Billing and Coding: Luteinizing Hormone-Releasing Hormone (LHRH) Analogs

Medicare Coverage Database article A59160

Article

Contractor: Palmetto GBA
States (A/B MAC): AL, GA, NC, SC, TN, VA, WV
Effective: Oct 1, 2025
Contractor numbers: 10111, 10112, 10211, 10212, 10311, 10312, 11201, 11202, 11301, 11302, 11401, 11402, 11501, 11502
Official article: A59160 on cms.gov (version 13)

Read the article's coding instructions on CMS — which codes go together, documentation, and frequency limits — before billing. CodeRx lists the codes, not the instructions.

Drug codes in this article

HCPCS Level II drug codes the article lists (other codes it lists are not shown).

Covered ICD-10-CM codes (531)

Diagnosis codes the article lists as supporting medical necessity, grouped as in the article, with CMS's descriptions.

Group 1 · 164 codes

C08.0Malignant neoplasm of submandibular gland
C08.1Malignant neoplasm of sublingual gland
C08.9Malignant neoplasm of major salivary gland, unspecified
C48.0Malignant neoplasm of retroperitoneum
C48.1Malignant neoplasm of specified parts of peritoneum
C48.2Malignant neoplasm of peritoneum, unspecified
C48.8Malignant neoplasm of overlapping sites of retroperitoneum and peritoneum
C50.011Malignant neoplasm of nipple and areola, right female breast
C50.012Malignant neoplasm of nipple and areola, left female breast
C50.019Malignant neoplasm of nipple and areola, unspecified female breast
C50.021Malignant neoplasm of nipple and areola, right male breast
C50.022Malignant neoplasm of nipple and areola, left male breast
C50.029Malignant neoplasm of nipple and areola, unspecified male breast
C50.111Malignant neoplasm of central portion of right female breast
C50.112Malignant neoplasm of central portion of left female breast
C50.119Malignant neoplasm of central portion of unspecified female breast
C50.121Malignant neoplasm of central portion of right male breast
C50.122Malignant neoplasm of central portion of left male breast
C50.129Malignant neoplasm of central portion of unspecified male breast
C50.211Malignant neoplasm of upper-inner quadrant of right female breast
C50.212Malignant neoplasm of upper-inner quadrant of left female breast
C50.219Malignant neoplasm of upper-inner quadrant of unspecified female breast
C50.221Malignant neoplasm of upper-inner quadrant of right male breast
C50.222Malignant neoplasm of upper-inner quadrant of left male breast
C50.229Malignant neoplasm of upper-inner quadrant of unspecified male breast
C50.311Malignant neoplasm of lower-inner quadrant of right female breast
C50.312Malignant neoplasm of lower-inner quadrant of left female breast
C50.319Malignant neoplasm of lower-inner quadrant of unspecified female breast
C50.321Malignant neoplasm of lower-inner quadrant of right male breast
C50.322Malignant neoplasm of lower-inner quadrant of left male breast
C50.329Malignant neoplasm of lower-inner quadrant of unspecified male breast
C50.411Malignant neoplasm of upper-outer quadrant of right female breast
C50.412Malignant neoplasm of upper-outer quadrant of left female breast
C50.419Malignant neoplasm of upper-outer quadrant of unspecified female breast
C50.421Malignant neoplasm of upper-outer quadrant of right male breast
C50.422Malignant neoplasm of upper-outer quadrant of left male breast
C50.429Malignant neoplasm of upper-outer quadrant of unspecified male breast
C50.511Malignant neoplasm of lower-outer quadrant of right female breast
C50.512Malignant neoplasm of lower-outer quadrant of left female breast
C50.519Malignant neoplasm of lower-outer quadrant of unspecified female breast
C50.521Malignant neoplasm of lower-outer quadrant of right male breast
C50.522Malignant neoplasm of lower-outer quadrant of left male breast
C50.529Malignant neoplasm of lower-outer quadrant of unspecified male breast
C50.611Malignant neoplasm of axillary tail of right female breast
C50.612Malignant neoplasm of axillary tail of left female breast
C50.619Malignant neoplasm of axillary tail of unspecified female breast
C50.621Malignant neoplasm of axillary tail of right male breast
C50.622Malignant neoplasm of axillary tail of left male breast
C50.629Malignant neoplasm of axillary tail of unspecified male breast
C50.811Malignant neoplasm of overlapping sites of right female breast
C50.812Malignant neoplasm of overlapping sites of left female breast
C50.819Malignant neoplasm of overlapping sites of unspecified female breast
C50.821Malignant neoplasm of overlapping sites of right male breast
C50.822Malignant neoplasm of overlapping sites of left male breast
C50.829Malignant neoplasm of overlapping sites of unspecified male breast
C50.911Malignant neoplasm of unspecified site of right female breast
C50.912Malignant neoplasm of unspecified site of left female breast
C50.919Malignant neoplasm of unspecified site of unspecified female breast
C50.921Malignant neoplasm of unspecified site of right male breast
C50.922Malignant neoplasm of unspecified site of left male breast
C50.929Malignant neoplasm of unspecified site of unspecified male breast
C50.A1Malignant inflammatory neoplasm of right breast
C50.A2Malignant inflammatory neoplasm of left breast
C56.1Malignant neoplasm of right ovary
C56.2Malignant neoplasm of left ovary
C56.3Malignant neoplasm of bilateral ovaries
C56.9Malignant neoplasm of unspecified ovary
C57.00Malignant neoplasm of unspecified fallopian tube
C57.01Malignant neoplasm of right fallopian tube
C57.02Malignant neoplasm of left fallopian tube
D25.0Submucous leiomyoma of uterus
D25.1Intramural leiomyoma of uterus
D25.2Subserosal leiomyoma of uterus
D25.9Leiomyoma of uterus, unspecified
D50.0Iron deficiency anemia secondary to blood loss (chronic)
D62Acute posthemorrhagic anemia
E22.8Other hyperfunction of pituitary gland
N80.01Superficial endometriosis of the uterus
N80.02Deep endometriosis of the uterus
N80.03Adenomyosis of the uterus
N80.111Superficial endometriosis of right ovary
N80.112Superficial endometriosis of left ovary
N80.113Superficial endometriosis of bilateral ovaries
N80.121Deep endometriosis of right ovary
N80.122Deep endometriosis of left ovary
N80.123Deep endometriosis of bilateral ovaries
N80.211Superficial endometriosis of right fallopian tube
N80.212Superficial endometriosis of left fallopian tube
N80.213Superficial endometriosis of bilateral fallopian tubes
N80.219Superficial endometriosis of unspecified fallopian tube
N80.221Deep endometriosis of right fallopian tube
N80.222Deep endometriosis of left fallopian tube
N80.223Deep endometriosis of bilateral fallopian tubes
N80.229Deep endometriosis of unspecified fallopian tube
N80.311Superficial endometriosis of the anterior cul-de-sac
N80.312Deep endometriosis of the anterior cul-de-sac
N80.321Superficial endometriosis of the posterior cul-de-sac
N80.322Deep endometriosis of the posterior cul-de-sac
N80.331Superficial endometriosis of the right pelvic sidewall
N80.332Superficial endometriosis of the left pelvic sidewall
N80.333Superficial endometriosis of bilateral pelvic sidewall
N80.341Deep endometriosis of the right pelvic sidewall
N80.342Deep endometriosis of the left pelvic sidewall
N80.343Deep endometriosis of the bilateral pelvic sidewall
N80.361Superficial endometriosis of the right pelvic brim
N80.362Superficial endometriosis of the left pelvic brim
N80.363Superficial endometriosis of bilateral pelvic brim
N80.371Deep endometriosis of the right pelvic brim
N80.372Deep endometriosis of the left pelvic brim
N80.373Deep endometriosis of bilateral pelvic brim
N80.3A1Superficial endometriosis of the right uterosacral ligament
N80.3A2Superficial endometriosis of the left uterosacral ligament
N80.3A3Superficial endometriosis of the bilateral uterosacral ligament(s)
N80.3B1Deep endometriosis of the right uterosacral ligament
N80.3B2Deep endometriosis of the left uterosacral ligament
N80.3B3Deep endometriosis of bilateral uterosacral ligament(s)
N80.391Superficial endometriosis of the pelvic peritoneum, other specified sites
N80.392Deep endometriosis of the pelvic peritoneum, other specified sites
N80.40Endometriosis of rectovaginal septum, unspecified involvement of vagina
N80.41Endometriosis of rectovaginal septum without involvement of vagina
N80.42Endometriosis of rectovaginal septum with involvement of vagina
N80.511Superficial endometriosis of the rectum
N80.512Deep endometriosis of the rectum
N80.521Superficial endometriosis of the sigmoid colon
N80.522Deep endometriosis of the sigmoid colon
N80.531Superficial endometriosis of the cecum
N80.532Deep endometriosis of the cecum
N80.541Superficial endometriosis of the appendix
N80.542Deep endometriosis of the appendix
N80.551Superficial endometriosis of other parts of the colon
N80.552Deep endometriosis of other parts of the colon
N80.561Superficial endometriosis of the small intestine
N80.562Deep endometriosis of the small intestine
N80.6Endometriosis in cutaneous scar
N80.A1Superficial endometriosis of bladder
N80.A2Deep endometriosis of bladder
N80.A41Superficial endometriosis of right ureter
N80.A42Superficial endometriosis of left ureter
N80.A43Superficial endometriosis of bilateral ureters
N80.A51Deep endometriosis of right ureter
N80.A52Deep endometriosis of left ureter
N80.A53Deep endometriosis of bilateral ureters
N80.B1Endometriosis of pleura
N80.B2Endometriosis of lung
N80.B31Superficial endometriosis of diaphragm
N80.B32Deep endometriosis of diaphragm
N80.B4Endometriosis of the pericardial space
N80.B5Endometriosis of the mediastinal space
N80.B6Endometriosis of cardiothoracic space
N80.C10Endometriosis of the anterior abdominal wall, subcutaneous tissue
N80.C11Endometriosis of the anterior abdominal wall, fascia and muscular layers
N80.C2Endometriosis of the umbilicus
N80.C3Endometriosis of the inguinal canal
N80.C4Endometriosis of extra-pelvic abdominal peritoneum
N80.C9Endometriosis of other site of abdomen
N80.D1Endometriosis of the sacral splanchnic nerves
N80.D2Endometriosis of the sacral nerve roots
N80.D3Endometriosis of the obturator nerve
N80.D4Endometriosis of the sciatic nerve
N80.D5Endometriosis of the pudendal nerve
N80.D6Endometriosis of the femoral nerve
N80.D9Endometriosis of other pelvic nerve
N80.8Other endometriosis
N80.9Endometriosis, unspecified

Group 2 · 180 codes

C08.0Malignant neoplasm of submandibular gland
C08.1Malignant neoplasm of sublingual gland
C08.9Malignant neoplasm of major salivary gland, unspecified
C48.0Malignant neoplasm of retroperitoneum
C48.1Malignant neoplasm of specified parts of peritoneum
C48.2Malignant neoplasm of peritoneum, unspecified
C48.8Malignant neoplasm of overlapping sites of retroperitoneum and peritoneum
C50.011Malignant neoplasm of nipple and areola, right female breast
C50.012Malignant neoplasm of nipple and areola, left female breast
C50.019Malignant neoplasm of nipple and areola, unspecified female breast
C50.021Malignant neoplasm of nipple and areola, right male breast
C50.022Malignant neoplasm of nipple and areola, left male breast
C50.029Malignant neoplasm of nipple and areola, unspecified male breast
C50.111Malignant neoplasm of central portion of right female breast
C50.112Malignant neoplasm of central portion of left female breast
C50.119Malignant neoplasm of central portion of unspecified female breast
C50.121Malignant neoplasm of central portion of right male breast
C50.122Malignant neoplasm of central portion of left male breast
C50.129Malignant neoplasm of central portion of unspecified male breast
C50.211Malignant neoplasm of upper-inner quadrant of right female breast
C50.212Malignant neoplasm of upper-inner quadrant of left female breast
C50.219Malignant neoplasm of upper-inner quadrant of unspecified female breast
C50.221Malignant neoplasm of upper-inner quadrant of right male breast
C50.222Malignant neoplasm of upper-inner quadrant of left male breast
C50.229Malignant neoplasm of upper-inner quadrant of unspecified male breast
C50.311Malignant neoplasm of lower-inner quadrant of right female breast
C50.312Malignant neoplasm of lower-inner quadrant of left female breast
C50.319Malignant neoplasm of lower-inner quadrant of unspecified female breast
C50.321Malignant neoplasm of lower-inner quadrant of right male breast
C50.322Malignant neoplasm of lower-inner quadrant of left male breast
C50.329Malignant neoplasm of lower-inner quadrant of unspecified male breast
C50.411Malignant neoplasm of upper-outer quadrant of right female breast
C50.412Malignant neoplasm of upper-outer quadrant of left female breast
C50.419Malignant neoplasm of upper-outer quadrant of unspecified female breast
C50.421Malignant neoplasm of upper-outer quadrant of right male breast
C50.422Malignant neoplasm of upper-outer quadrant of left male breast
C50.429Malignant neoplasm of upper-outer quadrant of unspecified male breast
C50.511Malignant neoplasm of lower-outer quadrant of right female breast
C50.512Malignant neoplasm of lower-outer quadrant of left female breast
C50.519Malignant neoplasm of lower-outer quadrant of unspecified female breast
C50.521Malignant neoplasm of lower-outer quadrant of right male breast
C50.522Malignant neoplasm of lower-outer quadrant of left male breast
C50.529Malignant neoplasm of lower-outer quadrant of unspecified male breast
C50.611Malignant neoplasm of axillary tail of right female breast
C50.612Malignant neoplasm of axillary tail of left female breast
C50.619Malignant neoplasm of axillary tail of unspecified female breast
C50.621Malignant neoplasm of axillary tail of right male breast
C50.622Malignant neoplasm of axillary tail of left male breast
C50.629Malignant neoplasm of axillary tail of unspecified male breast
C50.811Malignant neoplasm of overlapping sites of right female breast
C50.812Malignant neoplasm of overlapping sites of left female breast
C50.819Malignant neoplasm of overlapping sites of unspecified female breast
C50.821Malignant neoplasm of overlapping sites of right male breast
C50.822Malignant neoplasm of overlapping sites of left male breast
C50.829Malignant neoplasm of overlapping sites of unspecified male breast
C50.911Malignant neoplasm of unspecified site of right female breast
C50.912Malignant neoplasm of unspecified site of left female breast
C50.919Malignant neoplasm of unspecified site of unspecified female breast
C50.921Malignant neoplasm of unspecified site of right male breast
C50.922Malignant neoplasm of unspecified site of left male breast
C50.929Malignant neoplasm of unspecified site of unspecified male breast
C50.A1Malignant inflammatory neoplasm of right breast
C50.A2Malignant inflammatory neoplasm of left breast
C56.1Malignant neoplasm of right ovary
C56.2Malignant neoplasm of left ovary
C56.3Malignant neoplasm of bilateral ovaries
C56.9Malignant neoplasm of unspecified ovary
C57.00Malignant neoplasm of unspecified fallopian tube
C57.01Malignant neoplasm of right fallopian tube
C57.02Malignant neoplasm of left fallopian tube
C61Malignant neoplasm of prostate
D05.00Lobular carcinoma in situ of unspecified breast
D05.01Lobular carcinoma in situ of right breast
D05.02Lobular carcinoma in situ of left breast
D05.10Intraductal carcinoma in situ of unspecified breast
D05.11Intraductal carcinoma in situ of right breast
D05.12Intraductal carcinoma in situ of left breast
D05.80Other specified type of carcinoma in situ of unspecified breast
D05.81Other specified type of carcinoma in situ of right breast
D05.82Other specified type of carcinoma in situ of left breast
D05.90Unspecified type of carcinoma in situ of unspecified breast
D05.91Unspecified type of carcinoma in situ of right breast
D05.92Unspecified type of carcinoma in situ of left breast
D07.5Carcinoma in situ of prostate
D25.0Submucous leiomyoma of uterus
D25.1Intramural leiomyoma of uterus
D25.2Subserosal leiomyoma of uterus
D25.9Leiomyoma of uterus, unspecified
D50.0Iron deficiency anemia secondary to blood loss (chronic)
D62Acute posthemorrhagic anemia
E22.8Other hyperfunction of pituitary gland
N80.01Superficial endometriosis of the uterus
N80.02Deep endometriosis of the uterus
N80.03Adenomyosis of the uterus
N80.111Superficial endometriosis of right ovary
N80.112Superficial endometriosis of left ovary
N80.113Superficial endometriosis of bilateral ovaries
N80.121Deep endometriosis of right ovary
N80.122Deep endometriosis of left ovary
N80.123Deep endometriosis of bilateral ovaries
N80.211Superficial endometriosis of right fallopian tube
N80.212Superficial endometriosis of left fallopian tube
N80.213Superficial endometriosis of bilateral fallopian tubes
N80.219Superficial endometriosis of unspecified fallopian tube
N80.221Deep endometriosis of right fallopian tube
N80.222Deep endometriosis of left fallopian tube
N80.223Deep endometriosis of bilateral fallopian tubes
N80.229Deep endometriosis of unspecified fallopian tube
N80.311Superficial endometriosis of the anterior cul-de-sac
N80.312Deep endometriosis of the anterior cul-de-sac
N80.321Superficial endometriosis of the posterior cul-de-sac
N80.322Deep endometriosis of the posterior cul-de-sac
N80.331Superficial endometriosis of the right pelvic sidewall
N80.332Superficial endometriosis of the left pelvic sidewall
N80.333Superficial endometriosis of bilateral pelvic sidewall
N80.341Deep endometriosis of the right pelvic sidewall
N80.342Deep endometriosis of the left pelvic sidewall
N80.343Deep endometriosis of the bilateral pelvic sidewall
N80.361Superficial endometriosis of the right pelvic brim
N80.362Superficial endometriosis of the left pelvic brim
N80.363Superficial endometriosis of bilateral pelvic brim
N80.371Deep endometriosis of the right pelvic brim
N80.372Deep endometriosis of the left pelvic brim
N80.373Deep endometriosis of bilateral pelvic brim
N80.3A1Superficial endometriosis of the right uterosacral ligament
N80.3A2Superficial endometriosis of the left uterosacral ligament
N80.3A3Superficial endometriosis of the bilateral uterosacral ligament(s)
N80.3B1Deep endometriosis of the right uterosacral ligament
N80.3B2Deep endometriosis of the left uterosacral ligament
N80.3B3Deep endometriosis of bilateral uterosacral ligament(s)
N80.391Superficial endometriosis of the pelvic peritoneum, other specified sites
N80.392Deep endometriosis of the pelvic peritoneum, other specified sites
N80.40Endometriosis of rectovaginal septum, unspecified involvement of vagina
N80.41Endometriosis of rectovaginal septum without involvement of vagina
N80.42Endometriosis of rectovaginal septum with involvement of vagina
N80.511Superficial endometriosis of the rectum
N80.512Deep endometriosis of the rectum
N80.521Superficial endometriosis of the sigmoid colon
N80.522Deep endometriosis of the sigmoid colon
N80.531Superficial endometriosis of the cecum
N80.532Deep endometriosis of the cecum
N80.541Superficial endometriosis of the appendix
N80.542Deep endometriosis of the appendix
N80.551Superficial endometriosis of other parts of the colon
N80.552Deep endometriosis of other parts of the colon
N80.561Superficial endometriosis of the small intestine
N80.562Deep endometriosis of the small intestine
N80.6Endometriosis in cutaneous scar
N80.A1Superficial endometriosis of bladder
N80.A2Deep endometriosis of bladder
N80.A41Superficial endometriosis of right ureter
N80.A42Superficial endometriosis of left ureter
N80.A43Superficial endometriosis of bilateral ureters
N80.A51Deep endometriosis of right ureter
N80.A52Deep endometriosis of left ureter
N80.A53Deep endometriosis of bilateral ureters
N80.B1Endometriosis of pleura
N80.B2Endometriosis of lung
N80.B31Superficial endometriosis of diaphragm
N80.B32Deep endometriosis of diaphragm
N80.B4Endometriosis of the pericardial space
N80.B5Endometriosis of the mediastinal space
N80.B6Endometriosis of cardiothoracic space
N80.C10Endometriosis of the anterior abdominal wall, subcutaneous tissue
N80.C11Endometriosis of the anterior abdominal wall, fascia and muscular layers
N80.C2Endometriosis of the umbilicus
N80.C3Endometriosis of the inguinal canal
N80.C4Endometriosis of extra-pelvic abdominal peritoneum
N80.C9Endometriosis of other site of abdomen
N80.D1Endometriosis of the sacral splanchnic nerves
N80.D2Endometriosis of the sacral nerve roots
N80.D3Endometriosis of the obturator nerve
N80.D4Endometriosis of the sciatic nerve
N80.D5Endometriosis of the pudendal nerve
N80.D6Endometriosis of the femoral nerve
N80.D9Endometriosis of other pelvic nerve
N80.8Other endometriosis
N80.9Endometriosis, unspecified
Z85.3Personal history of malignant neoplasm of breast
Z85.46Personal history of malignant neoplasm of prostate

Group 3 · 3 codes

C61Malignant neoplasm of prostate
D07.5Carcinoma in situ of prostate
Z85.46Personal history of malignant neoplasm of prostate

Group 4 · 179 codes

C08.0Malignant neoplasm of submandibular gland
C08.1Malignant neoplasm of sublingual gland
C08.9Malignant neoplasm of major salivary gland, unspecified
C48.0Malignant neoplasm of retroperitoneum
C48.1Malignant neoplasm of specified parts of peritoneum
C48.2Malignant neoplasm of peritoneum, unspecified
C48.8Malignant neoplasm of overlapping sites of retroperitoneum and peritoneum
C50.011Malignant neoplasm of nipple and areola, right female breast
C50.012Malignant neoplasm of nipple and areola, left female breast
C50.019Malignant neoplasm of nipple and areola, unspecified female breast
C50.021Malignant neoplasm of nipple and areola, right male breast
C50.022Malignant neoplasm of nipple and areola, left male breast
C50.029Malignant neoplasm of nipple and areola, unspecified male breast
C50.111Malignant neoplasm of central portion of right female breast
C50.112Malignant neoplasm of central portion of left female breast
C50.119Malignant neoplasm of central portion of unspecified female breast
C50.121Malignant neoplasm of central portion of right male breast
C50.122Malignant neoplasm of central portion of left male breast
C50.129Malignant neoplasm of central portion of unspecified male breast
C50.211Malignant neoplasm of upper-inner quadrant of right female breast
C50.212Malignant neoplasm of upper-inner quadrant of left female breast
C50.219Malignant neoplasm of upper-inner quadrant of unspecified female breast
C50.221Malignant neoplasm of upper-inner quadrant of right male breast
C50.222Malignant neoplasm of upper-inner quadrant of left male breast
C50.229Malignant neoplasm of upper-inner quadrant of unspecified male breast
C50.311Malignant neoplasm of lower-inner quadrant of right female breast
C50.312Malignant neoplasm of lower-inner quadrant of left female breast
C50.319Malignant neoplasm of lower-inner quadrant of unspecified female breast
C50.321Malignant neoplasm of lower-inner quadrant of right male breast
C50.322Malignant neoplasm of lower-inner quadrant of left male breast
C50.329Malignant neoplasm of lower-inner quadrant of unspecified male breast
C50.411Malignant neoplasm of upper-outer quadrant of right female breast
C50.412Malignant neoplasm of upper-outer quadrant of left female breast
C50.419Malignant neoplasm of upper-outer quadrant of unspecified female breast
C50.421Malignant neoplasm of upper-outer quadrant of right male breast
C50.422Malignant neoplasm of upper-outer quadrant of left male breast
C50.429Malignant neoplasm of upper-outer quadrant of unspecified male breast
C50.511Malignant neoplasm of lower-outer quadrant of right female breast
C50.512Malignant neoplasm of lower-outer quadrant of left female breast
C50.519Malignant neoplasm of lower-outer quadrant of unspecified female breast
C50.521Malignant neoplasm of lower-outer quadrant of right male breast
C50.522Malignant neoplasm of lower-outer quadrant of left male breast
C50.529Malignant neoplasm of lower-outer quadrant of unspecified male breast
C50.611Malignant neoplasm of axillary tail of right female breast
C50.612Malignant neoplasm of axillary tail of left female breast
C50.619Malignant neoplasm of axillary tail of unspecified female breast
C50.621Malignant neoplasm of axillary tail of right male breast
C50.622Malignant neoplasm of axillary tail of left male breast
C50.629Malignant neoplasm of axillary tail of unspecified male breast
C50.811Malignant neoplasm of overlapping sites of right female breast
C50.812Malignant neoplasm of overlapping sites of left female breast
C50.819Malignant neoplasm of overlapping sites of unspecified female breast
C50.821Malignant neoplasm of overlapping sites of right male breast
C50.822Malignant neoplasm of overlapping sites of left male breast
C50.829Malignant neoplasm of overlapping sites of unspecified male breast
C50.911Malignant neoplasm of unspecified site of right female breast
C50.912Malignant neoplasm of unspecified site of left female breast
C50.919Malignant neoplasm of unspecified site of unspecified female breast
C50.921Malignant neoplasm of unspecified site of right male breast
C50.922Malignant neoplasm of unspecified site of left male breast
C50.929Malignant neoplasm of unspecified site of unspecified male breast
C50.A1Malignant inflammatory neoplasm of right breast
C50.A2Malignant inflammatory neoplasm of left breast
C56.1Malignant neoplasm of right ovary
C56.2Malignant neoplasm of left ovary
C56.3Malignant neoplasm of bilateral ovaries
C56.9Malignant neoplasm of unspecified ovary
C57.00Malignant neoplasm of unspecified fallopian tube
C57.01Malignant neoplasm of right fallopian tube
C57.02Malignant neoplasm of left fallopian tube
C61Malignant neoplasm of prostate
D05.00Lobular carcinoma in situ of unspecified breast
D05.01Lobular carcinoma in situ of right breast
D05.02Lobular carcinoma in situ of left breast
D05.10Intraductal carcinoma in situ of unspecified breast
D05.11Intraductal carcinoma in situ of right breast
D05.12Intraductal carcinoma in situ of left breast
D05.80Other specified type of carcinoma in situ of unspecified breast
D05.81Other specified type of carcinoma in situ of right breast
D05.82Other specified type of carcinoma in situ of left breast
D05.90Unspecified type of carcinoma in situ of unspecified breast
D05.91Unspecified type of carcinoma in situ of right breast
D05.92Unspecified type of carcinoma in situ of left breast
D07.5Carcinoma in situ of prostate
D25.0Submucous leiomyoma of uterus
D25.1Intramural leiomyoma of uterus
D25.2Subserosal leiomyoma of uterus
D25.9Leiomyoma of uterus, unspecified
D50.0Iron deficiency anemia secondary to blood loss (chronic)
D62Acute posthemorrhagic anemia
N80.01Superficial endometriosis of the uterus
N80.02Deep endometriosis of the uterus
N80.03Adenomyosis of the uterus
N80.111Superficial endometriosis of right ovary
N80.112Superficial endometriosis of left ovary
N80.113Superficial endometriosis of bilateral ovaries
N80.121Deep endometriosis of right ovary
N80.122Deep endometriosis of left ovary
N80.123Deep endometriosis of bilateral ovaries
N80.211Superficial endometriosis of right fallopian tube
N80.212Superficial endometriosis of left fallopian tube
N80.213Superficial endometriosis of bilateral fallopian tubes
N80.219Superficial endometriosis of unspecified fallopian tube
N80.221Deep endometriosis of right fallopian tube
N80.222Deep endometriosis of left fallopian tube
N80.223Deep endometriosis of bilateral fallopian tubes
N80.229Deep endometriosis of unspecified fallopian tube
N80.311Superficial endometriosis of the anterior cul-de-sac
N80.312Deep endometriosis of the anterior cul-de-sac
N80.321Superficial endometriosis of the posterior cul-de-sac
N80.322Deep endometriosis of the posterior cul-de-sac
N80.331Superficial endometriosis of the right pelvic sidewall
N80.332Superficial endometriosis of the left pelvic sidewall
N80.333Superficial endometriosis of bilateral pelvic sidewall
N80.341Deep endometriosis of the right pelvic sidewall
N80.342Deep endometriosis of the left pelvic sidewall
N80.343Deep endometriosis of the bilateral pelvic sidewall
N80.361Superficial endometriosis of the right pelvic brim
N80.362Superficial endometriosis of the left pelvic brim
N80.363Superficial endometriosis of bilateral pelvic brim
N80.371Deep endometriosis of the right pelvic brim
N80.372Deep endometriosis of the left pelvic brim
N80.373Deep endometriosis of bilateral pelvic brim
N80.3A1Superficial endometriosis of the right uterosacral ligament
N80.3A2Superficial endometriosis of the left uterosacral ligament
N80.3A3Superficial endometriosis of the bilateral uterosacral ligament(s)
N80.3B1Deep endometriosis of the right uterosacral ligament
N80.3B2Deep endometriosis of the left uterosacral ligament
N80.3B3Deep endometriosis of bilateral uterosacral ligament(s)
N80.391Superficial endometriosis of the pelvic peritoneum, other specified sites
N80.392Deep endometriosis of the pelvic peritoneum, other specified sites
N80.40Endometriosis of rectovaginal septum, unspecified involvement of vagina
N80.41Endometriosis of rectovaginal septum without involvement of vagina
N80.42Endometriosis of rectovaginal septum with involvement of vagina
N80.511Superficial endometriosis of the rectum
N80.512Deep endometriosis of the rectum
N80.521Superficial endometriosis of the sigmoid colon
N80.522Deep endometriosis of the sigmoid colon
N80.531Superficial endometriosis of the cecum
N80.532Deep endometriosis of the cecum
N80.541Superficial endometriosis of the appendix
N80.542Deep endometriosis of the appendix
N80.551Superficial endometriosis of other parts of the colon
N80.552Deep endometriosis of other parts of the colon
N80.561Superficial endometriosis of the small intestine
N80.562Deep endometriosis of the small intestine
N80.6Endometriosis in cutaneous scar
N80.A1Superficial endometriosis of bladder
N80.A2Deep endometriosis of bladder
N80.A41Superficial endometriosis of right ureter
N80.A42Superficial endometriosis of left ureter
N80.A43Superficial endometriosis of bilateral ureters
N80.A51Deep endometriosis of right ureter
N80.A52Deep endometriosis of left ureter
N80.A53Deep endometriosis of bilateral ureters
N80.B1Endometriosis of pleura
N80.B2Endometriosis of lung
N80.B31Superficial endometriosis of diaphragm
N80.B32Deep endometriosis of diaphragm
N80.B4Endometriosis of the pericardial space
N80.B5Endometriosis of the mediastinal space
N80.B6Endometriosis of cardiothoracic space
N80.C10Endometriosis of the anterior abdominal wall, subcutaneous tissue
N80.C11Endometriosis of the anterior abdominal wall, fascia and muscular layers
N80.C2Endometriosis of the umbilicus
N80.C3Endometriosis of the inguinal canal
N80.C4Endometriosis of extra-pelvic abdominal peritoneum
N80.C9Endometriosis of other site of abdomen
N80.D1Endometriosis of the sacral splanchnic nerves
N80.D2Endometriosis of the sacral nerve roots
N80.D3Endometriosis of the obturator nerve
N80.D4Endometriosis of the sciatic nerve
N80.D5Endometriosis of the pudendal nerve
N80.D6Endometriosis of the femoral nerve
N80.D9Endometriosis of other pelvic nerve
N80.8Other endometriosis
N80.9Endometriosis, unspecified
Z85.3Personal history of malignant neoplasm of breast
Z85.46Personal history of malignant neoplasm of prostate

Group 5 · 2 codes

C61Malignant neoplasm of prostate
Z85.46Personal history of malignant neoplasm of prostate

Group 6 · 1 code

E22.8Other hyperfunction of pituitary gland

Group 7 · 2 codes

C61Malignant neoplasm of prostate
Z85.46Personal history of malignant neoplasm of prostate

Disclaimer. This application provides informational coding and reimbursement reference data. It does not constitute legal, clinical, coding, or billing advice. Codes, payment amounts, payer rules, and coverage policies can change. Verify all information with current CMS publications, the applicable payer, and your organization’s compliance policies before submitting a claim. CodeRx is not affiliated with or endorsed by CMS, FDA, Medicare, or any payer.