Acquired absence of ovaries, bilateral

This code signifies the complete removal or non-existence of both ovaries after birth. This condition results in surgical menopause and impacts hormone production, fertility, and bone health. It is distinct from congenital absence.

Apply this code for patients who have undergone a bilateral oophorectomy, such as for cancer treatment, endometriosis, or prophylactic removal. It is also appropriate for cases where both ovaries have been lost due to trauma or disease processes post-natally.

• Always confirm that both ovaries are absent; if only one is absent, a different code is required.
• Do not use this code for congenital absence of ovaries; refer to Q-codes for congenital anomalies.
• Code any underlying reason for the oophorectomy (e.g., malignancy) as a primary diagnosis, with this code as a secondary diagnosis.