N80.212
N80.212 — Superficial endometriosis of left fallopian tube
Billable / specific codeICD-10-CMleft
N80.212 is a billable, specific ICD-10-CM code for superficial endometriosis of left fallopian tube. It is valid for submission on a claim.
Risk adjustment
N80.212 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
N80.212 is named in 6 Medicare coverage policies — 6 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52453Billing and Coding: Luteinizing Hormone-Releasing Hormone (LHRH) Analogs
- A52453Billing and Coding: Luteinizing Hormone-Releasing Hormone (LHRH) Analogs
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A59160Billing and Coding: Luteinizing Hormone-Releasing Hormone (LHRH) Analogs
Related codes at this level
Codes that share N80.21. If N80.212 is not quite right, the correct code is usually one of these.
Questions about N80.212
- Is N80.212 a billable ICD-10-CM code?
- Yes. N80.212 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does N80.212 sit in the tabular list?
- Diseases of the genitourinary system (N00-N99), in the block Noninflammatory disorders of female genital tract (N80-N98).