ICD-10 Coding for History of Endometriosis(Z87.42, Z87.42B, Z87.42N)
Learn about the ICD-10 code Z87.42 for history of endometriosis, including documentation requirements and coding guidelines.
Complete code families applicable to History of Endometriosis
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z87.42 | Personal history of endometriosis | Use when the patient has a history of endometriosis that is no longer active. |
|
| N80.x | Endometriosis | Use when there is active disease with symptoms or treatment. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information
Essential facts and insights aboutHistory of Endometriosis
Alternative codes to consider when ruling out similar conditions
Documentation & Coding Risks
Avoid these common issues when documenting History of Endometriosis.
Failing to document resolution of endometriosis.
Impact
Clinical: Misrepresentation of patient's current health status., Regulatory: Potential audit issues., Financial: Incorrect billing and potential claim denials.
Mitigation
Ensure thorough documentation of surgical history and current status.
Using Z87.42 for active endometriosis cases.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation
Use N80.x codes for active cases.
Incorrect use of history codes
Impact
Using history codes for active conditions.
Mitigation
Regular training and audits to ensure correct code usage.