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ICD-10 Guide
ICD-10 CodesN76.8

N76.8

Billable

Other specified inflammation of vagina and vulva

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

Code Description

ICD-10 N76.8 is a billable code used to indicate a diagnosis of other specified inflammation of vagina and vulva.

Key Diagnostic Point:

N76.8 encompasses various inflammatory conditions affecting the vagina and vulva that do not fall under more specific categories. This includes disorders related to Bartholin's glands, which can become obstructed or infected, leading to cysts or abscesses. Vulvovaginitis, a common condition characterized by inflammation of the vulva and vagina, can result from infections (bacterial, fungal, or viral), irritants, or allergic reactions. Other inflammatory conditions may include dermatitis, lichen sclerosus, and vulvar vestibulitis. Symptoms often include itching, burning, swelling, and discharge. Accurate diagnosis is crucial as treatment varies based on the underlying cause, ranging from antibiotics for infections to topical steroids for inflammatory skin conditions. Proper coding is essential for appropriate management and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes leading to inflammation.
  • Overlap with other codes for vulvovaginal conditions.
  • Need for precise documentation to support the diagnosis.
  • Potential for misdiagnosis due to symptom similarity with other conditions.

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings.
  • Failure to specify the underlying cause of inflammation.
  • Incorrect linkage between diagnosis and treatment codes.
  • Use of N76.8 when a more specific code is available.

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

Detailed clinical notes on symptoms, examination findings, and treatment plans.

Common Clinical Scenarios

Patients presenting with vulvar itching, discharge, or pain.

Billing Considerations

Consideration of patient history, including previous infections and treatments.

Dermatology

Documentation Requirements

Comprehensive skin assessments and descriptions of lesions.

Common Clinical Scenarios

Diagnosis of vulvar dermatitis or lichen sclerosus.

Billing Considerations

Differentiating between inflammatory skin conditions and infectious causes.

Coding Guidelines

Inclusion Criteria

Use N76.8 When
  • According to ICD
  • 10 guidelines, N76
  • 8 should be used when the inflammation of the vagina and vulva is specified but does not fit into other defined categories
  • Coders must ensure that the documentation supports the diagnosis and that any underlying conditions are also coded appropriately

Exclusion Criteria

Do NOT use N76.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits for patients with vulvovaginitis.

Documentation Requirements

Document the reason for the visit, symptoms, and any treatments provided.

Specialty Considerations

Gynecologists should ensure thorough documentation of the examination findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of inflammatory conditions, improving the accuracy of diagnoses and treatment plans. N76.8 provides flexibility for conditions that do not fit neatly into other categories, but it requires careful documentation to avoid misclassification.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of inflammatory conditions, improving the accuracy of diagnoses and treatment plans. N76.8 provides flexibility for conditions that do not fit neatly into other categories, but it requires careful documentation to avoid misclassification.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of inflammatory conditions, improving the accuracy of diagnoses and treatment plans. N76.8 provides flexibility for conditions that do not fit neatly into other categories, but it requires careful documentation to avoid misclassification.

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 should I document to support the use of N76.8?

Document the patient's symptoms, clinical findings, any diagnostic tests performed, and the treatment plan. Ensure that the documentation clearly indicates the inflammation is unspecified and does not fit into other defined categories.