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

ICD-10 N83.6

Billable / Specific

Hematosalpinx

N83
Block
0
Synonyms
56
LCDs
3
Payer Policies
0
Linked CPTs

About ICD-10-CM N83.6

ICD-10-CM code N83.6 represents Hematosalpinx. This is a billable/specific code in the Genitourinary System chapter (block N83). The 2026 edition of ICD-10-CM N83.6 became effective on October 1, 2025.

Type 1 Excludes

Pure excludes, these codes can never be coded together with N83.6. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • hematosalpinx (with) (in):
  • hematocolpos (N89.7)
  • hematometra (N85.7)
  • tubal pregnancy (O00.1-)

Medicare LCD Coverage for N83.6

Local Coverage Determinations (LCDs) from CMS MACs that list N83.6 as a covered diagnosis.

56 LCDs

Showing top 10 of 56 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: Non-Invasive Vascular Studies
Article ID: 56758, Effective: 2025-10-01 00:00:00, 2110 covered, 0 non-covered
CPT 93924 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing N83.6.

3 policies

3 Medicare

Billing and Coding: CT of the Abdomen and Pelvis
Policy ID: ART-56421
Billing and Coding: Non-Invasive Vascular Studies
Policy ID: ART-56697
Billing and Coding: Non-Invasive Vascular Studies
Policy ID: ART-56758

CPT Codes Commonly Billed with N83.6

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

No procedure linkages on file for N83.6

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 N83.6 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
N83.6 6208 10000

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

ICD-10 N83.6, Billing FAQ

Is ICD-10 code N83.6 billable? +

Yes, N83.6 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 N83.6? +

Type 1 Excludes (never code together with N83.6): hematosalpinx (with) (in):; hematocolpos (N89.7); hematometra (N85.7)

What ICD-9 codes does N83.6 map to? +

Per CMS GEMs, N83.6 maps to ICD-9 codes: 6208. 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 May 31, 2026.

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