ICD-10 N85
Non-Billable HeaderOther noninflammatory disorders of uterus, except cervix
About ICD-10-CM N85
ICD-10-CM code N85 represents Other noninflammatory disorders of uterus, except cervix. This is a non-billable header code in the Genitourinary System chapter (block N85). The 2026 edition of ICD-10-CM N85 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 1 Excludes
Pure excludes, these codes can never be coded together with N85. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- endometriosis (N80.-)
- inflammatory diseases of uterus (N71.-)
- noninflammatory disorders of cervix, except malposition (N86-N88)
- polyp of corpus uteri (N84.0)
- uterine prolapse (N81.-)
Medicare LCD Coverage for N85
Local Coverage Determinations (LCDs) from CMS MACs that list N85 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing N85.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but N85 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with N85
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
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.
Codes Adjacent To N85
Other codes in section N80-N98 (Noninflammatory disorders of female genital tract).
ICD-10 N85, Billing FAQ
Is ICD-10 code N85 billable? +
No, N85 is a non-billable header code. Use a more specific child code from block N85 when submitting claims.
What codes are Type 1 Excludes for N85? +
Type 1 Excludes (never code together with N85): endometriosis (N80.-); inflammatory diseases of uterus (N71.-); noninflammatory disorders of cervix, except malposition (N86-N88)
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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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