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N80 ICD-10-CM Code: Endometriosis

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FY 2026 Apr update / Diseases of the genitourinary system (N00-N99) / Noninflammatory disorders of female genital tract (N80-N98)

N80

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Endometriosis

Endometriosis

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
N8Noninflammatory disorders of female genital tract (N80-N98)
N80Endometriosis

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for N80 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for N80 in this effective period.

Related Child Codes

Official
N80.0Endometriosis of uterus
N80.1Endometriosis of ovary
N80.2Endometriosis of fallopian tube
N80.3Endometriosis of pelvic peritoneum
N80.4Endometriosis of rectovaginal septum and vagina

Includes

Official

ICD-10-CM does not list Includes notes for N80 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for N80 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for N80 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for N80 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for N80 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

N80 is the ICD-10-CM diagnosis code for endometriosis. N80 sits in the ICD-10-CM chapter for diseases of the genitourinary system (n00-n99), within the section covering noninflammatory disorders of female genital tract (n80-n98).

Header codes like N80 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at N80's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for N80 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

N80Endometriosis
N80Endometriosis

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