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N80.343 ICD-10-CM Code: Deep endometriosis of the bilateral pelvic sidewall

N80.343 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC coding software

ICD-10-CM Code View

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

N80.343

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Deep endometriosis of the bilateral pelvic sidewall

This code represents deep endometriosis affecting both sides of the pelvic sidewall, indicating a more extensive bilateral involvement of the condition.

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
N80.3Endometriosis of pelvic peritoneum
N80.34Deep endometriosis of the pelvic sidewall
N80.343Deep endometriosis of the bilateral pelvic sidewall

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for N80.343 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for N80.343 in this effective period.

Related Child Codes

Official
N80.341Deep endometriosis of the right pelvic sidewall
N80.342Deep endometriosis of the left pelvic sidewall
N80.349Deep endometriosis of the pelvic sidewall, unspecified side

Includes

Official

ICD-10-CM does not list Includes notes for N80.343 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for N80.343 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for N80.343 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for N80.343 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for N80.343 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Use this code only when documentation explicitly states bilateral deep endometriosis of the pelvic sidewall
Bilateral codes should not be used if only one side is documented or if depth is unspecified

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 →

Is N80.343 an HCC code?

No. N80.343 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
N80.343
Description
Deep endometriosis of the bilateral pelvic sidewall
HCC (V28)
No CMS-HCC V28 mapping
RAF reference coefficient
Billable
Yes
Payment year
2026

Coder workflow notes

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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

N80.343 is the ICD-10-CM diagnosis code for deep endometriosis of the bilateral pelvic sidewall. This code represents deep endometriosis affecting both sides of the pelvic sidewall, indicating a more extensive bilateral involvement of the condition. N80.343 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).

N80.343 is a billable ICD-10-CM code, but the current payload does not show a mapping under the CMS-HCC V28, V24, ESRD, or RxHCC models. Do not assign risk adjustment value from this page when no source-backed mapping is shown; verify the applicable model and payment year.

Use this code only when documentation explicitly states bilateral deep endometriosis of the pelvic sidewall.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for N80.343 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Use this code only when documentation explicitly states bilateral deep endometriosis of the pelvic sidewall
  • Bilateral codes should not be used if only one side is documented or if depth is unspecified

Child Codes

Code Hierarchy

N80.343 code history

Code setChange
FY2023 (effective Oct 1, 2022)Added to the code set

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

Work N80.343 in HCC Buddy

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