Endometriosis Documentation Guide
Chronic condition where endometrial-like tissue grows outside the uterus causing pain and infertility.
ICD-10 Codes: N80.0, N80.1, N80.2, N80.3, N80.4, N80.5, N80.6, N80.8, N80.9
Common Symptoms
- Chronic pelvic pain
- Dysmenorrhea
- Dyspareunia
- Infertility
- Painful bowel movements
Key Documentation Elements
- Suspected or confirmed endometriosis sites
- Surgical staging (rASRM I-IV) when applicable
- Pain assessment (VAS, impact on daily activities)
- Current hormonal management (OCP, GnRH agonist, dienogest)
- Fertility status and reproductive planning
Documentation Challenges
- Documenting rASRM staging when surgical findings available
- Recording pain severity and menstrual pattern assessment
- Capturing hormonal therapy rationale and response
- Tracking fertility preservation discussions and interventions
Billing Considerations
- Site-specific coding (N80.0 uterus, N80.1 ovary, N80.3 pelvic peritoneum)
- Surgical treatment and staging procedure billing
- Chronic pain management complexity for E&M level
Frequently Asked Questions
How is endometriosis coded by site?
Endometriosis uses site-specific codes: N80.0 (uterus), N80.1 (ovary), N80.2 (fallopian tube), N80.3 (pelvic peritoneum), N80.4 (rectovaginal septum), N80.5 (intestine). Scribeable maps to the correct site from your documentation.
How does Scribeable support endometriosis management?
Scribeable captures pain assessments, hormonal therapy details, surgical findings, staging, and fertility discussions from your encounter, creating comprehensive endometriosis management documentation.