Chapter XIV

Diseases of the genitourinary system
(N00-N99)

Noninflammatory disorders of female genital tract
(N80-N98)

N80 Endometriosis
N80.0 Endometriosis of uterus
Adenomyosis
N80.1 Endometriosis of ovary
N80.2 Endometriosis of fallopian tube
N80.3 Endometriosis of pelvic peritoneum
N80.4 Endometriosis of rectovaginal septum and vagina
N80.5 Endometriosis of intestine
N80.6 Endometriosis in cutaneous scar
N80.8 Other endometriosis
N80.9 Endometriosis, unspecified

N81 Female genital prolapse
Excludes: genital prolapse complicating pregnancy, labour or delivery ( O34.5 )
prolapse and hernia of ovary and fallopian tube ( N83.4 )
prolapse of vaginal vault after hysterectomy ( N99.3 )
N81.0 Female urethrocele
Excludes: urethrocele with:
· cystocele ( N81.1 )
· prolapse of uterus ( N81.2-N81.4 )
N81.1 Cystocele
Cystocele with urethrocele
Prolapse of (anterior) vaginal (wall) NOS
Excludes: cystocele with prolapse of uterus ( N81.2-N81.4 )
N81.2 Incomplete uterovaginal prolapse
Prolapse of cervix NOS
Uterine prolapse:
· first degree
· second degree
N81.3 Complete uterovaginal prolapse
Procidentia (uteri) NOS
Third degree uterine prolapse
N81.4 Uterovaginal prolapse, unspecified
Prolapse of uterus NOS
N81.5 Vaginal enterocele
Excludes: enterocele with prolapse of uterus ( N81.2-N81.4 )
N81.6 Rectocele
Prolapse of posterior vaginal wall
Excludes: rectal prolapse ( K62.3 )
rectocele with prolapse of uterus ( N81.2-N81.4 )
N81.8 Other female genital prolapse
Deficient perineum
Old laceration of muscles of pelvic floor
N81.9 Female genital prolapse, unspecified

N82 Fistulae involving female genital tract
Excludes: vesicointestinal fistulae ( N32.1 )
N82.0 Vesicovaginal fistula
N82.1 Other female urinary-genital tract fistulae
Fistula:
· cervicovesical
· ureterovaginal
· urethrovaginal
· uteroureteric
· uterovesical
N82.2 Fistula of vagina to small intestine
N82.3 Fistula of vagina to large intestine
Rectovaginal fistula
N82.4 Other female intestinal-genital tract fistulae
Intestinouterine fistula
N82.5 Female genital tract-skin fistulae
Fistula:
· uterus to abdominal wall
· vaginoperineal
N82.8 Other female genital tract fistulae
N82.9 Female genital tract fistula, unspecified

N83 Noninflammatory disorders of ovary, fallopian tube and broad ligament
Excludes: hydrosalpinx ( N70.1 )
N83.0 Follicular cyst of ovary
Cyst of graafian follicle
Haemorrhagic follicular cyst (of ovary)
N83.1 Corpus luteum cyst
Haemorrhagic corpus luteum cyst
N83.2 Other and unspecified ovarian cysts
Retention cyst
Simple cyst
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of ovary
Excludes: ovarian cyst:
· developmental ( Q50.1 )
· neoplastic ( D27 )
polycystic ovarian syndrome ( E28.2 )
N83.3 Acquired atrophy of ovary and fallopian tube
N83.4 Prolapse and hernia of ovary and fallopian tube
N83.5 Torsion of ovary, ovarian pedicle and fallopian tube
Torsion:
· accessory tube
· hydatid of Morgagni
N83.6 Haematosalpinx
Excludes: haematosalpinx with:
· haematocolpos ( N89.7 )
· haematometra ( N85.7 )
N83.7 Haematoma of broad ligament
N83.8 Other noninflammatory disorders of ovary, fallopian tube and broad ligament
Broad ligament laceration syndrome [Allen-Masters]
N83.9 Noninflammatory disorder of ovary, fallopian tube and broad ligament, unspecified

N84 Polyp of female genital tract
Excludes: adenomatous polyp ( D28.- )
placental polyp ( O90.8 )
N84.0 Polyp of corpus uteri
Polyp of:
· endometrium
· uterus NOS
Excludes: polypoid endometrial hyperplasia ( N85.0 )
N84.1 Polyp of cervix uteri
Mucous polyp of cervix
N84.2 Polyp of vagina
N84.3 Polyp of vulva
Polyp of labia
N84.8 Polyp of other parts of female genital tract
N84.9 Polyp of female genital tract, unspecified

N85 Other noninflammatory disorders of uterus, except cervix
Excludes: endometriosis ( N80.- )
inflammatory diseases of uterus ( N71.- )
noninflammatory disorders of cervix ( N86-N88 )
polyp of corpus uteri ( N84.0 )
uterine prolapse ( N81.- )
N85.0 Endometrial glandular hyperplasia
Hyperplasia of endometrium:
· NOS
· cystic
· glandular-cystic
· polypoid
N85.1 Endometrial adenomatous hyperplasia
Hyperplasia of endometrium, atypical (adenomatous)
N85.2 Hypertrophy of uterus
Bulky or enlarged uterus
Excludes: puerperal hypertrophy of uterus ( O90.8 )
N85.3 Subinvolution of uterus
Excludes: puerperal subinvolution of uterus ( O90.8 )
N85.4 Malposition of uterus
Anteversion
Retroflexion
Retroversion
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of uterus
Excludes: that complicating pregnancy, labour or delivery ( O34.5 , O65.5 )
N85.5 Inversion of uterus
Excludes: current obstetric trauma ( O71.2 )
postpartum inversion of uterus ( O71.2 )
N85.6 Intrauterine synechiae
N85.7 Haematometra
Haematosalpinx with haematometra
Excludes: haematometra with haematocolpos ( N89.7 )
N85.8 Other specified noninflammatory disorders of uterus
Atrophy of uterus, acquired
Fibrosis of uterus NOS
N85.9 Noninflammatory disorder of uterus, unspecified
Disorder of uterus NOS

N86 Erosion and ectropion of cervix uteri
Decubitus (trophic) ulcer
Eversion
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of cervix
Excludes: with cervicitis ( N72 )

N87 Dysplasia of cervix uteri
Excludes: carcinoma in situ of cervix ( D06.- )
N87.0 Mild cervical dysplasia
Cervical intraepithelial neoplasia [CIN], grade I
N87.1 Moderate cervical dysplasia
Cervical intraepithelial neoplasia [CIN], grade II
N87.2 Severe cervical dysplasia, not elsewhere classified
Severe cervical dysplasia NOS
Excludes: cervical intraepithelial neoplasia [CIN], grade III, with or without mention of severe dysplasia ( D06.- )
N87.9 Dysplasia of cervix uteri, unspecified

N88 Other noninflammatory disorders of cervix uteri
Excludes: inflammatory disease of cervix ( N72 )
polyp of cervix ( N84.1 )
N88.0 Leukoplakia of cervix uteri
N88.1 Old laceration of cervix uteri
Adhesions of cervix
Excludes: current obstetric trauma ( O71.3 )
N88.2 Stricture and stenosis of cervix uteri
Excludes: complicating labour ( O65.5 )
N88.3 Incompetence of cervix uteri
Investigation and management of (suspected) cervical incompetence in a nonpregnant woman
Excludes: affecting fetus or newborn ( P01.0 )
complicating pregnancy ( O34.3 )
N88.4 Hypertrophic elongation of cervix uteri
N88.8 Other specified noninflammatory disorders of cervix uteri
Excludes: current obstetric trauma ( O71.3 )
N88.9 Noninflammatory disorder of cervix uteri, unspecified

N89 Other noninflammatory disorders of vagina
Excludes: carcinoma in situ of vagina ( D07.2 )
inflammation of vagina ( N76.- )
senile (atrophic) vaginitis ( N95.2 )
trichomonal leukorrhoea ( A59.0 )
N89.0 Mild vaginal dysplasia
Vaginal intraepithelial neoplasia [VAIN], grade I
N89.1 Moderate vaginal dysplasia
Vaginal intraepithelial neoplasia [VAIN], grade II
N89.2 Severe vaginal dysplasia, not elsewhere classified
Severe vaginal dysplasia NOS
Excludes: vaginal intraepithelial neoplasia [VAIN], grade III, with or without mention of severe dysplasia ( D07.2 )
N89.3 Dysplasia of vagina, unspecified
N89.4 Leukoplakia of vagina
N89.5 Stricture and atresia of vagina
Vaginal:
· adhesions
· stenosis
Excludes: postoperative adhesions of vagina ( N99.2 )
N89.6 Tight hymenal ring
Rigid hymen
Tight introitus
Excludes: imperforate hymen ( Q52.3 )
N89.7 Haematocolpos
Haematocolpos with haematometra or haematosalpinx
N89.8 Other specified noninflammatory disorders of vagina
Leukorrhoea NOS
Old vaginal laceration
Pessary ulcer of vagina
Excludes: current obstetric trauma ( O70.- , O71.4 , O71.7-O71.8 )
old laceration involving muscles of pelvic floor ( N81.8 )
N89.9 Noninflammatory disorder of vagina, unspecified

N90 Other noninflammatory disorders of vulva and perineum
Excludes: carcinoma in situ of vulva ( D07.1 )
current obstetric trauma ( O70.- , O71.7-O71.8 )
inflammation of vulva ( N76.- )
N90.0 Mild vulvar dysplasia
Vulvar intraepithelial neoplasia [VIN], grade I
N90.1 Moderate vulvar dysplasia
Vulvar intraepithelial neoplasia [VIN], grade II
N90.2 Severe vulvar dysplasia, not elsewhere classified
Severe vulvar dysplasia NOS
Excludes: vulvar intraepithelial neoplasia grade III, [VIN] with or without mention of severe dysplasia ( D07.1 )
N90.3 Dysplasia of vulva, unspecified
N90.4 Leukoplakia of vulva
Dystrophy
Kraurosis
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of vulva
N90.5 Atrophy of vulva
Stenosis of vulva
N90.6 Hypertrophy of vulva
Hypertrophy of labia
N90.7 Vulvar cyst
N90.8 Other specified noninflammatory disorders of vulva and perineum
Adhesions of vulva
Hypertrophy of clitoris
N90.9 Noninflammatory disorder of vulva and perineum, unspecified

N91 Absent, scanty and rare menstruation
Excludes: ovarian dysfunction ( E28.- )
N91.0 Primary amenorrhoea
Failure to start menstruation at puberty.
N91.1 Secondary amenorrhoea
Absence of menstruation in a woman who had previously menstruated.
N91.2 Amenorrhoea, unspecified
Absence of menstruation NOS
N91.3 Primary oligomenorrhoea
Menstruation which is scanty or rare from the start.
N91.4 Secondary oligomenorrhoea
Scanty and rare menstruation in a woman with previously normal periods.
N91.5 Oligomenorrhoea, unspecified
Hypomenorrhoea NOS

N92 Excessive, frequent and irregular menstruation
Excludes: postmenopausal bleeding ( N95.0 )
N92.0 Excessive and frequent menstruation with regular cycle
Heavy periods NOS
Menorrhagia NOS
Polymenorrhoea
N92.1 Excessive and frequent menstruation with irregular cycle
Irregular intermenstrual bleeding
Irregular, shortened intervals between menstrual bleeding
Menometrorrhagia
Metrorrhagia
N92.2 Excessive menstruation at puberty
Excessive bleeding associated with onset of menstrual periods
Pubertal menorrhagia
Puberty bleeding
N92.3 Ovulation bleeding
Regular intermenstrual bleeding
N92.4 Excessive bleeding in the premenopausal period
Menorrhagia or metrorrhagia:
· climacteric
· menopausal
· preclimacteric
· premenopausal
N92.5 Other specified irregular menstruation
N92.6 Irregular menstruation, unspecified
Irregular:
· bleeding NOS
· periods NOS
Excludes: irregular menstruation with:
· lengthened intervals or scanty bleeding ( N91.3-N91.5 )
· shortened intervals or excessive bleeding ( N92.1 )

N93 Other abnormal uterine and vaginal bleeding
Excludes: neonatal vaginal haemorrhage ( P54.6 )
pseudomenses ( P54.6 )
N93.0 Postcoital and contact bleeding
N93.8 Other specified abnormal uterine and vaginal bleeding
Dysfunctional or functional uterine or vaginal bleeding NOS
N93.9 Abnormal uterine and vaginal bleeding, unspecified

N94 Pain and other conditions associated with female genital organs and menstrual cycle
N94.0 Mittelschmerz
N94.1 Dyspareunia
Excludes: psychogenic dyspareunia ( F52.6 )
N94.2 Vaginismus
Excludes: psychogenic vaginismus ( F52.5 )
N94.3 Premenstrual tension syndrome
N94.4 Primary dysmenorrhoea
N94.5 Secondary dysmenorrhoea
N94.6 Dysmenorrhoea, unspecified
N94.8 Other specified conditions associated with female genital organs and menstrual cycle
N94.9 Unspecified condition associated with female genital organs and menstrual cycle

N95 Menopausal and other perimenopausal disorders
Excludes: excessive bleeding in the premenopausal period ( N92.4 )
postmenopausal:
· osteoporosis ( M81.0 )
  · with pathological fracture ( M80.0 )
· urethritis ( N34.2 )
premature menopause NOS ( E28.3 )
N95.0 Postmenopausal bleeding
Excludes: that associated with artificial menopause ( N95.3 )
N95.1 Menopausal and female climacteric states
Symptoms such as flushing, sleeplessness, headache, lack of concentration, associated with menopause
Excludes: those associated with artificial menopause ( N95.3 )
N95.2 Postmenopausal atrophic vaginitis
Senile (atrophic) vaginitis
Excludes: that associated with artificial menopause ( N95.3 )
N95.3 States associated with artificial menopause
Post-artificial-menopause syndrome
N95.8 Other specified menopausal and perimenopausal disorders
N95.9 Menopausal and perimenopausal disorder, unspecified

N96 Habitual aborter
Investigation or care in a nonpregnant woman
Relative infertility
Excludes: currently pregnant ( O26.2 )
with current abortion ( O03-O06 )

N97 Female infertility
Includes: inability to achieve a pregnancy
sterility, female NOS
Excludes: relative infertility ( N96 )
N97.0 Female infertility associated with anovulation
N97.1 Female infertility of tubal origin
Associated with congenital anomaly of tube
Tubal:
· block
· occlusion
· stenosis
N97.2 Female infertility of uterine origin
Associated with congenital anomaly of uterus
Nonimplantation of ovum
N97.3 Female infertility of cervical origin
N97.4 Female infertility associated with male factors
N97.8 Female infertility of other origin
N97.9 Female infertility, unspecified

N98 Complications associated with artificial fertilization
N98.0 Infection associated with artificial insemination
N98.1 Hyperstimulation of ovaries
Hyperstimulation of ovaries:
· NOS
· associated with induced ovulation
N98.2 Complications of attempted introduction of fertilized ovum following in vitro fertilization
N98.3 Complications of attempted introduction of embryo in embryo transfer
N98.8 Other complications associated with artificial fertilization
Complications of artificial insemination by:
· donor
· husband
N98.9 Complication associated with artificial fertilization, unspecified


Processed on 29.10.2004 M.S. Source: World Health Organization © Copyright WHO/DIMDI 1994/2004