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N80.3 ICD-10-CM Code: Endometriosis of pelvic peritoneum

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

N80.3

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

Endometriosis of pelvic peritoneum

Endometriosis of pelvic peritoneum

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
N80Endometriosis
N80.3Endometriosis of pelvic peritoneum

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for N80.3 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for N80.3 in this effective period.

Related Child Codes

Official
N80.30Endometriosis of pelvic peritoneum, unspecified
N80.31Endometriosis of the anterior cul-de-sac
N80.32Endometriosis of the posterior cul-de-sac
N80.33Superficial endometriosis of the pelvic sidewall
N80.34Deep endometriosis of the pelvic sidewall

Includes

Official

ICD-10-CM does not list Includes notes for N80.3 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for N80.3 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for N80.3 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for N80.3 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for N80.3 in this effective period.

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Code
N80.3
Description
Endometriosis of pelvic peritoneum
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
No
Payment year
2026

Coder workflow notes

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What This Code Means

N80.3 is the ICD-10-CM diagnosis code for endometriosis of pelvic peritoneum. N80.3 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 N80.3 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 N80.3'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 N80.3 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

N80EndometriosisN80.3Endometriosis of pelvic peritoneum
N80.3Endometriosis of pelvic peritoneum

N80.3 code history

Code setChange
FY2023 (effective Oct 1, 2022)Billability changed (now non-billable header)

Source: official CMS ICD-10-CM order and addenda files, FY2016 through FY2027.

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