You'll only need to note small exclusion note changes. While ICD-10 will bring a lot of changes, one thing you won't have to worry about is making your urologist change his documentation for peritoneal adhesions. Under the new codeset, the new code for the condition has a one-to-one correspondence with the old ICD-9 code. Don't forget: Female Pelvis and Gastrointestinal Don't Count ICD-9's 568.0 (Peritoneal adhesions [postoperative] [postinfection]) will become K66.0 (Peritoneal adhesions [postprocedural] [postinfection]) when the new code set goes into effect. Both code sets agree on the description of the condition as adhesions (of) the following sites: Watch exclusions: For 568.0, the excludes note lists adhesions of For K66.0, you'll find a similar excludes list: Look for 'NEC' Code One difference for reporting pelvic adhesions in ICD-10 instead of ICD-9 is the addition of a not elsewhere classified code, N99.4 (Postprocedural pelvic peritoneal adhesions). ICD-10 states that N99.4 excludes