Deep endometriosis of the right pelvic brim

This code signifies the presence of deep infiltrating endometriosis affecting the right pelvic brim. Deep endometriosis is characterized by lesions penetrating more than 5mm beneath the peritoneal surface, and in this specific instance, it is located at the right side of the bony pelvic rim. This condition can cause chronic pelvic pain, dyspareunia, and other debilitating symptoms.

Use this code when diagnostic imaging (e.g., MRI, transvaginal ultrasound with bowel preparation) or surgical findings confirm deep endometriosis specifically located at the right pelvic brim. Documentation should clearly specify the depth of infiltration (deep) and the precise anatomical location (right pelvic brim). This code is appropriate for patients presenting with symptoms referable to this specific anatomical site.

• Ensure documentation explicitly states "deep" endometriosis and specifies the "right pelvic brim" to support this highly specific code.
• Differentiate from superficial endometriosis or endometriosis affecting other pelvic sites, which have distinct codes.
• Consider sequencing this code as a primary diagnosis when it is the main reason for the encounter, or as a secondary diagnosis when it contributes to the patient's overall condition.