N80.42
N80.42: Endometriosis of rectovaginal septum with involvement of vagina
Billable / specific codeICD-10-CM
N80.42 is a billable, specific ICD-10-CM code for endometriosis of rectovaginal septum with involvement of vagina. It is valid for submission on a claim.
Check N80.42 with the rest of the claim: free scrubberOther codes that can never be billed with N80.42
Their own Excludes1 notes name this code, so the conflict is not listed above.
- N85Other noninflammatory disorders of uterus, except cervix
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
N80.42 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- 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
Alphabetic index entries that lead here
- Endometriosis›vagina
- Endometriosis›rectovaginal septum›with involvement of vagina
Code history
Unchanged in every release from FY2024 to FY2027.