Chapter XIV
Diseases of the genitourinary system
(N00-N99)

Noninflammatory disorders of female genital tract
(N80-N98)

N80 Endometriosis

N80.0 Endometriosis of uterus
Incl.:
Adenomyosis
N80.1 Endometriosis of ovary
N80.2 Endometriosis of fallopian tube
N80.3 Endometriosis of pelvic peritoneum
N80.4 Endometriosis of rectovaginal septum and vagina
N80.5 Endometriosis of intestine
N80.6 Endometriosis in cutaneous scar
N80.8 Other endometriosis
Incl.:
Endometriosis of thorax
N80.9 Endometriosis, unspecified

N81 Female genital prolapse

Excl.:
genital prolapse complicating pregnancy, labour or delivery ( O34.5)
prolapse and hernia of ovary and fallopian tube ( N83.4)
prolapse of vaginal vault after hysterectomy ( N99.3)
N81.0 Female urethrocele
Excl.:
congenital ( Q64.7)
urethrocele with:
N81.1 Cystocele
Incl.:
Cystocele with urethrocele
Prolapse of (anterior) vaginal (wall) NOS
Excl.:
cystocele with prolapse of uterus ( N81.2-N81.4)
N81.2 Incomplete uterovaginal prolapse
Incl.:
Prolapse of cervix NOS
Uterine prolapse:
  • first degree
  • second degree
N81.3 Complete uterovaginal prolapse
Incl.:
Procidentia (uteri) NOS
Third degree uterine prolapse
N81.4 Uterovaginal prolapse, unspecified
Incl.:
Prolapse of uterus NOS
N81.5 Vaginal enterocele
Excl.:
enterocele with prolapse of uterus ( N81.2-N81.4)
N81.6 Rectocele
Incl.:
Prolapse of posterior vaginal wall
Excl.:
rectal prolapse ( K62.3)
rectocele with prolapse of uterus ( N81.2-N81.4)
N81.8 Other female genital prolapse
Incl.:
Deficient perineum
Old laceration of muscles of pelvic floor
N81.9 Female genital prolapse, unspecified

N82 Fistulae involving female genital tract

Excl.:
vesicointestinal fistulae ( N32.1)
N82.0 Vesicovaginal fistula
N82.1 Other female urinary-genital tract fistulae
Incl.:
Fistula:
  • cervicovesical
  • ureterovaginal
  • urethrovaginal
  • uteroureteric
  • uterovesical
N82.2 Fistula of vagina to small intestine
N82.3 Fistula of vagina to large intestine
Incl.:
Rectovaginal fistula
N82.4 Other female intestinal-genital tract fistulae
Incl.:
Intestinouterine fistula
N82.5 Female genital tract-skin fistulae
Incl.:
Fistula:
  • uterus to abdominal wall
  • vaginoperineal
N82.8 Other female genital tract fistulae
N82.9 Female genital tract fistula, unspecified

N83 Noninflammatory disorders of ovary, fallopian tube and broad ligament

Excl.:
hydrosalpinx ( N70.1)
N83.0 Follicular cyst of ovary
Incl.:
Cyst of graafian follicle
Haemorrhagic follicular cyst (of ovary)
N83.1 Corpus luteum cyst
Incl.:
Haemorrhagic corpus luteum cyst
N83.2 Other and unspecified ovarian cysts
Incl.:
  • Retention cyst
  • Simple cyst
  • of ovary
Excl.:
ovarian cyst:
  • developmental (Q50.1)
  • neoplastic (D27)
polycystic ovarian syndrome ( E28.2)
N83.3 Acquired atrophy of ovary and fallopian tube
N83.4 Prolapse and hernia of ovary and fallopian tube
N83.5 Torsion of ovary, ovarian pedicle and fallopian tube
Incl.:
Torsion:
  • accessory tube
  • hydatid of Morgagni
N83.6 Haematosalpinx
Excl.:
haematosalpinx with:
N83.7 Haematoma of broad ligament
N83.8 Other noninflammatory disorders of ovary, fallopian tube and broad ligament
Incl.:
Broad ligament laceration syndrome [Allen-Masters]
N83.9 Noninflammatory disorder of ovary, fallopian tube and broad ligament, unspecified

N84 Polyp of female genital tract

Excl.:
adenomatous polyp ( D28.-)
placental polyp ( O90.8)
N84.0 Polyp of corpus uteri
Incl.:
Polyp of:
  • endometrium
  • uterus NOS
Excl.:
polypoid endometrial hyperplasia ( N85.0)
N84.1 Polyp of cervix uteri
Incl.:
Mucous polyp of cervix
N84.2 Polyp of vagina
N84.3 Polyp of vulva
Incl.:
Polyp of labia
N84.8 Polyp of other parts of female genital tract
N84.9 Polyp of female genital tract, unspecified

N85 Other noninflammatory disorders of uterus, except cervix

Excl.:
endometriosis ( N80.-)
inflammatory diseases of uterus ( N71.-)
noninflammatory disorders of cervix except malposition ( N86-N88)
polyp of corpus uteri ( N84.0)
uterine prolapse ( N81.-)
N85.0 Endometrial glandular hyperplasia
Incl.:
Hyperplasia of endometrium:
  • NOS
  • cystic
  • glandular-cystic
  • polypoid
N85.1 Endometrial adenomatous hyperplasia
Incl.:
Hyperplasia of endometrium, atypical (adenomatous)
N85.2 Hypertrophy of uterus
Incl.:
Bulky or enlarged uterus
Excl.:
puerperal hypertrophy of uterus ( O90.8)
N85.3 Subinvolution of uterus
Excl.:
puerperal subinvolution of uterus ( O90.8)
N85.4 Malposition of uterus
Incl.:
  • Anteversion
  • Retroflexion
  • Retroversion
  • of uterus
Excl.:
that complicating pregnancy, labour or delivery ( O34.5, O65.5)
N85.5 Inversion of uterus
Excl.:
current obstetric trauma ( O71.2)
postpartum inversion of uterus ( O71.2)
N85.6 Intrauterine synechiae
N85.7 Haematometra
Incl.:
Haematosalpinx with haematometra
Excl.:
haematometra with haematocolpos ( N89.7)
N85.8 Other specified noninflammatory disorders of uterus
Incl.:
Atrophy of uterus, acquired
Fibrosis of uterus NOS
N85.9 Noninflammatory disorder of uterus, unspecified
Incl.:
Disorder of uterus NOS

N86 Erosion and ectropion of cervix uteri

Incl.:
  • Decubitus (trophic) ulcer
  • Eversion
  • of cervix
Excl.:
with cervicitis ( N72)

N87 Dysplasia of cervix uteri

Excl.:
carcinoma in situ of cervix ( D06.-)
N87.0 Mild cervical dysplasia
Incl.:
Cervical intraepithelial neoplasia [CIN], grade I
Low grade squamous intraepithelial lesion (LSIL)
N87.1 Moderate cervical dysplasia
Incl.:
Cervical intraepithelial neoplasia [CIN], grade II
N87.2 Severe cervical dysplasia, not elsewhere classified
Incl.:
Severe cervical dysplasia NOS
Excl.:
cervical intraepithelial neoplasia [CIN], grade III, with or without mention of severe dysplasia ( D06.-)
N87.9 Dysplasia of cervix uteri, unspecified

N88 Other noninflammatory disorders of cervix uteri

Excl.:
inflammatory disease of cervix ( N72)
polyp of cervix ( N84.1)
N88.0 Leukoplakia of cervix uteri
N88.1 Old laceration of cervix uteri
Incl.:
Adhesions of cervix
Excl.:
current obstetric trauma ( O71.3)
N88.2 Stricture and stenosis of cervix uteri
Excl.:
complicating labour ( O65.5)
N88.3 Incompetence of cervix uteri
Incl.:
Investigation and management of (suspected) cervical incompetence in a nonpregnant woman
Excl.:
affecting fetus or newborn ( P01.0)
complicating pregnancy ( O34.3)
N88.4 Hypertrophic elongation of cervix uteri
N88.8 Other specified noninflammatory disorders of cervix uteri
Excl.:
current obstetric trauma ( O71.3)
N88.9 Noninflammatory disorder of cervix uteri, unspecified

N89 Other noninflammatory disorders of vagina

Excl.:
carcinoma in situ of vagina ( D07.2)
inflammation of vagina ( N76.-)
senile (atrophic) vaginitis ( N95.2)
trichomonal leukorrhoea ( A59.0)
N89.0 Mild vaginal dysplasia
Incl.:
Vaginal intraepithelial neoplasia [VAIN], grade I
N89.1 Moderate vaginal dysplasia
Incl.:
Vaginal intraepithelial neoplasia [VAIN], grade II
N89.2 Severe vaginal dysplasia, not elsewhere classified
Incl.:
Severe vaginal dysplasia NOS
Excl.:
vaginal intraepithelial neoplasia [VAIN], grade III, with or without mention of severe dysplasia ( D07.2)
N89.3 Dysplasia of vagina, unspecified
N89.4 Leukoplakia of vagina
N89.5 Stricture and atresia of vagina
Incl.:
Vaginal:
  • adhesions
  • stenosis
Excl.:
postoperative adhesions of vagina ( N99.2)
N89.6 Tight hymenal ring
Incl.:
Rigid hymen
Tight introitus
Excl.:
imperforate hymen ( Q52.3)
N89.7 Haematocolpos
Incl.:
Haematocolpos with haematometra or haematosalpinx
N89.8 Other specified noninflammatory disorders of vagina
Incl.:
Leukorrhoea NOS
Old vaginal laceration
Pessary ulcer of vagina
Excl.:
current obstetric trauma ( O70.-, O71.4, O71.7-O71.8)
old laceration involving muscles of pelvic floor ( N81.8)
N89.9 Noninflammatory disorder of vagina, unspecified

N90 Other noninflammatory disorders of vulva and perineum

Excl.:
carcinoma in situ of vulva ( D07.1)
current obstetric trauma ( O70.-, O71.7-O71.8)
inflammation of vulva ( N76.-)
N90.0 Mild vulvar dysplasia
Incl.:
Vulvar intraepithelial neoplasia [VIN], grade I
N90.1 Moderate vulvar dysplasia
Incl.:
Vulvar intraepithelial neoplasia [VIN], grade II
N90.2 Severe vulvar dysplasia, not elsewhere classified
Incl.:
Severe vulvar dysplasia NOS
Excl.:
vulvar intraepithelial neoplasia grade III, [VIN] with or without mention of severe dysplasia ( D07.1)
N90.3 Dysplasia of vulva, unspecified
N90.4 Leukoplakia of vulva
Incl.:
  • Dystrophy
  • Kraurosis
  • of vulva
N90.5 Atrophy of vulva
Incl.:
Stenosis of vulva
N90.6 Hypertrophy of vulva
Incl.:
Hypertrophy of labia
N90.7 Vulvar cyst
N90.8 Other specified noninflammatory disorders of vulva and perineum
Incl.:
Adhesions of vulva
Hypertrophy of clitoris
N90.9 Noninflammatory disorder of vulva and perineum, unspecified

N91 Absent, scanty and rare menstruation

Excl.:
ovarian dysfunction ( E28.-)
N91.0 Primary amenorrhoea
Additional Text

Failure to start menstruation at puberty.

N91.1 Secondary amenorrhoea
Additional Text

Absence of menstruation in a woman who had previously menstruated.

N91.2 Amenorrhoea, unspecified
Incl.:
Absence of menstruation NOS
N91.3 Primary oligomenorrhoea
Additional Text

Menstruation which is scanty or rare from the start.

N91.4 Secondary oligomenorrhoea
Additional Text

Scanty and rare menstruation in a woman with previously normal periods.

N91.5 Oligomenorrhoea, unspecified
Incl.:
Hypomenorrhoea NOS

N92 Excessive, frequent and irregular menstruation

Excl.:
postmenopausal bleeding ( N95.0)
N92.0 Excessive and frequent menstruation with regular cycle
Incl.:
Heavy periods NOS
Menorrhagia NOS
Polymenorrhoea
N92.1 Excessive and frequent menstruation with irregular cycle
Incl.:
Irregular intermenstrual bleeding
Irregular, shortened intervals between menstrual bleeding
Menometrorrhagia
Metrorrhagia
N92.2 Excessive menstruation at puberty
Incl.:
Excessive bleeding associated with onset of menstrual periods
Pubertal menorrhagia
Puberty bleeding
N92.3 Ovulation bleeding
Incl.:
Regular intermenstrual bleeding
N92.4 Excessive bleeding in the premenopausal period
Incl.:
Menorrhagia or metrorrhagia:
  • climacteric
  • menopausal
  • preclimacteric
  • premenopausal
N92.5 Other specified irregular menstruation
N92.6 Irregular menstruation, unspecified
Incl.:
Irregular:
  • bleeding NOS
  • periods NOS
Excl.:
irregular menstruation with:
  • lengthened intervals or scanty bleeding (N91.3-N91.5)
  • shortened intervals or excessive bleeding (N92.1)

N93 Other abnormal uterine and vaginal bleeding

Excl.:
neonatal vaginal haemorrhage ( P54.6)
pseudomenses ( P54.6)
N93.0 Postcoital and contact bleeding
N93.8 Other specified abnormal uterine and vaginal bleeding
Incl.:
Dysfunctional or functional uterine or vaginal bleeding NOS
N93.9 Abnormal uterine and vaginal bleeding, unspecified

N94 Pain and other conditions associated with female genital organs and menstrual cycle

N94.0 Mittelschmerz
N94.1 Dyspareunia
Excl.:
psychogenic dyspareunia ( F52.6)
N94.2 Vaginismus
Excl.:
psychogenic vaginismus ( F52.5)
N94.3 Premenstrual tension syndrome
N94.4 Primary dysmenorrhoea
N94.5 Secondary dysmenorrhoea
N94.6 Dysmenorrhoea, unspecified
N94.8 Other specified conditions associated with female genital organs and menstrual cycle
N94.9 Unspecified condition associated with female genital organs and menstrual cycle

N95 Menopausal and other perimenopausal disorders

Excl.:
excessive bleeding in the premenopausal period ( N92.4)
postmenopausal:
  • osteoporosis (M81.0)
  • osteoporosis
    • —  with pathological fracture (M80.0)
  • urethritis (N34.2)
premature menopause NOS ( E28.3)
N95.0 Postmenopausal bleeding
Excl.:
that associated with artificial menopause ( N95.3)
N95.1 Menopausal and female climacteric states
Incl.:
Symptoms such as flushing, sleeplessness, headache, lack of concentration, associated with menopause
Excl.:
those associated with artificial menopause ( N95.3)
N95.2 Postmenopausal atrophic vaginitis
Incl.:
Senile (atrophic) vaginitis
Excl.:
that associated with artificial menopause ( N95.3)
N95.3 States associated with artificial menopause
Incl.:
Post-artificial-menopause syndrome
N95.8 Other specified menopausal and perimenopausal disorders
N95.9 Menopausal and perimenopausal disorder, unspecified

N96 Habitual aborter

Incl.:
Investigation or care in a nonpregnant woman
Relative infertility
Excl.:
currently pregnant ( O26.2)
with current abortion ( O03-O06)

N97 Female infertility

Incl.:
inability to achieve a pregnancy
sterility, female NOS
Excl.:
relative infertility ( N96)
N97.0 Female infertility associated with anovulation
N97.1 Female infertility of tubal origin
Incl.:
Associated with congenital anomaly of tube
Tubal:
  • block
  • occlusion
  • stenosis
N97.2 Female infertility of uterine origin
Incl.:
Associated with congenital anomaly of uterus
Nonimplantation of ovum
N97.3 Female infertility of cervical origin
N97.4 Female infertility associated with male factors
N97.8 Female infertility of other origin
N97.9 Female infertility, unspecified

N98 Complications associated with artificial fertilization

N98.0 Infection associated with artificial insemination
N98.1 Hyperstimulation of ovaries
Incl.:
Hyperstimulation of ovaries:
  • NOS
  • associated with induced ovulation
N98.2 Complications of attempted introduction of fertilized ovum following in vitro fertilization
N98.3 Complications of attempted introduction of embryo in embryo transfer
N98.8 Other complications associated with artificial fertilization
Incl.:
Complications of artificial insemination by:
  • donor
  • husband
N98.9 Complication associated with artificial fertilization, unspecified