N80.A43
N80.A43 — Superficial endometriosis of bilateral ureters
Billable / specific codeICD-10-CMbilateral
N80.A43 is a billable, specific ICD-10-CM code for superficial endometriosis of bilateral ureters. It is valid for submission on a claim.
Risk adjustment
N80.A43 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
N80.A43 is named in 7 Medicare coverage policies — 7 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52453Billing and Coding: Luteinizing Hormone-Releasing Hormone (LHRH) Analogs
- A52453Billing and Coding: Luteinizing Hormone-Releasing Hormone (LHRH) Analogs
- A55336Billing and Coding: Retroperitoneal Ultrasound
- A56421Billing and Coding: CT of the Abdomen and Pelvis
Code history
N80.A43 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share N80.A4. If N80.A43 is not quite right, the correct code is usually one of these.
Questions about N80.A43
- Is N80.A43 a billable ICD-10-CM code?
- Yes. N80.A43 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does N80.A43 sit in the tabular list?
- Diseases of the genitourinary system (N00-N99), in the block Noninflammatory disorders of female genital tract (N80-N98).