1. ICD-10-CM Codes
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2. N00-N99 Diseases of the genitourinary system
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3. N80-N98 Noninflammatory disorders of female genital tract
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4. N90- Other noninflammatory disorders of vulva and perineum
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2018 ICD-10-CM Diagnosis Code N90.89

Other specified noninflammatory disorders of vulva and perineum

2016 2017 2018 Billable/Specific Code Female Dx

• N90.89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
• Short description: Oth noninflammatory disorders of vulva and perineum
• The 2018 edition of ICD-10-CM N90.89 became effective on October 1, 2017.
• This is the American ICD-10-CM version of N90.89 - other international versions of ICD-10 N90.89 may differ.

• N90.89 is applicable to female patients.

• Acquired labial adhesion
• Caruncle of labium
• Edema of vulva
• Hypertrophy of clitoris
• Labial adhesion, acquired
• Lesion of vulva
• Nontraumatic nonobstetric vulvar hematoma
• Nontraumatic vulvar hematoma
• Old laceration of vulva
• Vulval irritation
• Vulvar irritation

• 742 Uterine and adnexa procedures for non-malignancy with cc/mcc
• 743 Uterine and adnexa procedures for non-malignancy without cc/mcc
• 760 Menstrual and other female reproductive system disorders with cc/mcc
• 761 Menstrual and other female reproductive system disorders without cc/mcc

Convert N90.89 to ICD-9-CM

• 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
• 2017 (effective 10/1/2016): No change
• 2018 (effective 10/1/2017): No change

• Type 2 Excludes: L80
  ICD-10-CM Diagnosis Code L80

  Vitiligo

  2016 2017 2018 Billable/Specific Code

  Type 2 Excludes

  • vitiligo of eyelids (H02.73-)
  • vitiligo of vulva (N90.89)

• Adherent - see also Adhesions
  • labia N90.89 (minora)
• Adhesions, adhesive (postinfective) K66.0
  ICD-10-CM Diagnosis Code K66.0

  Peritoneal adhesions (postprocedural) (postinfection)

  2016 2017 2018 Billable/Specific Code

  Applicable To

  • Adhesions (of) abdominal (wall)
  • Adhesions (of) diaphragm
  • Adhesions (of) intestine
  • Adhesions (of) male pelvis
  • Adhesions (of) omentum
  • Adhesions (of) stomach
  • Adhesive bands
  • Mesenteric adhesions

  Type 1 Excludes

  • female pelvic adhesions [bands] (N73.6)
  • peritoneal adhesions with intestinal obstruction (K56.5-)
  • clitoris N90.89
  • postpartal, old N90.89 (vulva or perineum)
  • vulva N90.89
• Caruncle (inflamed)
  • labium N90.89 (majus) (minus)
• Concretion - see also Calculus
  • clitoris N90.89
• Deformity Q89.9
  ICD-10-CM Diagnosis Code Q89.9

  Congenital malformation, unspecified

  2016 2017 2018 Billable/Specific Code POA Exempt

  Applicable To

  • Congenital anomaly NOS
  • Congenital deformity NOS
  • clitoris (congenital) Q52.6
    ICD-10-CM Diagnosis Code Q52.6

    Congenital malformation of clitoris

    2016 2017 2018 Billable/Specific Code Female Dx POA Exempt
    • acquired N90.89
  • labium (majus) (minus) (congenital) Q52.79
    ICD-10-CM Diagnosis Code Q52.79

    Other congenital malformations of vulva

    2016 2017 2018 Billable/Specific Code Female Dx POA Exempt

    Applicable To

    • Congenital cyst of vulva
    • acquired N90.89
  • vulva (congenital) Q52.79
    ICD-10-CM Diagnosis Code Q52.79

    Other congenital malformations of vulva

    2016 2017 2018 Billable/Specific Code Female Dx POA Exempt

    Applicable To

    • Congenital cyst of vulva
    • acquired N90.89
• Disease, diseased - see also Syndrome
  • vulva (noninflammatory) N90.9
    ICD-10-CM Diagnosis Code N90.9

    Noninflammatory disorder of vulva and perineum, unspecified

    2016 2017 2018 Billable/Specific Code Female Dx
    • specified NEC N90.89
• Edema, edematous (infectious) (pitting) (toxic) R60.9
  ICD-10-CM Diagnosis Code R60.9

  Edema, unspecified

  2016 2017 2018 Billable/Specific Code

  Applicable To

  • Fluid retention NOS
  • vulva N90.89 (acute)
• Elephantiasis (nonfilarial) I89.0
  ICD-10-CM Diagnosis Code I89.0

  Lymphedema, not elsewhere classified

  2016 2017 2018 Billable/Specific Code

  Applicable To

  • Elephantiasis (nonfilarial) NOS
  • Lymphangiectasis
  • Obliteration, lymphatic vessel
  • Praecox lymphedema
  • Secondary lymphedema

  Type 1 Excludes

  • postmastectomy lymphedema (I97.2)
  • vulva N90.89 (nonfilarial)
• Hematoma (traumatic) (skin surface intact) - see also Contusion
  • vulva (nontraumatic) (nonobstetric) N90.89
  • labia N90.89 (nontraumatic) (nonobstetric)
• Hemorrhage, hemorrhagic (concealed) R58
  ICD-10-CM Diagnosis Code R58

  Hemorrhage, not elsewhere classified

  2016 2017 2018 Billable/Specific Code

  Applicable To

  • Hemorrhage NOS

  Type 1 Excludes

  • hemorrhage included with underlying conditions, such as:
  • acute duodenal ulcer with hemorrhage (K26.0)
  • acute gastritis with bleeding (K29.01)
  • ulcerative enterocolitis with rectal bleeding (K51.01)
  • vulva N90.89
• Hydrocele (spermatic cord) (testis) (tunica vaginalis) N43.3
  ICD-10-CM Diagnosis Code N43.3

  Hydrocele, unspecified

  2016 2017 2018 Billable/Specific Code Male Dx
  • vulva N90.89
• Hypertrophy, hypertrophic
  • clitoris (cirrhotic) N90.89
  • prepuce (congenital) N47.8
    ICD-10-CM Diagnosis Code N47.8

    Other disorders of prepuce

    2016 2017 2018 Billable/Specific Code Male Dx
    • female N90.89
• Laceration
  • vulva S31.41
    ICD-10-CM Diagnosis Code S31.41

    Laceration without foreign body of vagina and vulva

    2016 2017 2018 Non-Billable/Non-Specific Code
    • nonpuerperal, nontraumatic N90.89
    • old N90.89 (postpartal)
• Necrosis, necrotic (ischemic) - see also Gangrene
  • perineum N90.89
  • vulva N90.89
• Redundant, redundancy
  • clitoris N90.89
• Retention - see also Retained
  • smegma, clitoris N90.89
• Rupture, ruptured
  • perineum (nonobstetric) (nontraumatic) N90.89
• Scar, scarring L90.5
  - see also Cicatrix
  ICD-10-CM Diagnosis Code L90.5

  Scar conditions and fibrosis of skin

  2016 2017 2018 Billable/Specific Code

  Applicable To

  • Adherent scar (skin)
  • Cicatrix
  • Disfigurement of skin due to scar
  • Fibrosis of skin NOS
  • Scar NOS

  Type 2 Excludes

  • hypertrophic scar (L91.0)
  • keloid scar (L91.0)
  • labia N90.89
  • vulva N90.89
• Sclerosis, sclerotic
  • corpus cavernosum
    • female N90.89
• Tag (hypertrophied skin) (infected) L91.8
  ICD-10-CM Diagnosis Code L91.8

  Other hypertrophic disorders of the skin

  2016 2017 2018 Billable/Specific Code
  • perineal N90.89
  • vulva N90.89
• Vitiligo L80
  ICD-10-CM Diagnosis Code L80

  Vitiligo

  2016 2017 2018 Billable/Specific Code

  Type 2 Excludes

  • vitiligo of eyelids (H02.73-)
  • vitiligo of vulva (N90.89)
  • vulva N90.89

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.