N80.42

Documentation support

General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.

• •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.

Associated MS-DRGs

N80.42 can serve as the principal diagnosis for these Medicare Severity Diagnosis-Related Groups.

Informational only — actual DRG assignment also depends on procedures, complications/comorbidities (CC/MCC), discharge status, and payer-specific rules not reflected here.

• DRG 729Other Male Reproductive System Diagnoses with CC/MCC
• DRG 730Other Male Reproductive System Diagnoses without CC/MCC
• DRG 742Uterine and Adnexa Procedures for Non-Malignancy with CC/MCC
• DRG 743Uterine and Adnexa Procedures for Non-Malignancy without CC/MCC
• DRG 760Menstrual and Other Female Reproductive System Disorders with CC/MCC
• DRG 761Menstrual and Other Female Reproductive System Disorders without CC/MCC