N89 — Other noninflammatory disorders of vagina
N89 is a non-billable header ICD-10-CM code for other noninflammatory disorders of vagina. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- abnormal results from vaginal cytologic examination without histologic confirmation (R87.62-)
- carcinoma in situ of vagina (D07.2)
- HGSIL of vagina (R87.623)
- inflammation of vagina (N76.-)
- severe dysplasia of vagina (D07.2)
- trichomonal leukorrhea (A59.00)
- vaginal intraepithelial neoplasia [VAIN], grade III (D07.2)
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
- senile (atrophic) vaginitis (N95.2)
Other codes that can never be billed with N89
These codes carry an Excludes1 note pointing at N89. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading N89 alone.
Risk adjustment
N89 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead N89
9 child codes. Green means billable.
- N89.0Mild vaginal dysplasia
- N89.1Moderate vaginal dysplasia
- N89.3Dysplasia of vagina, unspecified
- N89.4Leukoplakia of vagina
- N89.5Stricture and atresia of vagina
- N89.6Tight hymenal ring
- N89.7Hematocolpos
- N89.8Other specified noninflammatory disorders of vagina
- N89.9Noninflammatory disorder of vagina, unspecified
Questions about N89
- Is N89 a billable ICD-10-CM code?
- No. N89 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does N89 sit in the tabular list?
- Diseases of the genitourinary system (N00-N99), in the block Noninflammatory disorders of female genital tract (N80-N98).
- What cannot be coded together with N89?
- N89 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.