N97.1 — Female infertility of tubal origin
N97.1 is a billable, specific ICD-10-CM code for female infertility of tubal origin. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Female infertility associated with congenital anomaly of tube
- Female infertility due to tubal block
- Female infertility due to tubal occlusion
- Female infertility due to tubal stenosis
Excludes2 inherited from the categories above N97.1
Also inherited, and the opposite of Excludes1: these conditions are not part of N97.1, but a patient can have both, so you may code both.
Other codes that can never be billed with N97.1
These codes carry an Excludes1 note pointing at N97.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading N97.1 alone.
- Z98.5Sterilization status
Risk adjustment
N97.1 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.
How N97.1 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 N97.1.
- Noninsufflation, fallopian tube
- Nonpatent fallopian tube
- Block, blocked›tubal
- Obliteration›fallopian tube
- Obstruction, obstructed, obstructive›fallopian tube(bilateral)
- Occlusion, occluded›fallopian tube
- Occlusion, occluded›oviduct
- Occlusion, occluded›tubal
- Stenosis, stenotic›tubal
- Stricture›fallopian tube
- Atresia, atretic›fallopian tube›acquired
- Atresia, atretic›oviduct›acquired
Code history
N97.1 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share N97. If N97.1 is not quite right, the correct code is usually one of these.
Questions about N97.1
- Is N97.1 a billable ICD-10-CM code?
- Yes. N97.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does N97.1 sit in the tabular list?
- Diseases of the genitourinary system (N00-N99), in the block Noninflammatory disorders of female genital tract (N80-N98).