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ICD-10 Guide
ICD-10 CodesChapter 14: Diseases of the genitourinary systemN89

N89

Billable

Other noninflammatory disorders of vagina

Chapter 14:Diseases of the genitourinary system

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

Code Description

ICD-10 N89 is a billable code used to indicate a diagnosis of other noninflammatory disorders of vagina.

Key Diagnostic Point:

N89 encompasses a variety of noninflammatory disorders affecting the vagina that do not involve infectious or inflammatory processes. These conditions can include vaginal atrophy, which is often seen in postmenopausal women due to decreased estrogen levels, leading to thinning and drying of the vaginal walls. Other disorders may include vaginal prolapse, where the vaginal walls weaken and bulge into the vaginal canal, and conditions such as vaginismus or dyspareunia, which can be associated with psychological factors or physical changes. Additionally, this code may be used for benign neoplasms of the vagina, such as vaginal fibromas or cysts. Accurate coding requires a thorough understanding of the patient's symptoms, history, and any relevant diagnostic findings to ensure that the correct noninflammatory disorder is identified and documented.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of conditions included under the code
  • Need for precise documentation of symptoms and history
  • Differentiation from inflammatory conditions
  • Potential overlap with other gynecological disorders

Audit Risk Factors

  • Inadequate documentation of symptoms
  • Misclassification of inflammatory vs. noninflammatory disorders
  • Failure to specify the type of noninflammatory disorder
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with vaginal dryness, pain during intercourse, or abnormal vaginal masses.

Billing Considerations

Ensure that the documentation clearly differentiates between inflammatory and noninflammatory conditions.

Primary Care

Documentation Requirements

Comprehensive review of symptoms, including sexual health history and any relevant gynecological history.

Common Clinical Scenarios

Routine check-ups where patients report vaginal discomfort or changes.

Billing Considerations

Collaboration with gynecologists for referrals and follow-up on complex cases.

Coding Guidelines

Inclusion Criteria

Use N89 When
  • According to ICD
  • 10 guidelines, N89 should be used when the condition is clearly noninflammatory

Exclusion Criteria

Do NOT use N89 When
  • Coders must ensure that the diagnosis is supported by clinical documentation and that any exclusions are noted

Related CPT Codes

58150CPT Code

Total abdominal hysterectomy

Clinical Scenario

Used when a patient with a noninflammatory vaginal disorder requires surgical intervention.

Documentation Requirements

Operative report detailing the procedure and indication.

Specialty Considerations

Gynecologists must ensure that the diagnosis aligns with the surgical procedure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of noninflammatory vaginal disorders, improving the accuracy of diagnoses and treatment plans. This specificity aids in better tracking of patient outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of noninflammatory vaginal disorders, improving the accuracy of diagnoses and treatment plans. This specificity aids in better tracking of patient outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of noninflammatory vaginal disorders, improving the accuracy of diagnoses and treatment plans. This specificity aids in better tracking of patient outcomes and resource allocation.

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 conditions are included under N89?

N89 includes various noninflammatory disorders such as vaginal atrophy, prolapse, and benign neoplasms. It does not include inflammatory conditions or infections.

How can I ensure accurate coding for N89?

Accurate coding requires thorough documentation of the patient's symptoms, history, and any relevant diagnostic findings. Always differentiate between inflammatory and noninflammatory conditions.