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Z90.710 ICD-10-CM Code: Acquired absence of both cervix and uterus

Compare with another code for Z90.710Check this code on a claim

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Tabular directives
3 inclusion terms · 2 Excludes1 · 2 Excludes2 · 1 code-also instruction

Billable · FY2027A valid, specific ICD-10-CM code, reportable for dates of service in FY2027.

What you need to know

Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too, and is marked with where it comes from.

Excludes1Not reported with this code unless documented as unrelated
  • personal history of sex reassignment (Z87.890-) (from Z90.7)
  • congenital absence - see Alphabetical Index (from Z90)
Code alsofrom Z77-Z99May be needed with this code
  • any follow-up examination (Z08-Z09)
Excludes2Not included here; may be reported together
  • female genital mutilation status (N90.81-) (from Z90.7)
  • postprocedural absence of endocrine glands (E89.-) (from Z90)
IncludesWhat this code covers
  • postprocedural or post-traumatic loss of body part NEC (from Z90)
  • Acquired absence of uterus NOS
  • Status post total hysterectomy

Where it sits Source: CMS/NCHS

Under:Chapter 21: Factors Influencing Health Status and Contact with Health ServicesZ77-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health statusZ90 Acquired absence of organs, not elsewhere classifiedZ90.7 Acquired absence of genital organ(s)Z90.71 Acquired absence of cervix and uterus

Most relevant related codes MedCoder-derived

Read off the official notes above and this code’s own position in the tabular list. Which to report is a documentation question; Compare shows the two side by side.

CompareCheck ClaimView Related Codes

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v44, Appendix B.

  • MS-DRG 742 — UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC (MDC 13)
  • MS-DRG 743 — UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC (MDC 13)
  • MS-DRG 760 — MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC (MDC 13)
  • MS-DRG 761 — MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC (MDC 13)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for Z90.710 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026

Trace:FY2027 changesChange historyRelease, file and checksum

Notes without a marker are published on Z90.710 itself; “inherited from” names the category or block whose note applies here.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • postprocedural or post-traumatic loss of body part NEC

Source: inherited from Z90

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Acquired absence of uterus NOS
  • Status post total hysterectomy

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Code Also

Additional codes that may be required to fully describe the encounter.

  • any follow-up examination (Z08-Z09)

Source: inherited from Z77-Z99

Coder workflow for Z90.710

MedCoder structured workflow — derived from this code’s own official record

Before you code Z90.710

  1. Confirm the reason for the encounter this Z code records: a status — a condition, carrier state or sequela that may affect care, distinct from a current complication of it. Check whether the code may be reported as first-listed or principal — some Z codes are limited to one position — and do not report a history or status code for a condition documented as current. Z code categories and their reporting positions (Guidelines I.C.21.c.3, I.C.21.c.15).

    Guide: Status codes (Z codes) →

  2. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with Z90.710. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

    See the official tabular notes

Choose the right path

  1. Does the documentation support a condition named in Z90.710’s Excludes1 note?
    Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
    No → Continue.

    ReviewZ87.890

Consider Z90.710. Then review the Code Also note, and confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
The associated condition or complication
Whether the associated condition the title names is documented; the “with” convention presumes some links, and a provider statement that the conditions are unrelated defeats it (Guidelines I.A.15).
The reason for the encounter
Whether the code records the encounter’s purpose, a status, or a history — and whether it may be first-listed (Guidelines I.C.21.c).

Official instructions as workflow

  • Excludes1 — check before selecting Z90.710(2 notes)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with Z90.710: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareZ87.890

    See the official tabular notes · Guidelines I.A.12.a

  • Excludes2 — not part of Z90.710(2 notes)

    Coding workflow: The conditions named in this note are not included in Z90.710. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareN90.81, E89

    See the official tabular notes · Guidelines I.A.12.b

  • Code Also — related condition(1 note)

    Coding workflow: Review the related condition when both are documented and the instruction applies. A Code Also note does not fix sequencing; the order follows the circumstances of the encounter.

    See the official tabular notes · Guidelines I.A.17

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: Both the condition Z90.710 describes and a condition named in its Excludes1 note are documented for the same encounter.

Coding question: Can both codes be reported?

Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.

Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).

ReviewZ87.890

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Don’t confuse Z90.710 with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of Z90.710 — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

  • Z87.890— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of personal history of sex reassignment moves the case to Z87.890; the two are not reported together unless documented as unrelated.

    Full comparison: Z90.710 vs Z87.890 →

  • N90.81— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of female genital mutilation status adds N90.81; it is not part of this code and both may be reported when both are documented.

    Full comparison: Z90.710 vs N90.81 →

  • E89— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of postprocedural absence of endocrine glands adds E89; it is not part of this code and both may be reported when both are documented.

    Full comparison: Z90.710 vs E89 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Coding context

Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.

Code Overview

Acquired absence of both cervix and uterus is a billable ICD-10-CM diagnosis code (Z90.710).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Official Coding Guidelines

Official source data — quoted verbatim from the CMS/NCHS Official Guidelines

Verbatim excerpts from the ICD-10-CM Official Guidelines for Coding and Reporting (CMS/NCHS) that govern this code.

Chapter 21: Factors influencing health status and contact with health services (Z00-Z99)

Z88 Allergy status to drugs, medicaments and biological substances Except: Z88.9, Allergy status to unspecified drugs, medicaments and biological substances status Z89 Acquired absence of limb Z90 Acquired absence of organs, not elsewhere classified Z91.0- Allergy status, other than to drugs and biological substances Z92.82 Status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to a current facility

Chapter 21: Factors influencing health status and contact with health services (Z00-Z99)

Z99 Dependence on enabling machines and devices, not elsewhere classified Note: Categories Z89-Z90 and Z93-Z99 are for use only if there are no complications or malfunctions of the organ or tissue replaced, the amputation site or the equipment on which the patient is dependent.

Decision Points

The directives on this code's own record, as a pre-claim checklist.

  1. 1 Code Also note — a second code may apply; the guidelines leave its sequencing to the circumstances of the encounter. See the Code Also notes
  2. 2 Excludes1 entries — codes named there are generally not reported together with this code (Guidelines I.A.12.a). See the Excludes1 notes
  3. 2 Excludes2 entries — those conditions are not part of this code and may be reported additionally when documented. See the Excludes2 notes

Checklist rows are derived from this code's own official directives; the wording of each check is MedCoder editorial. The official notes themselves are in the sections each row links to.

Verify Before Coding

  • Principal-diagnosis restriction. The Medicare Code Editor lists this code as unacceptable as a principal diagnosis: it describes a circumstance influencing health status rather than a current illness or injury being treated. It is valid as a secondary diagnosis.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder-derived relationships — computed from published CMS and AHRQ datasets

Other codes that name Z90.710 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 1 Excludes2 note: M95 — Other acquired deformities of musculoskeletal system and connective tissue (via Z90.-).

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

Referenced by 4 Use Additional Code instructions across 2 chapters: R87.62 — Abnormal cytological findings in specimens from vagina (via Z90.71.-), Z01.41 — Encounter for routine gynecological examination (via Z90.71.-), Z08 — Encounter for follow-up examination after completed treatment for malignant neoplasm (via Z90.-), Z12.72 — Encounter for screening for malignant neoplasm of vagina (via Z90.71.-).

These codes instruct coders to additionally report this code when it applies.

MS-DRG Grouper Relationships (FY2027)

Potential MS-DRG participation — not a DRG assignment.

FY2027 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.

Named in the grouper logic of 4 MS-DRGs: DRG 742 (MDC 13), DRG 743 (MDC 13), DRG 760 (MDC 13), DRG 761 (MDC 13).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):FAC022 — Acquired absence of limb or organ (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Principal diagnosis restriction (Medicare Code Editor)

Not acceptable as a principal diagnosis on an inpatient claim.

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Acquired absence of limb or organ).

Z90.02 — Acquired absence of larynx, Z90.09 — Acquired absence of other part of head and neck, Z90.10 — Acquired absence of unspecified breast and nipple, Z90.11 — Acquired absence of right breast and nipple, Z90.12 — Acquired absence of left breast and nipple, Z90.13 — Acquired absence of bilateral breasts and nipples, Z90.2 — Acquired absence of lung [part of], Z90.3 — Acquired absence of stomach [part of], Z90.410 — Acquired total absence of pancreas, Z90.411 — Acquired partial absence of pancreas, Z90.49 — Acquired absence of other specified parts of digestive tract, Z90.5 — Acquired absence of kidney, Z90.6 — Acquired absence of other parts of urinary tract, Z90.711 — Acquired absence of uterus with remaining cervical stump, Z90.712 — Acquired absence of cervix with remaining uterus, Z90.721 — Acquired absence of ovaries, unilateral, Z90.722 — Acquired absence of ovaries, bilateral, Z90.79 — Acquired absence of other genital organ(s), Z90.81 — Acquired absence of spleen, Z90.89 — Acquired absence of other organs, +50 more

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main terms “History”, “Absence”; these codes share that main term but sit in a different category of the Tabular List.

Z89.41 — Acquired absence of great toe (toe, great), Z89.42 — Acquired absence of other toe(s) (toe), Z89.43 — Acquired absence of foot (foot), Z89.44 — Acquired absence of ankle (ankle), Z89.51 — Acquired absence of leg below knee (leg, below knee), Z89.52 — Acquired absence of knee (knee), Z89.61 — Acquired absence of leg above knee (leg), Z89.619 — Acquired absence of unspecified leg above knee (extremity, lower), Z89.62 — Acquired absence of hip (hip), Z89.9 — Acquired absence of limb, unspecified (extremity), Z91.010 — Allergy to peanuts (personal, allergy, food, peanuts), Z91.0110 — Allergy to milk products, unspecified (personal, allergy, food, milk products), Z91.0111 — Allergy to milk products with tolerance to baked milk (personal, allergy, food, milk products, with, tolerance to baked milk), Z91.0112 — Allergy to milk products with reactivity to baked milk (personal, allergy, food, milk products, with, reactivity to baked milk), Z91.0120 — Allergy to eggs, unspecified (personal, allergy, food, eggs), Z91.0121 — Allergy to eggs with tolerance to baked egg (personal, allergy, food, eggs, with, tolerance to baked egg), Z91.0122 — Allergy to eggs with reactivity to baked egg (personal, allergy, food, eggs, with, reactivity to baked egg), Z91.013 — Allergy to seafood (personal, allergy, food, seafood), Z91.014 — Allergy to mammalian meats (personal, allergy, food, lamb), Z91.018 — Allergy to other foods (personal, allergy, food), +536 more

Contextual Map

Every relationship of Z90.710 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run Z90.710 with these 5 related codes in Claim Check

Hierarchy

Referenced by Excludes2 notes

Referenced by Use Additional Code instructions

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

  • MDC 13 — Diseases and Disorders of the Female Reproductive System[MDC crossing]: “Diseases and Disorders of the Female Reproductive System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 2,238 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2027

Index entries

  • Absence (of) (organ or part) (complete or partial), cervix (acquired) (with uterus)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Absence (of) (organ or part) (complete or partial), uterus (acquired)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Absence (of) (organ or part) (complete or partial), uterus (acquired), with cervix[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • History, personal (of), hysterectomy[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Status (post), hysterectomy (complete) (total)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027

Nearest codes (30)

Change history (3)

Reference

Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.

Indexed Clinical Terms (5)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
Coding guidelines Official source data
ICD-10-CM Official Guidelines for Coding and Reporting (FY2027), quoted by section Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44 Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder-derived relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder editorial explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources

Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "Z90.710 — Acquired absence of both cervix and uterus." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/z90.710-acquired-absence-of-both-cervix-and-uterus

Change history

Changed in FY2027, the release in force: Excludes1 note added; Excludes1 note removed.

  • FY2027 — October 1, 2026
    Excludes1 note added
    personal history of sex reassignment (Z87.890-)
    FY2027 changes
  • FY2027 — October 1, 2026
    Excludes1 note removed
    personal history of sex reassignment (Z87.890)
    FY2027 changes
  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Acquired absence of both cervix and uterus

Nearest Codes in This Family

Official ICD-10-CM classifications closest to Z90.710 in its code family, with their registry titles.

View all codes in the Z90 family