N85.01

N85.01: Benign endometrial hyperplasia

Billable / specific codeICD-10-CM

N85.01 is a billable, specific ICD-10-CM code for benign endometrial hyperplasia. It is valid for submission on a claim.

Check N85.01 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Endometrial hyperplasia (complex) (simple) without atypia

Excludes1 inherited from the categories above N85.01

A category’s note binds every code beneath it.

Written on N85: Other noninflammatory disorders of uterus, except cervix

endometriosis (N80.-)
inflammatory diseases of uterus (N71.-)
noninflammatory disorders of cervix, except malposition (N86-N88)
polyp of corpus uteri (N84.0)
uterine prolapse (N81.-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

N85.01 is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52453Billing and Coding: Luteinizing Hormone-Releasing Hormone (LHRH) Analogs
A53043Billing and Coding: Endometrial Hyperplasia Treatment
A55061Billing and Coding: IUD (Hormone-Eluting) for Endometrial Hyperplasia - CPT 58999
A55951Billing and Coding: Endometrial Hyperplasia Treatment with Intrauterine Device (Hormone-Eluting)

Alphabetic index entries that lead here

Hyperplasia, hyperplastic›endometrium, endometrial›benign
Hyperplasia, hyperplastic›endometrium, endometrial›complex(without atypia)
Hyperplasia, hyperplastic›endometrium, endometrial›simple(without atypia)

Code history

Unchanged in every release from FY2024 to FY2027.