N97.2
Female infertility of uterine origin
Clinical Classification Guidelines
Inclusion Terms
- Female infertility associated with congenital anomaly of uterus
- Female infertility due to nonimplantation of ovum
Medical Intelligence & Overview
Female infertility of uterine origin, classified under ICD-10 code N97.2, refers to difficulties in conceiving caused by issues related directly to the uterus. This condition can stem from congenital anomalies or problems that interfere with implantation and pregnancy development. It is an important diagnosis for women experiencing infertility where reproductive problems are linked specifically to uterine health or structure.
Causes & Symptoms
Clinical Causes: Congenital uterine anomalies, such as septate uterus, bicornuate uterus, or unicornuate uterus Nonimplantation of the ovum, which can be due to an inhospitable uterine environment or other structural issues Uterine scars or adhesions, often from previous surgeries, infections, or trauma Endometrial abnormalities preventing proper implantation Presence of fibroids or polyps that interfere with the uterine cavity Uterine malformations identified during imaging or surgical procedures
Key Symptoms: Difficulty conceiving despite regular sexual intercourse Recurrent pregnancy loss or miscarriage Irregular or abnormal uterine bleeding Pelvic pain or discomfort (less common) No specific symptoms; often diagnosed during fertility assessments
Diagnostic & Treatment
Diagnosis Path: Pelvic ultrasound, including 3D imaging, to visualize uterine structure Hysterosalpingography (HSG) to assess uterine cavity and fallopian tube patency Sonohysterography (saline infusion sonography) for detailed cavity evaluation Hysteroscopy, a minimally invasive procedure to directly visualize the uterine cavity Magnetic Resonance Imaging (MRI) for comprehensive pelvic imaging Genetic and laboratory tests if congenital anomalies are suspected
Treatment Protocols: Surgical correction of congenital anomalies, such as septum resection or removal of uterine polyps and fibroids Hysteroscopic procedures to remove adhesions or abnormal tissue Assisted reproductive techniques (ART) including in vitro fertilization (IVF) to bypass issues with implantation Hormonal treatments if hormonal imbalances contribute to uterine problems Use of hysterosonography or other imaging-guided interventions to improve uterine receptivity
Clinical Advice & FAQs
Billing Guidance
Is N97.2 a billable ICD-10 code?
Yes, N97.2 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report N97.2?
Clinical documentation must specify the nature of Female infertility of uterine origin and any associated comorbidities for accurate reporting.
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