Is N85.02 a billable ICD-10-CM code?

Yes. N85.02 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does N85.02 sit in the tabular list?

Diseases of the genitourinary system (N00-N99), in the block Noninflammatory disorders of female genital tract (N80-N98).

What cannot be coded together with N85.02?

N85.02 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

N85.02

N85.02 — Endometrial intraepithelial neoplasia [EIN]

Billable / specific codeICD-10-CM

N85.02 is a billable, specific ICD-10-CM code for endometrial intraepithelial neoplasia [ein]. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

malignant neoplasm of endometrium (with endometrial intraepithelial neoplasia [EIN]) (C54.1)

Inclusion terms

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

Endometrial hyperplasia with atypia

Risk adjustment

N85.02 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

N85.02 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.

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)
A56421Billing and Coding: CT of the Abdomen and Pelvis

How N85.02 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to N85.02.

Hyperplasia, hyperplastic›endometrium, endometrial›with atypia

Related codes at this level

Codes that share N85.0. If N85.02 is not quite right, the correct code is usually one of these.

Questions about N85.02

Is N85.02 a billable ICD-10-CM code?: Yes. N85.02 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does N85.02 sit in the tabular list?: Diseases of the genitourinary system (N00-N99), in the block Noninflammatory disorders of female genital tract (N80-N98).
What cannot be coded together with N85.02?: N85.02 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.