N85.A — Isthmocele
Is N85.A billable?
Yes — N85.A is billable for FY2027. N85.A is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. N85.A may be submitted for encounters from October 1, 2026 through September 30, 2027.
N85.A at a glance
| Code | N85.A |
|---|---|
| Description | Isthmocele |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does N85.A group to?
N85.A sits in MDC 13 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 742Uterine and Adnexa Procedures for Non-Malignancy with CC/MCCsurgical
- 743Uterine and Adnexa Procedures for Non-Malignancy without CC/MCCsurgical
How is N85.A listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to N85.A. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Cesarean delivery, previous, affecting management of pregnancy › isthmocele
- Cesarean delivery, previous, affecting management of pregnancy › scar › defect
Excludes1 — never code together
The conditions below can never be reported together with N85.A on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- maternal care for cesarean scar defect (isthmocele) (O34.22)
Code also
Two codes may be needed to describe the condition fully. Whether N85.A is sequenced first depends on the reason for the encounter.
Inclusion terms
Alternative wording in documentation that is classified to N85.A.
- Isthmocele (non-pregnant state)
Excludes1 — never code together — inherited from N85
The conditions below can never be reported together with N85.A on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes2 — not included here — inherited from Chapter 14
The conditions below are not part of N85.A, but a patient may have both at the same time. When documentation supports it, N85.A and the excluded code may both be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
How long has N85.A existed?
N85.A first appears in FY2023.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.