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Urogynecology ICD-9 to ICD-10 Crosswalks ICD 9 Code

ICD 9 Description

ICD 10 Code

ICD 10 Description

112.1

Candidiasis of vulva and vagina

B37.3

Candidiasis of vulva and vagina

564.00 564.01 564.02 564.09

Unspecified constipation Slow transit constipation Outlet dysfunction constipation Other constipation

K59.00 K59.01 K59.02 K59.09

Constipation unspecified Slow transit constipation Outlet dysfunction constipation Other constipation

569.43

Anal sphincter tear (healed)(old)

K62.81

Anal sphincter tear (healed)(non-traumatic) (old)

595.0

Acute cystitis

595.1

Chronic interstitial cystitis

595.3

Trigonitis

595.9

Cystitis NOS

595.82

Irradiation cystitis

596.0 596.2 596.3 596.4 596.51 596.52

Bladder neck obstruction Fistula of bladder, NEC Diverticulum of bladder Atony of bladder Hypertonicity of bladder Low bladder compliance

N30.00 N30.01 N30.10 N30.11 N30.30 N30.31 N30.90 N30.91 N30.20 N30.21 N30.80 N30.81 N30.40 N30.41 N32.0 N32.2 N32.3 N31.2 N32.81 N31.8

Acute cystitis without hematuria Acute cystitis with hematuria Interstitial cystitis (chronic) without hematuria Interstitial cystitis (chronic) with hematuria Trigonitis without hematuria Trigonitis with hematuria Cystitis, unspecified without hematuria Cystitis, unspecified with hematuria Other chronic cystitis without hematuria Other chronic cystitis with hematuria Other cystitis without hematuria Other cystitis with hematuria Irradiation cystitis without hematuria Irradiation cystitis with hematuria Bladder neck obstruction Vesical fistula, NEC Diverticulum of bladder Flaccid neuropathic bladder, NEC Overactive bladder Other neuromuscular dysfunction of bladder

596.54

Neurogenic bladder, NOS

596.55

Detrusor sphincter dyssynergia

N31.0 N31.1 N31.2 N31.8 N31.9 N36.44

Uninhibited neuropathic bladder, NEC Reflex neuropathic bladder, NEC Flaccid neuropathic bladder, NEC Other neuromuscular dysfunction of bladder Neuromuscular dysfunction of bladder, unspecified Muscular disorders of urethra

597.80

Urethritis

N34.2

Other urethritis

Last Updated by the AUGS Coding and Reimbursement Committee on November, 2015 Disclaimer:The Coding and Reimbursement Committee of the American Urogynecologic Society (AUGS) assists members with the application of governmental regulations and guidelines regarding terminology and CPT/ICD coding in urogynecologic practice. Such information is intended to assist with the coding process as required by governmental regulation and should not be construed as policy sanctioned by AUGS. AUGS disclaims liability for actions or consequences related to any of the information provided. AUGS does not endorse the diagnostic protocol or treatment plan designed by the provider.

599.0

N39.0

Urinary tract infection, site not specified

599.1 599. 2

Urinary tract infection, site not specified Urethral fistula Urethral diverticulum

N36.0 N36.1

Urethral fistula Urethral diverticulum

599.70

Hematuria, unspecified

R31.9

Hematuria, unspecified

599.71 599.72

Gross hematuria Microscopic hematuria

599.81 599.82

Urethral hypermobility Intrinsic urethral sphincter deficiency Other specified disorders of urinary tract Vaginitis and vulvovaginitis, unspecified

R31.0 R31.1 R31.2 N36.41 N36.42

Gross hematuria Benign essential microscopic hematuria Other microscopic hematuria Hypermobility of urethra Intrinsic sphincter deficiency

N39.8

Other specified disorders of urinary system

N76.0 N76.1 N76.2 N76.3 N76.89 N81.9 N81.82 N81.83 N81.84 N81.85 N81.89 N81.11 N81.12 N81.10 N81.0 N81.6 N81.81

Acute vaginitis Subacute and chronic vaginitis Acute vulvitus Subacute and chronic vulvitis Other specified inflammation of vagina and vulva Female genital prolapse, unspecified Incompetence or weakening of pubocervical tissue Incompetence or weakening of rectovaginal tissue Pelvic muscle wasting Cervical stump prolapsed Other female genital organ prolapsed Cystocele, midline Cystocele, lateral Cystocele, unspecified Urethrocele Rectocele Perineocele

N81.2 N81.3 N81.4 N81.2

Incomplete uterovaginal prolapse Complete uterovaginal prolapse Uterovaginal prolapse, unspecified Incomplete uterovaginal prolapse

N81.3 N81.4

Complete uterovaginal prolapse Uterovaginal prolapse, unspecified

N99.3

Prolapse of vaginal vault after hysterectomy

N81.5 N82.0 N82.8

Vaginal enterocele Vesicovaginal fistula Other female genital tract fistulae

599.89 616.10

618.00

Prolapse of vaginal walls, unspecified

618.01 618.02

Cystocele, midline Cystocele, lateral

618.03 618.04 618.05

Urethrocele Rectocele Perineocele

618.1

Uterine prolapse without mention of vaginal wall prolapse

618.2

Uterovaginal prolapse, incomplete Uterovaginal prolapse, complete Uterovaginal prolapse, unspecified

618.3 618.4

618.5 618.6 619.0 619.8

Prolapse of vaginal vault after hysterectomy Vaginal enterocele Vesicovaginal fistula Other fistula of female genital tract

Last Updated by the AUGS Coding and Reimbursement Committee on November, 2015 Disclaimer:The Coding and Reimbursement Committee of the American Urogynecologic Society (AUGS) assists members with the application of governmental regulations and guidelines regarding terminology and CPT/ICD coding in urogynecologic practice. Such information is intended to assist with the coding process as required by governmental regulation and should not be construed as policy sanctioned by AUGS. AUGS disclaims liability for actions or consequences related to any of the information provided. AUGS does not endorse the diagnostic protocol or treatment plan designed by the provider.

624.9

625.6 625.9

Noninflammatory disorders of the vulva and perineum, unspecified Stress incontinence, female Unspecified symptom associated with female genital organs

N90.9

Noninflammatory disorder of vulvar and perineum, unspecified

N39.3 N94.89

627.1

Postmenopausal bleeding

N95.0

Stress incontinence (female) (male) Other specified conditions associated with female genital organs and menstrual cycle Unspecified condition associated with female genital organs and menstrual cycle Pelvic and perineal pain Other specified symptoms and signs involving the digestive system and abdomen Unspecified symptoms and signs involving the genitourinary system Postmenopausal bleeding

627.3

Postmenopausal atrophic vaginitis Erosion of vaginal mesh to surrounding tissue Exposure of vaginal mesh to surrounding tissue Lichen sclerosus

B95.2

Postmenopausal atrophic vaginitis

T83.711A

L90.0

Erosion of implanted vaginal mesh and other prosthetic materials to surrounding organ or tissue, initial encounter Exposure of vaginal mesh and other prosthetic materials into vagina, initial encounter Lichen Sclerosus et atrophicus

N94.9 R10.2 R19.8 R39.9

629.31 629.32 701.0 728.2

T83.721A

M62.50

Muscle wasting and atrophy, NEC, unspecified site

728.85

Muscular wasting and disuse atrophy, NEC Spasm of muscle

M62.838

Other muscle spasm

787.60

Fecal incontinence

R15.9

Full incontinence of feces

788.1

Dysuria

R30.0

Dysuria

788.20

Retention of urine, unspecified

788.21

Incomplete bladder emptying

R33.9 R33.0 R33.8 R39.14

Retention of urine, unspecified Drug induced retention of urine Other retention of urine Feeling of incomplete bladder emptying

788.30 788.31 788.33

R32 N39.41 N39.46

Unspecified urinary incontinence Urge incontinence Mixed incontinence

788.35

Urinary incontinence unspecified Urge incontinence Mixed incontinence (male) (female) Post-void dribbling

N39.43

Post-void dribbling

788.36 788.37 788.38 788.41

Nocturnal enuresis Continuous leakage Overflow incontinence Urinary frequency

N39.44 N39.45 N39.490 R35.0

Nocturnal enuresis Continuous leakage Overflow incontinence Frequency of micturition

Last Updated by the AUGS Coding and Reimbursement Committee on November, 2015 Disclaimer:The Coding and Reimbursement Committee of the American Urogynecologic Society (AUGS) assists members with the application of governmental regulations and guidelines regarding terminology and CPT/ICD coding in urogynecologic practice. Such information is intended to assist with the coding process as required by governmental regulation and should not be construed as policy sanctioned by AUGS. AUGS disclaims liability for actions or consequences related to any of the information provided. AUGS does not endorse the diagnostic protocol or treatment plan designed by the provider.

788.42 788.43

Polyuria Nocturia

R35.8 R35.1

Other polyuria Nocturia

788.63

Urgency of urination

R39.15

Urgency of urination

788.69

Other abnormality of urinary R39.19 stream Functional urinary incontinence R39.81 Follow-up examination, following Z09 unspecified surgery Routine gynecological Z01.411 examination Z01.419

788.91 V67.00 V72.31

V72.83 V76.2

Other specified pre-operative examination Screening for malignant neoplasms of the cervix

Z01.818 Z12.4

Other difficulties with micturition Functional urinary incontinence Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm Encounter for gynecological examination (general) (routine) with abnormal findings Encounter for gynecological examination (general) (routine) without abnormal findings Encounter for other preprocedural examination Counter for screening for malignant neoplasms of the cervix

Last Updated by the AUGS Coding and Reimbursement Committee on November, 2015 Disclaimer:The Coding and Reimbursement Committee of the American Urogynecologic Society (AUGS) assists members with the application of governmental regulations and guidelines regarding terminology and CPT/ICD coding in urogynecologic practice. Such information is intended to assist with the coding process as required by governmental regulation and should not be construed as policy sanctioned by AUGS. AUGS disclaims liability for actions or consequences related to any of the information provided. AUGS does not endorse the diagnostic protocol or treatment plan designed by the provider.

Urogynecology ICD-10 Z Codes Z00.00 Z00.01 Z01.411 Z01.419 Z01.818 Z09

Encounter for general adult medical exam without abnormal findings Encounter for general adult medical exam with abnormal findings Encounter for gynecological exam (general) (routine) with abnormal findings Encounter for gynecological exam (general) (routine) without abnormal findings Encounter for other preprocedural examination (Preop visit) Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm (Postop exam)

Z11.2 Z16.x Z16.29 Z43.5 Z43.7 Z45.42 Z46.6 Z46.9 Z48.01 Z48.02 Z48.816

Encounter for screening for other bacterial diseases Resistance to antimicrobial drugs Resistance to other single specified antibiotic Encounter for attention to cystotomy Encounter for attention to artificial vagina Encounter for adjustment and management of neuropacemaker (spine) (peripheral nerve) Encounter for fitting and adjustment of urinary device Encounter for fitting and adjustment of other specified devices Encounter for change or removal of surgical wound dressing Encounter for removal of sutures Encounter for surgical aftercare following surgery on the genitourinary system

Z53.0 Z53.01 Z53.09 Z53.1

Z53.8 Z76.0 Z79.2 Z84.1 Z84.2 Z85.4x Z85.5x Z87.42 Z87.440 Z87.718

Procedure and treatment not carried out because of contraindication Procedure and treatment not carried out because of patient smoking Procedure and treatment not carried out because of other contraindication Procedure and treatment not carried out because of patient’s decision for reasons of belief and group pressure Procedure and treatment not carried out because of patient’s decision for other and unspecified reasons Procedure and treatment not carried out for other reasons Encounter for issue of repeat prescription Long term (current) use of antibiotics Family history of disorders of kidney and ureter Family history of other disorders of the genitourinary system Personal history of malignant neoplasm of genital organs Personal history of malignant neoplasm of urinary tract Personal history of other diseases of female genital tract Personal history of urinary (tract) infection Personal history of other specified (corrected) congenital malformations of genitourinary tract

Z88.xx Z90.710 790.711 Z96.0

Allergy status to drugs, medications, and biological substances Acquired absence of both cervix and uterus Acquired absence of uterus with remaining cervical stump Presence of urogenital implants

Z53.2

Preop exam Postop exam UTI

Interstim Foley

Long term postop follow-up

N00-N29 N30-N99

Sling, mesh

Last Updated by the AUGS Coding and Reimbursement Committee on November, 2015 Disclaimer:The Coding and Reimbursement Committee of the American Urogynecologic Society (AUGS) assists members with the application of governmental regulations and guidelines regarding terminology and CPT/ICD coding in urogynecologic practice. Such information is intended to assist with the coding process as required by governmental regulation and should not be construed as policy sanctioned by AUGS. AUGS disclaims liability for actions or consequences related to any of the information provided. AUGS does not endorse the diagnostic protocol or treatment plan designed by the provider.

Frequently Used Urogynecology Codes

ICD-9 Code 625.0

ICD-10 N94.1 T83.84X (7th character needed after X: A= Initial Encounter B=Subsequent Encounter S=Sequelae) T83.85X ((7th character needed after X: A= Initial Encounter B=Subsequent Encounter S=Sequelae)

Description Dyspareunia Pain from GU prosthetic device, implants or grafts

Stenosis of genitourinary devices, implants and grafts

Last Updated by the AUGS Coding and Reimbursement Committee on November, 2015 Disclaimer:The Coding and Reimbursement Committee of the American Urogynecologic Society (AUGS) assists members with the application of governmental regulations and guidelines regarding terminology and CPT/ICD coding in urogynecologic practice. Such information is intended to assist with the coding process as required by governmental regulation and should not be construed as policy sanctioned by AUGS. AUGS disclaims liability for actions or consequences related to any of the information provided. AUGS does not endorse the diagnostic protocol or treatment plan designed by the provider.

Last Updated by the AUGS Coding and Reimbursement Committee on November, 2015 Disclaimer:The Coding and Reimbursement Committee of the American Urogynecologic Society (AUGS) assists members with the application of governmental regulations and guidelines regarding terminology and CPT/ICD coding in urogynecologic practice. Such information is intended to assist with the coding process as required by governmental regulation and should not be construed as policy sanctioned by AUGS. AUGS disclaims liability for actions or consequences related to any of the information provided. AUGS does not endorse the diagnostic protocol or treatment plan designed by the provider.