Content reviewed by Ann Dietrich, MD, FAAP, FACEP
ICD-10 Code Category: N80
Endometriosis is a chronic gynecological condition affecting millions of women worldwide.
It occurs when tissue similar to the lining inside the uterus (endometrium) grows outside the uterus, causing pain, irregular bleeding, and often leading to infertility.
For nurses, understanding endometriosis, its symptoms, diagnostic criteria, and management strategies is essential to providing comprehensive care to affected patients.
This article explores the ICD-10 codes related to endometriosis and their application in nursing practice.
Key ICD-10 Codes for Endometriosis
- N80.0 – Endometriosis of uterus
- 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
Detailed descriptions and nursing applications
N80.0 – Endometriosis of Uterus
Description: This code represents endometriosis affecting the uterine tissue. Patients may experience severe dysmenorrhea (painful periods) and chronic pelvic pain.
Nursing application: Nurses should focus on pain management strategies, including medication administration, lifestyle modifications, and providing education on coping mechanisms. Encouraging the use of heat therapy and relaxation techniques can also be beneficial.
N80.1 – Endometriosis of Ovary
Description: Endometriosis affecting the ovaries often leads to the formation of endometriomas or "chocolate cysts," which can cause significant pain and impact fertility.
Nursing application: Monitoring for signs of cyst rupture and infection is crucial. Nurses should educate patients on recognizing symptoms of complications and emphasize the importance of regular gynecological check-ups.
N80.2 – Endometriosis of Fallopian Tube
Description: This type involves endometrial tissue in the fallopian tubes, potentially leading to tubal obstruction and infertility.
Nursing application: Nurses should provide support for patients undergoing fertility treatments and educate them on alternative reproductive options. Emotional support and counseling may also be necessary for those dealing with infertility issues.
N80.3 – Endometriosis of Pelvic Peritoneum
Description: When endometrial tissue is found on the pelvic peritoneum, it can cause widespread pelvic pain and adhesions.
Nursing application: Pain assessment and management are critical. Nurses should work with patients to develop a pain management plan, which may include pharmacologic and non-pharmacologic interventions.
N80.4 – Endometriosis of Rectovaginal Septum and Vagina
Description: This code indicates endometriosis affecting the tissue between the rectum and vagina, leading to severe pain during intercourse and bowel movements.
Nursing application: Nurses should educate patients on the importance of pelvic floor exercises and provide referrals to physical therapy if necessary. Encouraging open communication with partners about the condition's impact on sexual health is also important.
N80.5 – Endometriosis of Intestine
Description: Endometriosis involving the intestines can cause symptoms similar to irritable bowel syndrome (IBS), such as abdominal pain, bloating, and changes in bowel habits.
Nursing application: Nurses should work closely with gastroenterologists to manage gastrointestinal symptoms and provide dietary advice to alleviate discomfort. Keeping a symptom diary can help patients identify and avoid trigger foods.
N80.6 – Endometriosis in Cutaneous Scar
Description: This rare form of endometriosis occurs in surgical scars, typically following procedures like cesarean sections or hysterectomies.
Nursing application: Educating patients on the signs of scar endometriosis, such as pain and swelling at the scar site, is essential. Nurses should also ensure proper wound care post-surgery to minimize risks.
N80.8 – Other Endometriosis
Description: This code is used for cases of endometriosis that do not fit into the other specific categories.
Nursing application: A holistic approach is required to manage atypical presentations of endometriosis. Nurses should collaborate with multidisciplinary teams to provide comprehensive care tailored to the patient's specific needs.
N80.9 – Endometriosis, Unspecified
Description: This code applies when the exact location of endometriosis cannot be determined.
Nursing application: Nurses should advocate for thorough diagnostic evaluations to identify the precise location and extent of endometriosis. Keeping detailed patient records and histories can aid in diagnosis and treatment planning.
Nursing care and management
Pain management
Chronic pain is a hallmark of endometriosis. Nurses should be adept at pain assessment using standardized tools and scales. Effective pain management strategies include:
- Administering prescribed analgesics and hormonal therapies
- Educating patients on the use of non-pharmacologic methods such as heat therapy, acupuncture, and mindfulness techniques
- Encouraging regular physical activity and exercises to improve overall well-being
Emotional support
Endometriosis often leads to significant emotional distress due to chronic pain, infertility, and the impact on quality of life. Nurses play a critical role in providing emotional support by:
- Offering counseling or referrals to mental health professionals
- Facilitating support groups where patients can share experiences and coping strategies
- Providing resources and educational materials to help patients understand their condition and treatment options
Patient education
Educating patients about endometriosis is crucial for effective self-management. Key educational points include:
- Understanding the disease process and its implications
- Recognizing symptoms and potential complications
- Importance of adherence to treatment plans and follow-up appointments.
- Lifestyle modifications to manage symptoms, such as dietary changes and stress reduction techniques