N99.4

N99.4: Postprocedural pelvic peritoneal adhesions

Billable / specific codeICD-10-CM

N99.4 is a billable, specific ICD-10-CM code for postprocedural pelvic peritoneal adhesions. It is valid for submission on a claim.

Check N99.4 with the rest of the claim: free scrubber

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

pelvic peritoneal adhesions NOS (N73.6)
postinfective pelvic peritoneal adhesions (N73.6)

Excludes2 inherited from the categories above N99.4

Not part of this code, but both may be coded when both are present.

Written on N99: Intraoperative and postprocedural complications and disorders of genitourinary system, not elsewhere classified

irradiation cystitis (N30.4-)
postoophorectomy osteoporosis with current pathological fracture (M80.8-)
postoophorectomy osteoporosis without current pathological fracture (M81.8)

Risk adjustment

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

Medicare coverage

N99.4 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

Adhesions, adhesive›postoperative›pelvic peritoneal
Adhesions, adhesive›pelvic›female›postprocedural
Adhesions, adhesive›peritoneum, peritoneal›pelvic, female›postprocedural
Complication›genitourinary›postprocedural›pelvic peritoneal adhesions

Code history

Unchanged in every release from FY2024 to FY2027.