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v1.0.0
ICD-10 Guide
ICD-10 CodesN76.89

N76.89

Billable

Other specified inflammation of vagina and vulva

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

Code Description

ICD-10 N76.89 is a billable code used to indicate a diagnosis of other specified inflammation of vagina and vulva.

Key Diagnostic Point:

N76.89 encompasses various inflammatory conditions affecting the vagina and vulva that do not fall under more specific categories. This includes disorders such as Bartholin's gland cysts or abscesses, which can lead to localized inflammation and discomfort. Vulvovaginitis, characterized by inflammation of the vulva and vagina, can result from infections (bacterial, viral, or fungal), irritants, or allergic reactions. Other inflammatory conditions may include lichen sclerosus or vulvar vestibulitis, which can cause significant pain and discomfort. Accurate diagnosis is crucial, as the treatment may vary significantly based on the underlying cause. Clinicians must consider the patient's history, symptoms, and any potential risk factors, such as recent antibiotic use or changes in hygiene products, to determine the appropriate management strategy. Documentation should reflect the specific nature of the inflammation, associated symptoms, and any relevant diagnostic findings to support the use of this code.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying causes (e.g., infections, irritants, autoimmune conditions)
  • Need for detailed clinical documentation to specify the type of inflammation
  • Differentiation from other similar codes (e.g., N76.0 for acute vulvitis)
  • Potential for overlapping symptoms with other gynecological conditions

Audit Risk Factors

  • Inadequate documentation of the specific inflammatory condition
  • Failure to link symptoms to the diagnosis appropriately
  • Use of this code without sufficient clinical evidence
  • Misclassification of the condition leading to incorrect coding

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with vulvar itching, burning, or discharge; Bartholin's gland cysts; or recurrent vulvovaginitis.

Billing Considerations

Consideration of co-existing conditions such as diabetes or immunocompromised states that may affect inflammation.

Dermatology

Documentation Requirements

Comprehensive skin examination notes, including descriptions of lesions and any biopsy results.

Common Clinical Scenarios

Patients with vulvar dermatitis or lichen sclerosus presenting with itching or pain.

Billing Considerations

Differentiating between inflammatory skin conditions and infectious causes.

Coding Guidelines

Inclusion Criteria

Use N76.89 When
  • According to ICD
  • CM guidelines, N76
  • 89 should be used when the inflammation of the vagina and vulva is specified but does not fit into other defined categories
  • Coders should ensure that the documentation supports the diagnosis and that any associated conditions are also coded appropriately

Exclusion Criteria

Do NOT use N76.89 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

88305CPT Code

Pathology examination, skin, and mucous membrane

Clinical Scenario

When a biopsy is performed to evaluate vulvar lesions.

Documentation Requirements

Pathology report must be included in the patient's medical record.

Specialty Considerations

Dermatologists may perform biopsies for inflammatory conditions.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specificity in coding inflammatory conditions of the vagina and vulva. N76.89 provides a broader category for conditions that may not have been adequately captured in ICD-9, allowing for better tracking of patient outcomes and treatment efficacy.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specificity in coding inflammatory conditions of the vagina and vulva. N76.89 provides a broader category for conditions that may not have been adequately captured in ICD-9, allowing for better tracking of patient outcomes and treatment efficacy.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specificity in coding inflammatory conditions of the vagina and vulva. N76.89 provides a broader category for conditions that may not have been adequately captured in ICD-9, allowing for better tracking of patient outcomes and treatment efficacy.

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 N76.89?

Common causes include infections (bacterial vaginosis, yeast infections), irritants (soaps, hygiene products), and autoimmune conditions (lichen sclerosus).