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N85.7 vs N89.7

N85.7 (Hematometra) compared with N89.7 (Hematocolpos), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. N85.7 carries an Excludes1 note covering N89.7: “hematometra with hematocolpos (N89.7)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

N85.7HematometraN89.7Hematocolpos
Billing statusBillableBillable
ClassificationN00-N99 — Diseases of the Genitourinary System (N00-N99)N00-N99 — Diseases of the Genitourinary System (N00-N99)
DefinitionHematometra is a billable ICD-10-CM diagnosis code (N85.7).Hematocolpos is a billable ICD-10-CM diagnosis code (N89.7).
Includes
Hematosalpinx with hematometra
Hematocolpos with hematometra or hematosalpinx

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources