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v1.0.0
ICD-10 Guide
ICD-10 CodesN89.8

N89.8

Billable

Other specified noninflammatory disorders of vagina

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

Code Description

ICD-10 N89.8 is a billable code used to indicate a diagnosis of other specified noninflammatory disorders of vagina.

Key Diagnostic Point:

N89.8 encompasses a variety of noninflammatory disorders affecting the vagina that do not fall under more specific categories. These may include conditions such as vaginal atrophy, which is often seen in postmenopausal women due to decreased estrogen levels, leading to thinning and drying of the vaginal walls. Other conditions may include vaginal cysts, such as Gartner's duct cysts, which are remnants of embryonic structures. Additionally, this code may be used for cases of vaginismus, a condition characterized by involuntary muscle spasms in the vaginal area, which can cause discomfort or pain during intercourse. It is important to note that these disorders are not caused by infections or inflammatory processes, distinguishing them from other vaginal conditions. Accurate coding requires a thorough understanding of the patient's history and clinical presentation, as well as the exclusion of inflammatory causes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of conditions that can be coded under N89.8
  • Need for detailed clinical documentation to support the diagnosis
  • Differentiation from inflammatory disorders
  • Potential overlap with other codes related to vaginal disorders

Audit Risk Factors

  • Insufficient documentation to support the diagnosis
  • Misclassification of inflammatory vs. noninflammatory disorders
  • Inconsistent coding practices among different providers
  • Failure to document the clinical rationale for the diagnosis

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 vaginal masses.

Billing Considerations

Ensure that the diagnosis is clearly differentiated from inflammatory conditions and that all relevant symptoms are documented.

Primary Care

Documentation Requirements

Comprehensive assessment of symptoms, including any relevant gynecological history.

Common Clinical Scenarios

Routine examinations where patients report vaginal discomfort or changes in vaginal health.

Billing Considerations

Collaboration with specialists may be necessary for accurate diagnosis and management.

Coding Guidelines

Inclusion Criteria

Use N89.8 When
  • According to ICD
  • 10 coding guidelines, N89
  • 8 should be used when the specific noninflammatory disorder of the vagina is documented
  • Coders must ensure that the condition is not due to an infectious or inflammatory process, and that all relevant clinical information is available to support the diagnosis

Exclusion Criteria

Do NOT use N89.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58150CPT Code

Total abdominal hysterectomy

Clinical Scenario

When a patient with a noninflammatory vaginal disorder undergoes a hysterectomy.

Documentation Requirements

Operative report detailing the procedure and indication.

Specialty Considerations

Gynecologists should 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 ability to capture the nuances of these conditions. N89.8 provides a distinct code for various noninflammatory disorders, which aids in better tracking and management of these conditions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of noninflammatory vaginal disorders, improving the ability to capture the nuances of these conditions. N89.8 provides a distinct code for various noninflammatory disorders, which aids in better tracking and management of these conditions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of noninflammatory vaginal disorders, improving the ability to capture the nuances of these conditions. N89.8 provides a distinct code for various noninflammatory disorders, which aids in better tracking and management of these conditions.

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 types of conditions are included under N89.8?

N89.8 includes various noninflammatory disorders such as vaginal atrophy, vaginismus, and vaginal cysts. It is important to ensure that these conditions are not due to infections or inflammatory processes.