N97.8 ICD-10-CM Code: Female infertility of other origin
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FY 2026 Apr update / Diseases of the genitourinary system (N00-N99) / Noninflammatory disorders of female genital tract (N80-N98)
N97.8
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceFemale infertility of other origin
A woman's inability to become pregnant due to causes other than tubal or uterine problems, such as cervical factors, immunological issues, or unexplained reasons.
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
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for N97.8 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
Includes
Official- inability to achieve a pregnancy
- sterility, female NOS
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for N97.8 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for N97.8 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for N97.8 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for N97.8 in this effective period.
Buddy Documentation Tip
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 N97.8 an HCC code?
No. N97.8 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
- Code
- N97.8
- Description
- Female infertility of other origin
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF
- —
- 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
N97.8 is the ICD-10-CM diagnosis code for female infertility of other origin. A woman's inability to become pregnant due to causes other than tubal or uterine problems, such as cervical factors, immunological issues, or unexplained reasons. N97.8 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).
N97.8 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Use this code only when the infertility origin is documented but does not fit N97.0-N97.2 categories.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for N97.8 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.