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

ICD-10 N85.02

Billable / Specific

Endometrial intraepithelial neoplasia [EIN]

N85
Block
1
Synonyms
10
LCDs
4
Payer Policies
1
Linked CPTs

About ICD-10-CM N85.02

ICD-10-CM code N85.02 represents Endometrial intraepithelial neoplasia [EIN]. This is a billable/specific code in the Genitourinary System chapter (block N85). The 2026 edition of ICD-10-CM N85.02 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under N85.02. Per CMS ICD-10-CM Tabular 2026.

  • Endometrial hyperplasia with atypia

Type 1 Excludes

Pure excludes, these codes can never be coded together with N85.02. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • malignant neoplasm of endometrium (with endometrial intraepithelial neoplasia [EIN]) (C54.1)

Medicare LCD Coverage for N85.02

Local Coverage Determinations (LCDs) from CMS MACs that list N85.02 as a covered diagnosis.

10 LCDs

Showing top 10. 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: Endometrial Hyperplasia Treatment
Article ID: 53043, Effective: 2023-01-01 00:00:00, 4 covered, 0 non-covered
CPT 58999 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing N85.02.

4 policies

3 Medicare

Billing and Coding: Endometrial Hyperplasia Treatment
Policy ID: ART-53043
Billing and Coding: CT of the Abdomen and Pelvis
Policy ID: ART-56421
Billing and Coding: IUD (Hormone-Eluting) for Endometrial Hyperplasia - CPT 58999
Policy ID: ART-58649

1 Aetna

Endometrial Cancer Screening, Diagnosis, and Prognosis
Policy ID: CPB-0769

CPT Codes Commonly Billed with N85.02

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

1 linkages
  • 58999 CMS LCD: Billing and Coding: Endometrial Hyperplasia Treatment CMS LCD

Convert N85.02 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
N85.02 62133 10000
N85.02 62135 10000

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

ICD-10 N85.02, Billing FAQ

Is ICD-10 code N85.02 billable? +

Yes, N85.02 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 N85.02? +

ICD-10 N85.02 includes: Endometrial hyperplasia with atypia.

What codes are Type 1 Excludes for N85.02? +

Type 1 Excludes (never code together with N85.02): malignant neoplasm of endometrium (with endometrial intraepithelial neoplasia [EIN]) (C54.1)

What CPT codes are commonly billed with N85.02? +

Procedures frequently paired with N85.02 include: 58999.

What ICD-9 codes does N85.02 map to? +

Per CMS GEMs, N85.02 maps to ICD-9 codes: 62133, 62135. Useful for legacy data review and historical claim analysis.

Get the full PayerReady toolkit

Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.

Start free →

Run this code through our claim audit tool

Check NCCI bundling, MUE limits, and modifier logic before submission.

Try the auditor →

Did this page help?

Quick signal so we know what to improve.

Thanks!

If you want a code reference page that doesn't exist yet, email coding@payerready.com.

Sorry to hear that.

Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.

Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team

Faster Approvals

Ready to Cut Your Enrollment Timeline in Half?

Join providers in all 50 states who handed off credentialing to a dedicated specialist. Create your free account in minutes and start enrolling the same day.

All 50 States Covered
No Long-Term Contracts
HIPAA HIPAA Compliant Platform
Dedicated Specialist Included