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2025 M Street, NW, Suite 800 Washington, DC 20036 202.367.1167 ▪ Fax 202.367.2167 [email protected] ▪ www.augs.org Urogynecology ICD-9 to ICD-10 Crosswalks ICD 9 Code ICD 9 Description ICD 10 Code ICD 10 Description 112.1 Candidiasis of vulva and vagina B37.3 Candidiasis of vulva and vagina 564.00 564.01 564.02 564.09 Unspecified constipation Slow transit constipation Outlet dysfunction constipation Other constipation K59.00 K59.01 K59.02 K59.09 Constipation unspecified Slow transit constipation Outlet dysfunction constipation Other constipation 569.43 Anal sphincter tear (healed)(old) K62.81 Anal sphincter tear (healed)(non-traumatic) (old) 595.0 Acute cystitis 595.1 Chronic interstitial cystitis 595.3 Trigonitis 595.9 Cystitis NOS 595.82 Irradiation cystitis 596.0 596.2 596.3 596.4 596.51 596.52 Bladder neck obstruction Fistula of bladder, NEC Diverticulum of bladder Atony of bladder Hypertonicity of bladder Low bladder compliance N30.00 N30.01 N30.10 N30.11 N30.30 N30.31 N30.90 N30.91 N30.20 N30.21 N30.80 N30.81 N30.40 N30.41 N32.0 N32.2 N32.3 N31.2 N32.81 N31.8 Acute cystitis without hematuria Acute cystitis with hematuria Interstitial cystitis (chronic) without hematuria Interstitial cystitis (chronic) with hematuria Trigonitis without hematuria Trigonitis with hematuria Cystitis, unspecified without hematuria Cystitis, unspecified with hematuria Other chronic cystitis without hematuria Other chronic cystitis with hematuria Other cystitis without hematuria Other cystitis with hematuria Irradiation cystitis without hematuria Irradiation cystitis with hematuria Bladder neck obstruction Vesical fistula, NEC Diverticulum of bladder Flaccid neuropathic bladder, NEC Overactive bladder Other neuromuscular dysfunction of bladder 596.54 Neurogenic bladder, NOS 596.55 Detrusor sphincter dyssynergia N31.0 N31.1 N31.2 N31.8 N31.9 N36.44 Uninhibited neuropathic bladder, NEC Reflex neuropathic bladder, NEC Flaccid neuropathic bladder, NEC Other neuromuscular dysfunction of bladder Neuromuscular dysfunction of bladder, unspecified Muscular disorders of urethra 597.80 Urethritis N34.2 Other urethritis Last Updated by the AUGS Coding and Reimbursement Committee on November, 2015 Disclaimer:The Coding and Reimbursement Committee of the American Urogynecologic Society (AUGS) assists members with the application of governmental regulations and guidelines regarding terminology and CPT/ICD coding in urogynecologic practice. Such information is intended to assist with the coding process as required by governmental regulation and should not be construed as policy sanctioned by AUGS. AUGS disclaims liability for actions or consequences related to any of the information provided. AUGS does not endorse the diagnostic protocol or treatment plan designed by the provider. 599.0 N39.0 Urinary tract infection, site not specified 599.1 599. 2 Urinary tract infection, site not specified Urethral fistula Urethral diverticulum N36.0 N36.1 Urethral fistula Urethral diverticulum 599.70 Hematuria, unspecified R31.9 Hematuria, unspecified 599.71 599.72 Gross hematuria Microscopic hematuria 599.81 599.82 Urethral hypermobility Intrinsic urethral sphincter deficiency Other specified disorders of urinary tract Vaginitis and vulvovaginitis, unspecified R31.0 R31.1 R31.2 N36.41 N36.42 Gross hematuria Benign essential microscopic hematuria Other microscopic hematuria Hypermobility of urethra Intrinsic sphincter deficiency N39.8 Other specified disorders of urinary system N76.0 N76.1 N76.2 N76.3 N76.89 N81.9 N81.82 N81.83 N81.84 N81.85 N81.89 N81.11 N81.12 N81.10 N81.0 N81.6 N81.81 Acute vaginitis Subacute and chronic vaginitis Acute vulvitus Subacute and chronic vulvitis Other specified inflammation of vagina and vulva Female genital prolapse, unspecified Incompetence or weakening of pubocervical tissue Incompetence or weakening of rectovaginal tissue Pelvic muscle wasting Cervical stump prolapsed Other female genital organ prolapsed Cystocele, midline Cystocele, lateral Cystocele, unspecified Urethrocele Rectocele Perineocele N81.2 N81.3 N81.4 N81.2 Incomplete uterovaginal prolapse Complete uterovaginal prolapse Uterovaginal prolapse, unspecified Incomplete uterovaginal prolapse N81.3 N81.4 Complete uterovaginal prolapse Uterovaginal prolapse, unspecified N99.3 Prolapse of vaginal vault after hysterectomy N81.5 N82.0 N82.8 Vaginal enterocele Vesicovaginal fistula Other female genital tract fistulae 599.89 616.10 618.00 Prolapse of vaginal walls, unspecified 618.01 618.02 Cystocele, midline Cystocele, lateral 618.03 618.04 618.05 Urethrocele Rectocele Perineocele 618.1 Uterine prolapse without mention of vaginal wall prolapse 618.2 Uterovaginal prolapse, incomplete Uterovaginal prolapse, complete Uterovaginal prolapse, unspecified 618.3 618.4 618.5 618.6 619.0 619.8 Prolapse of vaginal vault after hysterectomy Vaginal enterocele Vesicovaginal fistula Other fistula of female genital tract Last Updated by the AUGS Coding and Reimbursement Committee on November, 2015 Disclaimer:The Coding and Reimbursement Committee of the American Urogynecologic Society (AUGS) assists members with the application of governmental regulations and guidelines regarding terminology and CPT/ICD coding in urogynecologic practice. Such information is intended to assist with the coding process as required by governmental regulation and should not be construed as policy sanctioned by AUGS. AUGS disclaims liability for actions or consequences related to any of the information provided. AUGS does not endorse the diagnostic protocol or treatment plan designed by the provider. 624.9 625.6 625.9 Noninflammatory disorders of the vulva and perineum, unspecified Stress incontinence, female Unspecified symptom associated with female genital organs N90.9 Noninflammatory disorder of vulvar and perineum, unspecified N39.3 N94.89 627.1 Postmenopausal bleeding N95.0 Stress incontinence (female) (male) Other specified conditions associated with female genital organs and menstrual cycle Unspecified condition associated with female genital organs and menstrual cycle Pelvic and perineal pain Other specified symptoms and signs involving the digestive system and abdomen Unspecified symptoms and signs involving the genitourinary system Postmenopausal bleeding 627.3 Postmenopausal atrophic vaginitis Erosion of vaginal mesh to surrounding tissue Exposure of vaginal mesh to surrounding tissue Lichen sclerosus B95.2 Postmenopausal atrophic vaginitis T83.711A L90.0 Erosion of implanted vaginal mesh and other prosthetic materials to surrounding organ or tissue, initial encounter Exposure of vaginal mesh and other prosthetic materials into vagina, initial encounter Lichen Sclerosus et atrophicus N94.9 R10.2 R19.8 R39.9 629.31 629.32 701.0 728.2 T83.721A M62.50 Muscle wasting and atrophy, NEC, unspecified site 728.85 Muscular wasting and disuse atrophy, NEC Spasm of muscle M62.838 Other muscle spasm 787.60 Fecal incontinence R15.9 Full incontinence of feces 788.1 Dysuria R30.0 Dysuria 788.20 Retention of urine, unspecified 788.21 Incomplete bladder emptying R33.9 R33.0 R33.8 R39.14 Retention of urine, unspecified Drug induced retention of urine Other retention of urine Feeling of incomplete bladder emptying 788.30 788.31 788.33 R32 N39.41 N39.46 Unspecified urinary incontinence Urge incontinence Mixed incontinence 788.35 Urinary incontinence unspecified Urge incontinence Mixed incontinence (male) (female) Post-void dribbling N39.43 Post-void dribbling 788.36 788.37 788.38 788.41 Nocturnal enuresis Continuous leakage Overflow incontinence Urinary frequency N39.44 N39.45 N39.490 R35.0 Nocturnal enuresis Continuous leakage Overflow incontinence Frequency of micturition Last Updated by the AUGS Coding and Reimbursement Committee on November, 2015 Disclaimer:The Coding and Reimbursement Committee of the American Urogynecologic Society (AUGS) assists members with the application of governmental regulations and guidelines regarding terminology and CPT/ICD coding in urogynecologic practice. Such information is intended to assist with the coding process as required by governmental regulation and should not be construed as policy sanctioned by AUGS. AUGS disclaims liability for actions or consequences related to any of the information provided. AUGS does not endorse the diagnostic protocol or treatment plan designed by the provider. 788.42 788.43 Polyuria Nocturia R35.8 R35.1 Other polyuria Nocturia 788.63 Urgency of urination R39.15 Urgency of urination 788.69 Other abnormality of urinary R39.19 stream Functional urinary incontinence R39.81 Follow-up examination, following Z09 unspecified surgery Routine gynecological Z01.411 examination Z01.419 788.91 V67.00 V72.31 V72.83 V76.2 Other specified pre-operative examination Screening for malignant neoplasms of the cervix Z01.818 Z12.4 Other difficulties with micturition Functional urinary incontinence Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm Encounter for gynecological examination (general) (routine) with abnormal findings Encounter for gynecological examination (general) (routine) without abnormal findings Encounter for other preprocedural examination Counter for screening for malignant neoplasms of the cervix Last Updated by the AUGS Coding and Reimbursement Committee on November, 2015 Disclaimer:The Coding and Reimbursement Committee of the American Urogynecologic Society (AUGS) assists members with the application of governmental regulations and guidelines regarding terminology and CPT/ICD coding in urogynecologic practice. Such information is intended to assist with the coding process as required by governmental regulation and should not be construed as policy sanctioned by AUGS. AUGS disclaims liability for actions or consequences related to any of the information provided. AUGS does not endorse the diagnostic protocol or treatment plan designed by the provider. Urogynecology ICD-10 Z Codes Z00.00 Z00.01 Z01.411 Z01.419 Z01.818 Z09 Encounter for general adult medical exam without abnormal findings Encounter for general adult medical exam with abnormal findings Encounter for gynecological exam (general) (routine) with abnormal findings Encounter for gynecological exam (general) (routine) without abnormal findings Encounter for other preprocedural examination (Preop visit) Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm (Postop exam) Z11.2 Z16.x Z16.29 Z43.5 Z43.7 Z45.42 Z46.6 Z46.9 Z48.01 Z48.02 Z48.816 Encounter for screening for other bacterial diseases Resistance to antimicrobial drugs Resistance to other single specified antibiotic Encounter for attention to cystotomy Encounter for attention to artificial vagina Encounter for adjustment and management of neuropacemaker (spine) (peripheral nerve) Encounter for fitting and adjustment of urinary device Encounter for fitting and adjustment of other specified devices Encounter for change or removal of surgical wound dressing Encounter for removal of sutures Encounter for surgical aftercare following surgery on the genitourinary system Z53.0 Z53.01 Z53.09 Z53.1 Z53.8 Z76.0 Z79.2 Z84.1 Z84.2 Z85.4x Z85.5x Z87.42 Z87.440 Z87.718 Procedure and treatment not carried out because of contraindication Procedure and treatment not carried out because of patient smoking Procedure and treatment not carried out because of other contraindication Procedure and treatment not carried out because of patient’s decision for reasons of belief and group pressure Procedure and treatment not carried out because of patient’s decision for other and unspecified reasons Procedure and treatment not carried out for other reasons Encounter for issue of repeat prescription Long term (current) use of antibiotics Family history of disorders of kidney and ureter Family history of other disorders of the genitourinary system Personal history of malignant neoplasm of genital organs Personal history of malignant neoplasm of urinary tract Personal history of other diseases of female genital tract Personal history of urinary (tract) infection Personal history of other specified (corrected) congenital malformations of genitourinary tract Z88.xx Z90.710 790.711 Z96.0 Allergy status to drugs, medications, and biological substances Acquired absence of both cervix and uterus Acquired absence of uterus with remaining cervical stump Presence of urogenital implants Z53.2 Preop exam Postop exam UTI Interstim Foley Long term postop follow-up N00-N29 N30-N99 Sling, mesh Last Updated by the AUGS Coding and Reimbursement Committee on November, 2015 Disclaimer:The Coding and Reimbursement Committee of the American Urogynecologic Society (AUGS) assists members with the application of governmental regulations and guidelines regarding terminology and CPT/ICD coding in urogynecologic practice. Such information is intended to assist with the coding process as required by governmental regulation and should not be construed as policy sanctioned by AUGS. AUGS disclaims liability for actions or consequences related to any of the information provided. AUGS does not endorse the diagnostic protocol or treatment plan designed by the provider. Frequently Used Urogynecology Codes ICD-9 Code 625.0 ICD-10 N94.1 T83.84X (7th character needed after X: A= Initial Encounter B=Subsequent Encounter S=Sequelae) T83.85X ((7th character needed after X: A= Initial Encounter B=Subsequent Encounter S=Sequelae) Description Dyspareunia Pain from GU prosthetic device, implants or grafts Stenosis of genitourinary devices, implants and grafts Last Updated by the AUGS Coding and Reimbursement Committee on November, 2015 Disclaimer:The Coding and Reimbursement Committee of the American Urogynecologic Society (AUGS) assists members with the application of governmental regulations and guidelines regarding terminology and CPT/ICD coding in urogynecologic practice. Such information is intended to assist with the coding process as required by governmental regulation and should not be construed as policy sanctioned by AUGS. AUGS disclaims liability for actions or consequences related to any of the information provided. AUGS does not endorse the diagnostic protocol or treatment plan designed by the provider. Last Updated by the AUGS Coding and Reimbursement Committee on November, 2015 Disclaimer:The Coding and Reimbursement Committee of the American Urogynecologic Society (AUGS) assists members with the application of governmental regulations and guidelines regarding terminology and CPT/ICD coding in urogynecologic practice. Such information is intended to assist with the coding process as required by governmental regulation and should not be construed as policy sanctioned by AUGS. AUGS disclaims liability for actions or consequences related to any of the information provided. AUGS does not endorse the diagnostic protocol or treatment plan designed by the provider.