ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesN89.5

N89.5

Billable

Stricture and atresia of vagina

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

Code Description

ICD-10 N89.5 is a billable code used to indicate a diagnosis of stricture and atresia of vagina.

Key Diagnostic Point:

Stricture and atresia of the vagina are conditions that involve narrowing (stricture) or complete closure (atresia) of the vaginal canal. These conditions can be congenital or acquired and may lead to significant complications, including obstructive symptoms, infertility, and difficulties during childbirth. Strictures can result from trauma, surgical interventions, or radiation therapy, while atresia is often a developmental anomaly present at birth. Patients may present with symptoms such as dyspareunia (painful intercourse), difficulty with menstrual flow, or urinary issues. Diagnosis typically involves a thorough clinical examination, imaging studies, and sometimes endoscopic evaluation. Treatment options vary based on the severity and cause of the condition and may include surgical intervention to correct the stricture or create a vaginal canal in cases of atresia. Proper coding is essential for accurate representation of these conditions in medical records and for reimbursement purposes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between congenital and acquired causes
  • Need for detailed documentation of symptoms and treatment
  • Potential for multiple related diagnoses
  • Variability in clinical presentation

Audit Risk Factors

  • Inadequate documentation of the condition's severity
  • Failure to specify congenital vs. acquired
  • Lack of supporting clinical evidence for surgical procedures
  • Misclassification of related conditions

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed patient history, physical examination findings, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with dyspareunia, obstructive symptoms, or infertility due to vaginal stricture or atresia.

Billing Considerations

Ensure clear documentation of the type of stricture or atresia and any associated conditions.

Urology

Documentation Requirements

Urological assessments, imaging studies, and any surgical intervention details.

Common Clinical Scenarios

Patients with urinary retention or recurrent urinary tract infections due to vaginal stricture.

Billing Considerations

Collaboration with gynecologists for comprehensive care and accurate coding.

Coding Guidelines

Inclusion Criteria

Use N89.5 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the condition's nature (congenital vs
  • acquired) and any associated procedures
  • Include relevant clinical findings and treatment plans in the medical record

Exclusion Criteria

Do NOT use N89.5 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58150CPT Code

Vaginal hysterectomy, abdominal approach

Clinical Scenario

Used in cases where stricture is severe and requires surgical intervention.

Documentation Requirements

Operative report detailing the procedure and indication.

Specialty Considerations

Obstetricians should ensure clear documentation of the stricture's impact on the procedure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like vaginal stricture and atresia, improving the accuracy of medical records and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like vaginal stricture and atresia, improving the accuracy of medical records and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 are the common causes of vaginal stricture?

Common causes include trauma from childbirth, surgical procedures, radiation therapy, and certain medical conditions that affect tissue integrity.