Endometriosis of rectovaginal septum with invl of vagina

This code signifies the presence of endometrial tissue abnormally located in the rectovaginal septum, specifically extending into the vaginal wall. This condition often leads to symptoms such as dyspareunia, pelvic pain, and bowel dysfunction.

Apply this code when documentation clearly indicates endometriosis affecting the rectovaginal septum with direct involvement of the vagina. This diagnosis is typically made through imaging studies (e.g., MRI, transvaginal ultrasound) or surgical findings during laparoscopy or laparotomy.

• Ensure the documentation specifies both rectovaginal septum involvement and extension into the vagina.
• Do not use this code if the endometriosis is limited to the rectovaginal septum without vaginal involvement; use a more specific code for rectovaginal septum only.
• Consider sequencing this code after any codes for associated symptoms or complications, such as chronic pelvic pain (R10.2).