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v1.0.0
ICD-10 Guide
ICD-10 CodesN89.9

N89.9

Billable

Noninflammatory disorder of vagina, unspecified

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/18/2025

Code Description

ICD-10 N89.9 is a billable code used to indicate a diagnosis of noninflammatory disorder of vagina, unspecified.

Key Diagnostic Point:

N89.9 refers to a noninflammatory disorder of the vagina that is unspecified. This code encompasses a range of conditions affecting the vaginal area that do not involve inflammation. Such disorders may include atrophic vaginitis, vaginal dryness, and other structural or functional abnormalities that do not have an inflammatory etiology. These conditions can lead to symptoms such as discomfort, dyspareunia (painful intercourse), and changes in vaginal discharge. Noninflammatory disorders can arise from hormonal changes, particularly during menopause, or may be related to other systemic conditions. Accurate diagnosis often requires a thorough clinical evaluation, including a gynecological examination and possibly imaging studies or biopsies to rule out other conditions. Treatment may involve hormonal therapies, lubricants, or other interventions aimed at alleviating symptoms and improving quality of life.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of noninflammatory conditions that may fall under this code
  • Need for precise documentation to differentiate from inflammatory disorders
  • Potential overlap with other gynecological codes
  • Variability in clinical presentation and symptoms

Audit Risk Factors

  • Insufficient documentation of symptoms or clinical findings
  • Misclassification with inflammatory disorders
  • Inconsistent use of the code across different providers
  • Lack of follow-up documentation for ongoing conditions

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

Detailed patient history, physical examination findings, and any diagnostic tests performed.

Common Clinical Scenarios

Patients presenting with vaginal dryness, discomfort during intercourse, or abnormal discharge without signs of infection.

Billing Considerations

Ensure that the documentation clearly states the absence of inflammatory signs to support the use of N89.9.

Primary Care

Documentation Requirements

Comprehensive assessment of symptoms, including hormonal status and any relevant medical history.

Common Clinical Scenarios

Routine check-ups where patients report vaginal discomfort or dryness, particularly in menopausal women.

Billing Considerations

Consider referral to a specialist if symptoms persist or worsen.

Coding Guidelines

Inclusion Criteria

Use N89.9 When
  • According to ICD
  • 10 guidelines, N89
  • 9 should be used when a noninflammatory disorder of the vagina is diagnosed but not specified further
  • Coders should ensure that the documentation supports the diagnosis and that other potential causes have been ruled out

Exclusion Criteria

Do NOT use N89.9 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used when a patient presents with symptoms related to N89.9 for evaluation and management.

Documentation Requirements

Document the patient's history, examination findings, and treatment plan.

Specialty Considerations

Ensure that the visit is appropriately coded based on the complexity of the visit.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of noninflammatory disorders, improving the ability to capture the nuances of these conditions. N89.9 provides a clear designation for unspecified noninflammatory disorders, which aids in data collection and analysis.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of noninflammatory disorders, improving the ability to capture the nuances of these conditions. N89.9 provides a clear designation for unspecified noninflammatory disorders, which aids in data collection and analysis.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of noninflammatory disorders, improving the ability to capture the nuances of these conditions. N89.9 provides a clear designation for unspecified noninflammatory disorders, which aids in data collection and analysis.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What symptoms indicate the use of N89.9?

Symptoms such as vaginal dryness, discomfort during intercourse, or abnormal discharge without signs of infection may indicate the use of N89.9. It is essential to document the absence of inflammatory signs.