What are PID ICD-10-CM Codes?
Pelvic Inflammatory Disease (PID) is a female upper genital tract infection involving inflammation of the uterus, fallopian tubes, ovaries, and surrounding supporting tissues. While the term PID itself is not directly listed in the ICD-10-CM code names, several codes describe acute and chronic inflammatory diseases affecting the female reproductive system, particularly the pelvic organs.
Here are some key ICD-10-CM codes for documenting pelvic inflammatory disease and related conditions:
- N73.9 – Female pelvic inflammatory disease, unspecified: Used when a woman is confirmed to have pelvic inflammatory disease but the specific infectious agent or affected area of the female genital tract is not yet identified. This unspecified code includes generalized inflammation involving the uterus, uterine appendages, and the surrounding genitourinary tract.
- A18.17 – Tuberculous female pelvic inflammatory disease: This code applies when inflammatory disease of the uterus or fallopian tubes arises due to Mycobacterium tuberculosis, representing a chronic inflammatory disease classified elsewhere.
- A54.24 – Gonococcal female pelvic inflammatory disease: Used when pelvic inflammatory disease is caused by Neisseria gonorrhoeae, a bacterial infection that can spread via ascending infection to the uterine appendages, fallopian tubes, or female pelvic peritoneum.
- A56.11 – Chlamydial female pelvic inflammatory disease: This code refers to PID resulting from Chlamydia trachomatis, a common infectious agent in acute inflammatory disease of the female reproductive system and a major cause of chronic salpingitis and oophoritis.
- Z87.42 – Personal history of other diseases of the female genital tract: Use this for patients with a history of pelvic inflammatory disease, including prior cervix uteri, vulva, or vagina ulceration, or previous inflammatory diseases affecting the genitourinary system.
Which PID ICD-10-CM Codes are billable?
Yes, all the above ICD-10-CM codes for pelvic inflammatory disease are valid and billable, including those for acute parametritis, chronic vulvitis abscess, and parametritis and pelvic cellulitis. When possible, clinicians should use more specific ICD-10-CM codes rather than unspecified ones to reflect the nature of the inflammatory disease and its infectious cause.
Clinical information
Pelvic Inflammatory Disease is often caused by bacterial infections, including sexually transmitted infections like gonorrhea and chlamydia. These infections ascend through the female genital tract, causing inflammation of the uterus, fallopian tubes, and other specified inflammation of the female pelvic organs. If not diagnosed and treated early, PID may evolve into female acute pelvic peritonitis, pelvic cellulitis, or complications involving molar pregnancy.
Common complications of untreated or inadequately treated pelvic inflammatory disorders include:
- Infertility due to damage to the fallopian tubes
- Abscesses in the female pelvic region
- Ectopic pregnancy
- Chronic pelvic pain and functional impairment
Symptoms of pelvic inflammatory disease
Patients with pelvic inflammatory disease may present with a variety of symptoms involving the genitourinary tract, including:
- Abnormal vaginal discharge with odor or unusual color
- Pain during sexual intercourse
- Burning sensation while urinating
- Lower abdominal or pelvic pain
- Irregular menstrual cycles
- Fever and chills
- Nausea or vomiting
Prompt identification and treatment of inflammatory diseases in the female reproductive system are essential to prevent complications. Clinicians should use the appropriate ICD-10-CM codes to identify infectious agents, determine the disease classification, and support accurate medical billing and documentation.
Synonyms include:
- Female pelvic inflammatory disease
- Female pelvic inflammatory disease caused by Mycoplasma genitalium
- Mycoplasmal pelvic inflammatory disease
- Female tuberculous pelvic inflammatory disease
- Chronic pelvic inflammatory disease
- Female gonococcal pelvic inflammatory disease
- Chlamydial pelvic inflammatory disease
- PID ICD 10
- ICD 10 code for PID
- ICD 10 PID
- Acute PID ICD 10
- ICD 10 code for PID due to sexually transmitted chlamydia
Frequently asked questions
Non-sexually transmitted causes of PID can include procedures like childbirth, miscarriage, abortion, or insertion of an intrauterine device (IUD) that introduce bacteria into the upper genital tract. Normal vaginal bacteria can also ascend and cause infection if the cervical barrier is disrupted.
No, men cannot get PID because it specifically affects the female reproductive system, including the uterus, fallopian tubes, and ovaries. However, men can carry and transmit the bacteria that cause PID to female partners.
PID can be prevented by practicing safe sex, such as using condoms and limiting the number of sexual partners. Early testing and treatment of sexually transmitted infections also greatly reduce the risk of developing PID.
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