Superficial endometriosis of the anterior cul-de-sac

This code describes the presence of endometrial-like tissue growing on the surface of the anterior cul-de-sac, which is the peritoneal pouch located between the uterus and the bladder. This superficial implantation can cause pain and other symptoms associated with endometriosis.

Use this code when documentation specifically identifies superficial endometriosis affecting the anterior cul-de-sac. This diagnosis is often made during laparoscopic examination or other surgical procedures where the peritoneal surfaces are directly visualized.

• Differentiate from deep infiltrating endometriosis of the anterior cul-de-sac, which has a separate code.
• Ensure the documentation specifies "superficial" and the exact anatomical location.
• Code any associated symptoms (e.g., chronic pelvic pain, dyspareunia) in addition to the endometriosis.