N85.7
N85.7: Hematometra
Billable / specific codeICD-10-CM
N85.7 is a billable, specific ICD-10-CM code for hematometra. It is valid for submission on a claim.
Check N85.7 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- hematometra with hematocolpos (N89.7)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Hematosalpinx with hematometra
Excludes1 inherited from the categories above N85.7
A category’s note binds every code beneath it.
Other codes that can never be billed with N85.7
Their own Excludes1 notes name this code, so the conflict is not listed above.
- N83.6Hematosalpinx
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
N85.7 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56421Billing and Coding: CT of the Abdomen and Pelvis
Alphabetic index entries that lead here
- Hematometra
- Hemorrhage, hemorrhagic›intrauterine
- Hematosalpinx›with›hematometra
- Hemosalpinx›with›hematometra
Code history
Unchanged in every release from FY2024 to FY2027.