other local lupus erythematosus Lupus erythematosus profundus

11 Lupus panniculitis Chronic pain syndrome G89.2 Chronic pain, not elsewhere classified Excludes1: causalgia, lower limb (G57.7-) causalgia, upper limb (G56.4-) central pain syndrome (G89.0) chronic pain syndrome (G89.4) complex regional pain syndrome II, lower limb (G57.7-) complex regional pain syndrome II, upper limb (G56.4-) neoplasm related chronic pain (G89.3) reflex sympathetic dystrophy (G90.5-) G89.21 Chronic pain due to trauma G89.22 Chronic post-thoracotomy pain G89.28 Other chronic postprocedural pain Other chronic postoperative pain G89.29 Other chronic pain Colorectal disorders K50 Crohn's disease [regional enteritis] Includes: granulomatous enteritis Use additional code to identify manifestations, such as: pyoderma gangrenosum (L88) Excludes1: ulcerative colitis (K51.-) K50.0 Crohn's disease of small intestine Crohn's disease [regional enteritis] of duodenum Crohn's disease [regional enteritis] of ileum Crohn's disease [regional enteritis] of jejunum Regional ileitis Terminal ileitis Excludes1: Crohn's disease of both small and large intestine (K50.8-) K50.00 Crohn's disease of small intestine without complications K50.01 Crohn's disease of small intestine with complications K Crohn's disease of small intestine with rectal bleeding K Crohn's disease of small intestine with intestinal obstruction K Crohn's disease of small intestine with fistula K Crohn's disease of small intestine with abscess K Crohn's disease of small intestine with other complication K Crohn's disease of small intestine with unspecified complications K50.1 Crohn's disease of large intestine Crohn's disease [regional enteritis] of colon Crohn's disease [regional enteritis] of large bowel Crohn's disease [regional enteritis] of rectum Granulomatous colitis

12 Regional colitis Excludes1: Crohn's disease of both small and large intestine (K50.8) K50.10 Crohn's disease of large intestine without complications K50.11 Crohn's disease of large intestine with complications K Crohn's disease of large intestine with rectal bleeding K Crohn's disease of large intestine with intestinal obstruction K Crohn's disease of large intestine with fistula K Crohn's disease of large intestine with abscess K Crohn's disease of large intestine with other complication K Crohn's disease of large intestine with unspecified complications K50.8 Crohn's disease of both small and large intestine K50.80 Crohn's disease of both small and large intestine without complications K50.81 Crohn's disease of both small and large intestine with complications K Crohn's disease of both small and large intestine with rectal bleeding K Crohn's disease of both small and large intestine with intestinal obstruction K Crohn's disease of both small and large intestine with fistula K Crohn's disease of both small and large intestine with abscess K Crohn's disease of both small and large intestine with other complication K Crohn's disease of both small and large intestine with unspecified complications K50.9 Crohn's disease, unspecified K50.90 Crohn's disease, unspecified, without complications Crohn's disease NOS Regional enteritis NOS K50.91 Crohn's disease, unspecified, with complications K Crohn's disease, unspecified, with rectal bleeding K Crohn's disease, unspecified, with intestinal obstruction K Crohn's disease, unspecified, with fistula K Crohn's disease, unspecified, with abscess K Crohn's disease, unspecified, with other complication K Crohn's disease, unspecified, with unspecified complications Connective tissue disorder Marfans Q87.4 Marfan's syndrome Q87.40 Marfan's syndrome, unspecified Q87.41 Marfan's syndrome with cardiovascular manifestations Q Marfan's syndrome with aortic dilation Q Marfan's syndrome with other cardiovascular manifestations

13 Q87.42 Marfan's syndrome with ocular manifestations Q87.43 Marfan's syndrome with skeletal manifestation Ehler s Danlos Q79.6 Ehlers-Danlos syndrome Lupus M32 Systemic lupus erythematosus (SLE) Excludes1: lupus erythematosus (discoid) (NOS) (L93.0) M32.0 Drug-induced systemic lupus erythematosus Use additional code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5) M32.1 Systemic lupus erythematosus with organ or system involvement M32.10 Systemic lupus erythematosus, organ or system involvement unspecified M32.11 Endocarditis in systemic lupus erythematosus Libman-Sacks disease M32.12 Pericarditis in systemic lupus erythematosus Lupus pericarditis M32.13 Lung involvement in systemic lupus erythematosus Pleural effusion due to systemic lupus erythematosus M32.14 Glomerular disease in systemic lupus erythematosus Lupus renal disease NOS M32.15 Tubulo-interstitial nephropathy in systemic lupus erythematosus M32.19 Other organ or system involvement in systemic lupus erythematosus M32.8 Other forms of systemic lupus erythematosus M32.9 Systemic lupus erythematosus, unspecified SLE NOS Systemic lupus erythematosus NOS Systemic lupus erythematosus without organ involvement L93 Lupus erythematosus Use additional code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5) Excludes1: lupus exedens (A18.4) lupus vulgaris (A18.4) scleroderma (M34.-) systemic lupus erythematosus (M32.-) L93.0 Discoid lupus erythematosus Lupus erythematosus NOS L93.1 Subacute cutaneous lupus erythematosus L93.2 Other local lupus erythematosus Lupus erythematosus profundus

14 Lupus panniculitis Constipation K59.0 Constipation Excludes1: fecal impaction (K56.41) incomplete defecation (R15.0) K59.00 Constipation, unspecified K59.01 Slow transit constipation K59.02 Outlet dysfunction constipation K59.09 Other constipation Diastasis of rectus abdominal M62.08 Separation of muscle (nontraumatic), other site Dyspareunia (Psychologic) F52.6 Dyspareunia not due to a substance or known physiological condition Psychogenic dyspareunia Excludes2: dyspareunia (due to a known physiological condition) (N94.1) Endometriosis 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 N80.9 Endometriosis, unspecified Fecal incontinence R15 Fecal incontinence Includes: encopresis NOS Excludes1: fecal incontinence of nonorganic origin (F98.1) R15.0 Incomplete defecation Excludes1: constipation (K59.0-) fecal impaction (K56.41) R15.1 Fecal smearing Fecal soiling R15.2 Fecal urgency R15.9 Full incontinence of feces Female athlete/female athlete triad F50 Eating disorders Excludes1: anorexia NOS (R63.0)

15 feeding difficulties (R63.3) polyphagia (R63.2) Excludes2: feeding disorder in infancy or childhood (F98.2-) F50.0 Anorexia nervosa Excludes1: loss of appetite (R63.0) psychogenic loss of appetite (F50.8) F50.00 Anorexia nervosa, unspecified F50.01 Anorexia nervosa, restricting type F50.02 Anorexia nervosa, binge eating/purging type Excludes1: bulimia nervosa (F50.2) F50.2 Bulimia nervosa Bulimia NOS Hyperorexia nervosa Excludes1: anorexia nervosa, binge eating/purging type (F50.02) 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 M81 Osteoporosis without current pathological fracture Use additional code to identify: major osseous defect, if applicable (M89.7-) personal history of (healed) osteoporosis fracture, if applicable (Z87.310) Excludes1: osteoporosis with current pathological fracture (M80.-) Sudeck's atrophy (M89.0) M81.0 Age-related osteoporosis without current pathological fracture Involutional osteoporosis without current pathological fracture Osteoporosis NOS Postmenopausal osteoporosis without current pathological fracture Senile osteoporosis without current pathological fracture M81.6 Localized osteoporosis [Lequesne] Excludes1: Sudeck's atrophy (M89.0) M81.8 Other osteoporosis without current pathological fracture Drug-induced osteoporosis without current pathological fracture Idiopathic osteoporosis without current pathological fracture Osteoporosis of disuse without current pathological fracture Postoophorectomy osteoporosis without current pathological fracture Postsurgical malabsorption osteoporosis without current pathological fracture Post-traumatic osteoporosis without current pathological fracture

16 Use additional code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5) R53.83 Other fatigue Fatigue NOS Lack of energy Lethargy Tiredness Fibromyalgia M79.7 Fibromyalgia Fibromyositis Fibrositis High-risk Pregnancy O09 Supervision of high risk pregnancy O09.0 Supervision of pregnancy with history of infertility O09.00 Supervision of pregnancy with history of infertility, unspecified trimester O09.01 Supervision of pregnancy with history of infertility, first trimester O09.02 Supervision of pregnancy with history of infertility, second trimester O09.03 Supervision of pregnancy with history of infertility, third trimester O09.1 Supervision of pregnancy with history of ectopic pregnancy O09.10 Supervision of pregnancy with history of ectopic pregnancy, unspecified trimester O09.11 Supervision of pregnancy with history of ectopic pregnancy, first trimester O09.12 Supervision of pregnancy with history of ectopic pregnancy, second trimester O09.13 Supervision of pregnancy with history of ectopic pregnancy, third trimester O09.A Supervision of pregnancy with history of molar pregnancy O09.A0 Supervision of pregnancy with history of molar pregnancy, unspecified trimester O09.A1 Supervision of pregnancy with history of molar pregnancy, first trimester O09.A2 Supervision of pregnancy with history of molar pregnancy, second trimester O09.A3 Supervision of pregnancy with history of molar pregnancy, third trimester O09.2 Supervision of pregnancy with other poor reproductive or obstetric history Excludes2: pregnancy care for patient with history of recurrent pregnancy loss (O26.2-) O09.21 Supervision of pregnancy with history of pre-term labor O Supervision of pregnancy with history of pre-term labor, first trimester O Supervision of pregnancy with history of pre-term labor, second trimester O Supervision of pregnancy with history of pre-term labor, third trimester O Supervision of pregnancy with history of pre-term labor, unspecified trimester O09.29 Supervision of pregnancy with other poor reproductive or obstetric history Supervision of pregnancy with history of neonatal death Supervision of pregnancy with history of stillbirth

17 O Supervision of pregnancy with other poor reproductive or obstetric history, first trimester O Supervision of pregnancy with other poor reproductive or obstetric history, second trimester O Supervision of pregnancy with other poor reproductive or obstetric history, third trimester O Supervision of pregnancy with other poor reproductive or obstetric history, unspecified trimester O09.3 Supervision of pregnancy with insufficient antenatal care Supervision of concealed pregnancy Supervision of hidden pregnancy O09.30 Supervision of pregnancy with insufficient antenatal care, unspecified trimester O09.31 Supervision of pregnancy with insufficient antenatal care, first trimester O09.32 Supervision of pregnancy with insufficient antenatal care, second trimester O09.33 Supervision of pregnancy with insufficient antenatal care, third trimester O09.4 Supervision of pregnancy with grand multiparity O09.40 Supervision of pregnancy with grand multiparity, unspecified trimester O09.41 Supervision of pregnancy with grand multiparity, first trimester O09.42 Supervision of pregnancy with grand multiparity, second trimester O09.43 Supervision of pregnancy with grand multiparity, third trimester O09.5 Supervision of elderly primigravida and multigravida Pregnancy for a female 35 years and older at expected date of delivery O09.51 Supervision of elderly primigravida O Supervision of elderly primigravida, first trimester O Supervision of elderly primigravida, second trimester O Supervision of elderly primigravida, third trimester O Supervision of elderly primigravida, unspecified trimester O09.52 Supervision of elderly multigravida O Supervision of elderly multigravida, first trimester O Supervision of elderly multigravida, second trimester O Supervision of elderly multigravida, third trimester O Supervision of elderly multigravida, unspecified trimester O09.6 Supervision of young primigravida and multigravida Supervision of pregnancy for a female less than 16 years old at expected date of delivery O09.61 Supervision of young primigravida O09.611Supervision of young primigravida, first trimester O Supervision of young primigravida, second trimester O Supervision of young primigravida, third trimester O Supervision of young primigravida, unspecified trimester O09.62 Supervision of young multigravida O Supervision of young multigravida, first trimester O Supervision of young multigravida, second trimester

18 O Supervision of young multigravida, third trimester O Supervision of young multigravida, unspecified trimester O09.7 Supervision of high risk pregnancy due to social problems O09.70 Supervision of high risk pregnancy due to social problems, unspecified trimester O09.71 Supervision of high risk pregnancy due to social problems, first trimester O09.72 Supervision of high risk pregnancy due to social problems, second trimester O09.73 Supervision of high risk pregnancy due to social problems, third trimester O09.8 Supervision of other high risk pregnancies O09.81 Supervision of pregnancy resulting from assisted reproductive technology Supervision of pregnancy resulting from in-vitro fertilization O Supervision of pregnancy resulting from assisted reproductive technology, first trimester O Supervision of pregnancy resulting from assisted reproductive technology, second trimester O Supervision of pregnancy resulting from assisted reproductive technology, third trimester O Supervision of pregnancy resulting from assisted reproductive technology, unspecified trimester O09.82 Supervision of pregnancy with history of in utero procedure during previous pregnancy O Supervision of pregnancy with history of in utero procedure during previous pregnancy, first trimester O Supervision of pregnancy with history of in utero procedure during previous pregnancy, second trimester O Supervision of pregnancy with history of in utero procedure during previous pregnancy, third trimester O Supervision of pregnancy with history of in utero procedure during previous pregnancy, unspecified trimester Excludes1: supervision of pregnancy affected by in utero procedure during current pregnancy (O35.7) O09.89 Supervision of other high risk pregnancies O Supervision of other high risk pregnancies, first trimester O Supervision of other high risk pregnancies, second trimester O Supervision of other high risk pregnancies, third trimester O Supervision of other high risk pregnancies, unspecified trimester O09.9 Supervision of high risk pregnancy, unspecified O09.90 Supervision of high risk pregnancy, unspecified, unspecified trimester O09.91 Supervision of high risk pregnancy, unspecified, first trimester O09.92 Supervision of high risk pregnancy, unspecified, second trimester O09.93 Supervision of high risk pregnancy, unspecified, third trimester Hysterectomy N99.3 Prolapse of vaginal vault after hysterectomy

19 Z90.71 Acquired absence of cervix and uterus Z Acquired absence of both cervix and uterus Acquired absence of uterus NOS Status post total hysterectomy Z Acquired absence of uterus with remaining cervical stump Status post partial hysterectomy with remaining cervical stump Z Acquired absence of cervix with remaining uterus Interstitial Cystitis N30.1 Interstitial cystitis (chronic) N30.10 Interstitial cystitis (chronic) without hematuria N30.11 Interstitial cystitis (chronic) with hematuria Irritable bowel syndrome F45.8 Other somatoform disorders Psychogenic dysmenorrhea K58 Irritable bowel syndrome Includes: irritable colon spastic colon K58.0 Irritable bowel syndrome with diarrhea K58.9 Irritable bowel syndrome without diarrhea Irritable bowel syndrome NOS Lymphedema I89 Other noninfective disorders of lymphatic vessels and lymph nodes Excludes1: chylocele, tunica vaginalis (nonfilarial) NOS (N50.8) enlarged lymph nodes NOS (R59.-) filarial chylocele (B74.-) hereditary lymphedema (Q82.0) I89.0 Lymphedema, not elsewhere classified Elephantiasis (nonfilarial) NOS Lymphangiectasis Obliteration, lymphatic vessel Praecox lymphedema Secondary lymphedema Excludes1: postmastectomy lymphedema (I97.2) I89.1 Lymphangitis Chronic lymphangitis Lymphangitis NOS Subacute lymphangitis Excludes1: acute lymphangitis (L03.-) I89.8 Other specified noninfective disorders of lymphatic vessels and lymph nodes Chylocele (nonfilarial) Chylous ascites Chylous cyst Lipomelanotic reticulosis

20 Lymph node or vessel fistula Lymph node or vessel infarction Lymph node or vessel rupture I89.9 Noninfective disorder of lymphatic vessels and lymph nodes, unspecified Disease of lymphatic vessels NOS I97.2 Postmastectomy lymphedema syndrome Elephantiasis due to mastectomy Obliteration of lymphatic vessels Q82.0 Hereditary lymphedema Menopause Z78.0 Asymptomatic menopausal state Menopausal state NOS Postmenopausal status NOS Excludes2: symptomatic menopausal state (N95.1) N95 Menopausal and other perimenopausal disorders Menopausal and other perimenopausal disorders due to naturally occurring (age-related) menopause andperimenopause 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 Neoplasm The list below gives the code numbers for neoplasms by anatomical site. For each site there are six possible code numbers according to whether the neoplasm in question is malignant, benign, in situ, of uncertain behavior, or of unspecified nature. The description of the neoplasm will often indicate which

21 of the six columns is appropriate; e.g., malignant melanoma of skin, benign fibroadenoma of, carcinoma in situ of cervix uteri. Where such descriptors are not present, the remainder of the Index should be consulted where guidance is given to the appropriate column for each morphological (histological) variety listed; e.g., Mesonephroma see Neoplasm, malignant; Embryoma see also Neoplasm, uncertain behavior; Disease, Bowen's see Neoplasm, skin, in situ. However, the guidance in the Index can be overridden if one of the descriptors mentioned above is present; e.g., malignant adenoma of colon is coded to C18.9 and not to D12.6 as the adjective "malignant" overrides the Index entry "Adenoma see also Neoplasm, benign." Codes listed with a dash -, following the code have a required additional character for laterality. The tabular must be reviewed for the complete code. Breast (connective tissue) (glandular tissue) (softparts) Malignant Malignant Ca in situ Benign Uncertain Unspecified Primary Secondary Behavior Behavior C50.9- C79.81 D05.- D24.- D48.6- D areola C50.0- C79.81 D05.- D24.- D48.6- D axillary tail C50.6- C79.81 D05.- D24.- D48.6- D central portion C50.1- C79.81 D05.- D24.- D48.6- D inner C50.8- C79.81 D05.- D24.- D48.6- D lower C50.8- C79.81 D05.- D24.- D48.6- D lower-inner quadrant - - lower-outer quadrant - - mastectomy site(skin) see also Neoplasm,, skin specified as tissue C50.3- C79.81 D05.- D24.- D48.6- D49.3 C50.5- C79.81 D05.- D24.- D48.6- D49.3 C C C50.8- C midline C50.8- C79.81 D05.- D24.- D48.6- D49.3 C50 Malignant neoplasm of Includes: connective tissue of Paget's disease of Paget's disease of nipple Use additional code to identify estrogen receptor status (Z17.0, Z17.1) Excludes1: skin of (C44.501, C44.511, C44.521, C44.591) C50.0 Malignant neoplasm of nipple and areola C50.01 Malignant neoplasm of nipple and areola, female C Malignant neoplasm of nipple and areola, right female C Malignant neoplasm of nipple and areola, left female C50.02 Malignant neoplasm of nipple and areola, male C Malignant neoplasm of nipple and areola, right male

22 C Malignant neoplasm of nipple and areola, left male C50.1 Malignant neoplasm of central portion of C50.11 Malignant neoplasm of central portion of, female C Malignant neoplasm of central portion of right female C Malignant neoplasm of central portion of left female C50.12 Malignant neoplasm of central portion of, male C Malignant neoplasm of central portion of right male C Malignant neoplasm of central portion of unspecified male C50.2 Malignant neoplasm of upper-inner quadrant of C50.21 Malignant neoplasm of upper-inner quadrant of, female C Malignant neoplasm of upper-inner quadrant of right female C Malignant neoplasm of upper-inner quadrant of left female C50.22 Malignant neoplasm of upper-inner quadrant of, male C Malignant neoplasm of upper-inner quadrant of right male C Malignant neoplasm of upper-inner quadrant of left male C50.3 Malignant neoplasm of lower-inner quadrant of C50.31 Malignant neoplasm of lower-inner quadrant of, female C Malignant neoplasm of lower-inner quadrant of right female C Malignant neoplasm of lower-inner quadrant of left female C50.32 Malignant neoplasm of lower-inner quadrant of, male C Malignant neoplasm of lower-inner quadrant of right male C Malignant neoplasm of lower-inner quadrant of left male C50.4 Malignant neoplasm of upper-outer quadrant of C50.41 Malignant neoplasm of upper-outer quadrant of, female C Malignant neoplasm of upper-outer quadrant of right female C Malignant neoplasm of upper-outer quadrant of left female

23 C50.42 Malignant neoplasm of upper-outer quadrant of, male C Malignant neoplasm of upper-outer quadrant of right male C Malignant neoplasm of upper-outer quadrant of left male C50.5 Malignant neoplasm of lower-outer quadrant of C50.51 Malignant neoplasm of lower-outer quadrant of, female C Malignant neoplasm of lower-outer quadrant of right female C Malignant neoplasm of lower-outer quadrant of left female C50.52 Malignant neoplasm of lower-outer quadrant of, male C Malignant neoplasm of lower-outer quadrant of right male C Malignant neoplasm of lower-outer quadrant of left male C50.6 Malignant neoplasm of axillary tail of C50.61 Malignant neoplasm of axillary tail of, female C Malignant neoplasm of axillary tail of right female C Malignant neoplasm of axillary tail of left female C50.62 Malignant neoplasm of axillary tail of, male C Malignant neoplasm of axillary tail of right male C Malignant neoplasm of axillary tail of left male C50.8 Malignant neoplasm of overlapping sites of C50.81 Malignant neoplasm of overlapping sites of, female C Malignant neoplasm of overlapping sites of right female C Malignant neoplasm of overlapping sites of left female C50.82 Malignant neoplasm of overlapping sites of, male C Malignant neoplasm of overlapping sites of right male C Malignant neoplasm of overlapping sites of left male C50.9 Malignant neoplasm of of unspecified site C50.91 Malignant neoplasm of of unspecified site, female C Malignant neoplasm of unspecified site of right female C Malignant neoplasm of unspecified site of left female

24 C50.92 Malignant neoplasm of of unspecified site, male C Malignant neoplasm of unspecified site of right male C Malignant neoplasm of unspecified site of left male Z90.1 Acquired absence of and nipple Z90.11 Acquired absence of right and nipple Z90.12 Acquired absence of left and nipple Z90.13 Acquired absence of bilateral s and nipples Ovary Malignant Primary Malignant Secondary Ca in situ Benign Uncertain Behavior Unspecified Behavior ovary C56.- C79.6- D07.39 D27.- D39.1- D49.5 C56 Malignant neoplasm of ovary Use additional code to identify any functional activity C56.1 Malignant neoplasm of right ovary C56.2 Malignant neoplasm of left ovary C56.9 Malignant neoplasm of unspecified ovary Uterus Malignant Primary Malignant Secondary Ca in situ Benign Uncertain Behavior Unspecified Behavior uterus, uteri, C55 C79.82 D07.0 D26.9 D39.0 D49.5 uterine - - adnexa NEC C57.4 C79.82 D07.39 D28.7 D39.8 D body C54.9 C79.82 D07.0 D26.1 D39.0 D cervix C53.9 C79.82 D06.9 D26.0 D39.0 D cornu C54.9 C79.82 D07.0 D26.1 D39.0 D corpus C54.9 C79.82 D07.0 D26.1 D39.0 D C53.0 C79.82 D06.0 D26.0 D39.0 D49.5 endocervix(canal) (gland) - - endometrium C54.1 C79.82 D07.0 D26.1 D39.0 D exocervix C53.1 C79.82 D06.1 D26.0 D39.0 D external os C53.1 C79.82 D06.1 D26.0 D39.0 D fundus C54.3 C79.82 D07.0 D26.1 D39.0 D internal os C53.0 C79.82 D06.0 D26.0 D39.0 D isthmus C54.0 C79.82 D07.0 D26.1 D39.0 D ligament C57.3 C D28.2 D39.8 D broad C57.1 C79.82 D07.39 D28.2 D39.8 D round C57.2 C D28.2 D39.8 D lower segment C54.0 C79.82 D07.0 D26.1 D39.0 D myometrium C54.2 C79.82 D07.0 D26.1 D39.0 D overlapping sites C C53.8 C79.82 D06.7 D26.0 D39.0 D49.5 squamocolumnar junction - - tube C57.0- C79.82 D07.39 D28.2 D39.8 D49.5 C55 Malignant neoplasm of uterus, part unspecified

25 Bladder Women's Health Malignant Primary Malignant Secondary Ca in situ Benign Uncertain Behavior Unspecified Behavior bladder(urinary) C67.9 C79.11 D09.0 D30.3 D41.4 D dome C67.1 C79.11 D09.0 D30.3 D41.4 D neck C67.5 C79.11 D09.0 D30.3 D41.4 D orifice C67.9 C79.11 D09.0 D30.3 D41.4 D ureteric C67.6 C79.11 D09.0 D30.3 D41.4 D urethral C67.5 C79.11 D09.0 D30.3 D41.4 D overlapping C lesion - - sphincter C67.8 C79.11 D09.0 D30.3 D41.4 D trigone C67.0 C79.11 D09.0 D30.3 D41.4 D urachus C67.7 C79.11 D09.0 D30.3 D41.4 D wall C67.9 C79.11 D09.0 D30.3 D41.4 D anterior C67.3 C79.11 D09.0 D30.3 D41.4 D lateral C67.2 C79.11 D09.0 D30.3 D41.4 D posterior C67.4 C79.11 D09.0 D30.3 D41.4 D49.4 C67 Malignant neoplasm of bladder C67.0 Malignant neoplasm of trigone of bladder C67.1 Malignant neoplasm of dome of bladder C67.2 Malignant neoplasm of lateral wall of bladder C67.3 Malignant neoplasm of anterior wall of bladder C67.4 Malignant neoplasm of posterior wall of bladder C67.5 Malignant neoplasm of bladder neck Malignant neoplasm of internal urethral orifice C67.6 Malignant neoplasm of ureteric orifice C67.7 Malignant neoplasm of urachus C67.8 Malignant neoplasm of overlapping sites of bladder C67.9 Malignant neoplasm of bladder, unspecified Nocturnal enuresis F98.0 Enuresis not due to a substance or known physiological condition Enuresis (primary) (secondary) of nonorganic origin Functional enuresis Psychogenic enuresis Urinary incontinence of nonorganic origin Excludes1: enuresis NOS (R32) N39.44 Nocturnal enuresis Pain in the coccyx M53.3 Sacrococcygeal disorders, not elsewhere classified Coccygodynia Pelvic adhesions N73.6 Female pelvic peritoneal adhesions (postinfective) Excludes2: postprocedural pelvic peritoneal adhesions (N99.4)

26 N99.4 Postprocedural pelvic peritoneal adhesions Excludes2: pelvic peritoneal adhesions NOS (N73.6) postinfective pelvic peritoneal adhesions (N73.6) Pelvic Girdle pain Sacroiliac dysfunction M53.2X8 Spinal instabilities, sacral and sacrococcygeal region M53.88 Other specified dorsopathies, sacral and sacrococcygeal region Piriformis syndrome G57.0 Lesion of sciatic nerve Excludes1: sciatica NOS (M54.3-) Excludes2: sciatica attributed to intervertebral disc disorder (M51.1.-) G57.01 Lesion of sciatic nerve, right lower limb G57.02 Lesion of sciatic nerve, left lower limb Pelvic organ prolapse 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 Pelvic pain R10.2 Pelvic and perineal pain Excludes1: vulvodynia (N94.81) Retention of urine R33 Retention of urine Excludes1: psychogenic retention of urine (F45.8) R33.0 Drug induced retention of urine Use additional code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5) R33.8 Other retention of urine Code first, if applicable, any causal condition, such as: enlarged prostate (N40.1) R33.9 Retention of urine, unspecified Scar Tissue (eg, pelvic, abdominal, perineal) N99.2 Postprocedural adhesions of vagina

27 Urinary frequency R35.0 Frequency of micturition Urinary Incontinence Women's Health 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 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 N Overflow incontinence N Other specified urinary incontinence Reflex incontinence Total incontinence R32 Unspecified urinary incontinence Enuresis NOS Excludes1: functional urinary incontinence (R39.81) nonorganic enuresis (F98.0) stress incontinence and other specified urinary incontinence (N39.3-N39.4-) urinary incontinence associated with cognitive impairment (R39.81) Urinary urgency R39.15 Urgency of urination Excludes1: urge incontinence (N39.41, N39.46) Vaginismus F52.5 Vaginismus not due to a substance or known physiological condition Psychogenic vaginismus Excludes2: vaginismus (due to a known physiological condition) (N94.2)

28 N94.2 Vaginismus Excludes1: psychogenic vaginismus (F52.5) Vulvar vestibulitis N Vulvar vestibulitis Vulvodynia N Other vulv N Vulvodynia, unspecified Vulvodynia NOS odynia Treatment signs and symptoms related to health conditions commonly seen in women s health Pelvic muscle wasting N81.84 Pelvic muscle wasting Disuse atrophy of pelvic muscles and anal sphincter (N81.84), Scar and fibrosis of skin L90.5 Scar conditions and fibrosis of skin Adherent scar (skin) Cicatrix Disfigurement of skin due to scar Fibrosis of skin NOS Scar NOS Excludes2: hypertrophic scar (L91.0) keloid scar (L91.0) Muscle spasm M62.83 Muscle spasm M Muscle spasm of back M Muscle spasm of calf Charley-horse M Other muscle spasm