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

ICD-10 N80.03

Billable / Specific

Adenomyosis of the uterus

N80
Block
1
Synonyms
35
LCDs
5
Payer Policies
1
Linked CPTs

About ICD-10-CM N80.03

ICD-10-CM code N80.03 represents Adenomyosis of the uterus. This is a billable/specific code in the Genitourinary System chapter (block N80). The 2026 edition of ICD-10-CM N80.03 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under N80.03. Per CMS ICD-10-CM Tabular 2026.

  • Adenomyosis NOS

Medicare LCD Coverage for N80.03

Local Coverage Determinations (LCDs) from CMS MACs that list N80.03 as a covered diagnosis.

35 LCDs

Showing top 10 of 35 total . 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 →
CMS LCD: Billing and Coding: Luteinizing Hormone-Releasing Hormone (LHRH) Analogs
Article ID: 52453, Effective: 2025-10-01 00:00:00, 207 covered, 0 non-covered
CPT J9202 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing N80.03.

5 policies

3 Medicare

Billing and Coding: Luteinizing Hormone-Releasing Hormone (LHRH) Analogs
Policy ID: ART-52453
Billing and Coding: CT of the Abdomen and Pelvis
Policy ID: ART-56421
Billing and Coding: Luteinizing Hormone-Releasing Hormone (LHRH) Analogs
Policy ID: ART-59160

2 Aetna

Progestins
Policy ID: CPB-0510
Transvaginal Ultrasonography
Policy ID: CPB-0530

CPT Codes Commonly Billed with N80.03

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

1 linkages
  • 58558 Hysteroscopy with biopsy — menorrhagia, irregular menses, excessive menstruation, endometrial polyp, endometrial hyperplasia, uterine fibroid, endometriosis of uterus, abnormal uterine bleeding OB/GYN

ICD-10 N80.03, Billing FAQ

Is ICD-10 code N80.03 billable? +

Yes, N80.03 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to N80.03? +

ICD-10 N80.03 includes: Adenomyosis NOS.

What CPT codes are commonly billed with N80.03? +

Procedures frequently paired with N80.03 include: 58558.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 2, 2026.

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