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v1.0.0
ICD-10 Guide
ICD-10 CodesN90.3

N90.3

Billable

Dysplasia of vulva, unspecified

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

Code Description

ICD-10 N90.3 is a billable code used to indicate a diagnosis of dysplasia of vulva, unspecified.

Key Diagnostic Point:

Dysplasia of the vulva refers to abnormal growth or development of the vulvar tissue, which may be precancerous. This condition is characterized by atypical cells in the vulvar epithelium, which can arise from various factors including human papillomavirus (HPV) infection, chronic irritation, or other non-inflammatory conditions. Dysplasia can manifest in different grades, from mild to severe, and is often asymptomatic in its early stages. Patients may present with symptoms such as itching, burning, or visible lesions. Diagnosis typically involves a biopsy to confirm the presence of dysplastic cells. Management may include monitoring, topical treatments, or surgical intervention depending on the severity and associated risk factors. It is crucial for healthcare providers to differentiate vulvar dysplasia from other vulvar disorders, including inflammatory conditions and malignancies, to ensure appropriate treatment and follow-up.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for histological confirmation through biopsy
  • Differentiation from other vulvar conditions
  • Potential for progression to vulvar cancer

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to document biopsy results
  • Misclassification of dysplasia severity
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with vulvar lesions, abnormal Pap smears, or HPV-related concerns.

Billing Considerations

Ensure accurate grading of dysplasia if applicable and document any associated conditions.

Pathology

Documentation Requirements

Histopathological reports detailing the nature of dysplastic changes.

Common Clinical Scenarios

Biopsy specimens from patients with suspected vulvar dysplasia.

Billing Considerations

Clear communication of findings to referring physicians to guide treatment decisions.

Coding Guidelines

Inclusion Criteria

Use N90.3 When
  • According to ICD
  • 10 coding guidelines, N90
  • 3 should be used when there is a confirmed diagnosis of vulvar dysplasia without specification of the grade
  • It is important to document any associated conditions or risk factors that may influence treatment

Exclusion Criteria

Do NOT use N90.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

57061CPT Code

Vulvar biopsy

Clinical Scenario

When a biopsy is performed to confirm dysplasia.

Documentation Requirements

Document the indication for the biopsy and the results.

Specialty Considerations

Ensure that the pathology report is linked to the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of dysplastic conditions, improving the accuracy of data collection and treatment planning. N90.3 provides a broad category for unspecified dysplasia, but coders must ensure that documentation supports the use of this code.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of dysplastic conditions, improving the accuracy of data collection and treatment planning. N90.3 provides a broad category for unspecified dysplasia, but coders must ensure that documentation supports the use of this code.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of dysplastic conditions, improving the accuracy of data collection and treatment planning. N90.3 provides a broad category for unspecified dysplasia, but coders must ensure that documentation supports the use of this code.

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 is the difference between N90.3 and N90.0?

N90.3 is used for unspecified dysplasia of the vulva, while N90.0 specifies vulvar intraepithelial neoplasia, which is a more defined condition with specific grading.