ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 N74

Billable / Specific

Female pelvic inflammatory disorders in diseases classified elsewhere

N74
Block
0
Synonyms
9
LCDs
1
Payer Policies
0
Linked CPTs

About ICD-10-CM N74

ICD-10-CM code N74 represents Female pelvic inflammatory disorders in diseases classified elsewhere. This is a billable/specific code in the Genitourinary System chapter (block N74). The 2026 edition of ICD-10-CM N74 became effective on October 1, 2025.

Type 1 Excludes

Pure excludes, these codes can never be coded together with N74. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • chlamydial cervicitis (A56.02)
  • chlamydial pelvic inflammatory disease (A56.11)
  • gonococcal cervicitis (A54.03)
  • gonococcal pelvic inflammatory disease (A54.24)
  • herpesviral [herpes simplex] cervicitis (A60.03)
  • herpesviral [herpes simplex] pelvic inflammatory disease (A60.09)
  • syphilitic cervicitis (A52.76)
  • syphilitic pelvic inflammatory disease (A52.76)
  • trichomonal cervicitis (A59.09)
  • tuberculous cervicitis (A18.16)
  • tuberculous pelvic inflammatory disease (A18.17)

Coding Notes

Code First

  • underlying disease

Medicare LCD Coverage for N74

Local Coverage Determinations (LCDs) from CMS MACs that list N74 as a covered diagnosis.

9 LCDs

Showing top 9. Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74170 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74177 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74160 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74178 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74150 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72194 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74176 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72192 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72193 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing N74.

1 policies

1 Medicare

Billing and Coding: CT of the Abdomen and Pelvis
Policy ID: ART-56421

CPT Codes Commonly Billed with N74

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for N74

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert N74 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
N74 6148 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 N74, Billing FAQ

Is ICD-10 code N74 billable? +

Yes, N74 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What codes are Type 1 Excludes for N74? +

Type 1 Excludes (never code together with N74): chlamydial cervicitis (A56.02); chlamydial pelvic inflammatory disease (A56.11); gonococcal cervicitis (A54.03)

What ICD-9 codes does N74 map to? +

Per CMS GEMs, N74 maps to ICD-9 codes: 6148. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 1, 2026.

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