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N97 ICD-10-CM Code: Female infertility

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)

N97

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

Female infertility

Female infertility

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
N9Noninflammatory disorders of female genital tract (N80-N98)
N97Female infertility

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for N97 in this effective period.

Excludes 2

Official
  • female infertility associated with:
  • hypopituitarism (E23.0)
  • Stein-Leventhal syndrome (E28.2)
  • incompetence of cervix uteri (N88.3)

Related Child Codes

Official
N97.0Female infertility associated with anovulation
N97.1Female infertility of tubal origin
N97.2Female infertility of uterine origin
N97.8Female infertility of other origin
N97.9Female infertility, unspecified

Includes

Official
  • inability to achieve a pregnancy
  • sterility, female NOS

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for N97 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for N97 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for N97 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for N97 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

N97 is the ICD-10-CM diagnosis code for female infertility. N97 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 N97 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 N97'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 N97 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Includes

  • inability to achieve a pregnancy
  • sterility, female NOS

Excludes 2, Not included here, may code separately

  • female infertility associated with:
  • hypopituitarism (E23.0)
  • Stein-Leventhal syndrome (E28.2)
  • incompetence of cervix uteri (N88.3)

Child Codes

Code Hierarchy

N97Female infertility
N97Female infertility

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