N80.219
N80.219 — Superficial endometriosis of unspecified fallopian tube
Billable / specific codeICD-10-CM
N80.219 is a billable, specific ICD-10-CM code for superficial endometriosis of unspecified fallopian tube. It is valid for submission on a claim.
Risk adjustment
N80.219 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
N80.219 is named in 3 Medicare coverage policies — 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A59160Billing and Coding: Luteinizing Hormone-Releasing Hormone (LHRH) Analogs
- A59160Billing and Coding: Luteinizing Hormone-Releasing Hormone (LHRH) Analogs
- A59160Billing and Coding: Luteinizing Hormone-Releasing Hormone (LHRH) Analogs
Related codes at this level
Codes that share N80.21. If N80.219 is not quite right, the correct code is usually one of these.
Questions about N80.219
- Is N80.219 a billable ICD-10-CM code?
- Yes. N80.219 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does N80.219 sit in the tabular list?
- Diseases of the genitourinary system (N00-N99), in the block Noninflammatory disorders of female genital tract (N80-N98).