Superficial endometriosis of the posterior cul-de-sac

This code signifies the presence of endometrial tissue implants on the surface of the posterior cul-de-sac, a peritoneal pouch located between the rectum and the uterus. These implants are superficial, meaning they do not deeply infiltrate the underlying tissues. This condition can cause pelvic pain, dyspareunia, and infertility.

Use this code when documentation explicitly states superficial endometriosis affecting the posterior cul-de-sac. This diagnosis is typically confirmed via laparoscopic visualization and/or biopsy. Documentation should specify the location and superficial nature of the endometrial implants.

• Differentiate from deep infiltrating endometriosis of the cul-de-sac, which requires a different code.
• Ensure the documentation clearly specifies "superficial" and "posterior cul-de-sac" to support this precise code.
• Consider additional codes for associated symptoms (e.g., chronic pelvic pain, dyspareunia) if documented.