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ICD-10 Guide
ICD-10 CodesChapter 14: Diseases of the genitourinary systemN76

N76

Billable

Other inflammation of vagina and vulva

Chapter 14:Diseases of the genitourinary system

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

Code Description

ICD-10 N76 is a billable code used to indicate a diagnosis of other inflammation of vagina and vulva.

Key Diagnostic Point:

N76 encompasses various inflammatory conditions affecting the vagina and vulva, including vulvovaginitis, Bartholin's gland disorders, and other non-specific inflammatory responses. Vulvovaginitis can arise from infections (bacterial, fungal, or viral), irritants, or allergic reactions, leading to symptoms such as itching, burning, and abnormal discharge. Bartholin's gland disorders, including cysts and abscesses, occur when the ducts of these glands become obstructed, causing inflammation and pain. The inflammatory response in these conditions may be acute or chronic, and can significantly impact a patient's quality of life. Diagnosis typically involves a thorough clinical examination, patient history, and may include laboratory tests to identify infectious agents. Treatment varies based on the underlying cause and may include antibiotics, antifungals, or surgical intervention for Bartholin's gland issues. Accurate coding is essential for proper reimbursement and tracking of these conditions in clinical practice.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes (infectious vs. non-infectious)
  • Differentiation between acute and chronic conditions
  • Potential for co-existing conditions (e.g., STIs)
  • Variability in clinical presentation

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings
  • Failure to specify the type of inflammation (acute vs. chronic)
  • Misclassification of infectious vs. non-infectious causes
  • Lack of follow-up documentation for treatment outcomes

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with vulvovaginal itching, discharge, or pain; Bartholin's gland cysts or abscesses.

Billing Considerations

Ensure documentation specifies the type of inflammation and any relevant diagnostic tests performed.

Family Medicine

Documentation Requirements

Comprehensive patient history and symptom description, including duration and severity.

Common Clinical Scenarios

Routine evaluations for vulvovaginitis, management of Bartholin's gland disorders.

Billing Considerations

Document any referrals to specialists for further evaluation or treatment.

Coding Guidelines

Inclusion Criteria

Use N76 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the condition's nature, duration, and any relevant diagnostic tests
  • Include specific details about the inflammation type and associated symptoms

Exclusion Criteria

Do NOT use N76 When
No specific exclusions found.

Related CPT Codes

58150CPT Code

Vulvectomy, partial

Clinical Scenario

Performed for chronic vulvar inflammation unresponsive to medical management.

Documentation Requirements

Document indications for surgery, pre-operative assessments, and post-operative care.

Specialty Considerations

Obstetrics and Gynecology specialists should ensure thorough documentation of the patient's history and treatment attempts.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of vulvovaginal conditions, improving the accuracy of data collection and reimbursement processes. N76 provides a clearer framework for identifying and managing inflammatory conditions of the vagina and vulva.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of vulvovaginal conditions, improving the accuracy of data collection and reimbursement processes. N76 provides a clearer framework for identifying and managing inflammatory conditions of the vagina and vulva.

Reimbursement & Billing Impact

reimbursement processes. N76 provides a clearer framework for identifying and managing inflammatory conditions of the vagina and vulva.

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 inflammation coded under N76?

Common causes include infections (bacterial, fungal, viral), irritants (soaps, hygiene products), and allergic reactions. Accurate coding requires identifying the specific cause when possible.