Polycystic ovarian syndrome

This code represents a complex endocrine disorder affecting women of reproductive age, characterized by hormonal imbalances, often leading to irregular menstrual periods, excess androgen levels, and polycystic ovaries. It is a common cause of infertility and can be associated with metabolic issues.

Use this code when documentation clearly indicates a diagnosis of polycystic ovarian syndrome, regardless of the specific presenting symptoms (e.g., anovulation, hirsutism, insulin resistance). Supporting documentation includes physician notes detailing diagnostic criteria such as Rotterdam criteria or NIH criteria.

• Do not confuse with simple ovarian cysts (N83.2-) unless the full syndrome is diagnosed.
• Code any associated manifestations, such as infertility (N97.0-N97.9) or insulin resistance (E88.81), as secondary diagnoses.
• Ensure the provider's documentation explicitly states "polycystic ovarian syndrome" or meets established diagnostic criteria.