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

ICD-10 N89.7

Billable / Specific

Hematocolpos

N89
Block
1
Synonyms
14
LCDs
3
Payer Policies
0
Linked CPTs

About ICD-10-CM N89.7

ICD-10-CM code N89.7 represents Hematocolpos. This is a billable/specific code in the Genitourinary System chapter (block N89). The 2026 edition of ICD-10-CM N89.7 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under N89.7. Per CMS ICD-10-CM Tabular 2026.

  • Hematocolpos with hematometra or hematosalpinx

Medicare LCD Coverage for N89.7

Local Coverage Determinations (LCDs) from CMS MACs that list N89.7 as a covered diagnosis.

14 LCDs

Showing top 10 of 14 total . Click a CPT for full coverage scope.

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 →
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 11982 →
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 J3316 →
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 J9218 →
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 11981 →
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 J9219 →
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 11983 →
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 96402 →
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 J1952 →
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 J1954 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing N89.7.

3 policies

1 Medicare

Billing and Coding: Luteinizing Hormone-Releasing Hormone (LHRH) Analogs
Policy ID: ART-52453

2 Aetna

Cervical Cancer Screening and Diagnosis
Policy ID: CPB-0443
Progestins
Policy ID: CPB-0510

CPT Codes Commonly Billed with N89.7

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

No procedure linkages on file for N89.7

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 N89.7 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
N89.7 6268 10000

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

ICD-10 N89.7, Billing FAQ

Is ICD-10 code N89.7 billable? +

Yes, N89.7 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 N89.7? +

ICD-10 N89.7 includes: Hematocolpos with hematometra or hematosalpinx.

What ICD-9 codes does N89.7 map to? +

Per CMS GEMs, N89.7 maps to ICD-9 codes: 6268. 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 3, 2026.

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