Find comprehensive information on diagnosing endometriosis, including clinical documentation, medical coding (ICD-10 N80.0, SNOMED CT 80568002), and a detailed history of endometriosis symptoms like pelvic pain, dysmenorrhea, and infertility. Learn about diagnostic laparoscopy, imaging techniques, and the importance of accurate healthcare records for effective endometriosis management. This resource offers valuable insights for healthcare professionals, patients, and medical coders seeking information on the diagnosis and history of endometriosis.
Also known as
Noninflammatory disorders of female genital tract
Covers various non-inflammatory conditions affecting the female reproductive organs.
Personal history of certain other diseases
Indicates a past diagnosis of endometriosis specifically.
Female genital tract and obstetric symptoms
Includes symptoms like pelvic pain, which may be related to past endometriosis.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the endometriosis currently active?
When to use each related code
| Description |
|---|
| Endometriosis |
| Pelvic Inflammatory Disease |
| Adenomyosis |
Patient presents with a history of endometriosis, diagnosed on [date] via [diagnostic method, e.g., laparoscopy, imaging]. Presenting symptoms include chronic pelvic pain, dysmenorrhea, heavy menstrual bleeding (menorrhagia), dyspareunia, and infertility. The patient reports pain severity as [severity scale, e.g., mild, moderate, severe] and describes the pain as [pain characteristics, e.g., sharp, dull, aching, cramping]. Pain is cyclical, correlating with the menstrual cycle, and exacerbated by [exacerbating factors, e.g., physical activity, intercourse]. She reports a history of [number] pregnancies and [number] live births. Past medical history includes [relevant medical history, e.g., prior surgeries, other gynecological conditions]. Current medications include [list current medications]. Physical examination reveals [relevant physical exam findings, e.g., pelvic tenderness, palpable masses]. Assessment: History of endometriosis with persistent symptoms impacting quality of life. Plan: Discussed treatment options including pain management with [medication options, e.g., NSAIDs, hormonal therapy], surgical intervention (e.g., laparoscopic excision), and lifestyle modifications. Patient education provided regarding endometriosis management, pain coping strategies, and potential impact on fertility. Follow-up scheduled in [timeframe] to assess treatment response and discuss further management options as needed. ICD-10 code: N28.9 (Endometriosis).