ICD-10 Coding for Vaginal Lesion(N89.8, N90.89, B37.3, A60.04)
Complete ICD-10-CM coding and documentation guide for Vaginal Lesion. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Vaginal Lesion
N89-N90Primary Range
Noninflammatory disorders of the female genital tract
This range includes codes for various noninflammatory vaginal and vulvar disorders, including lesions.
Candidiasis
This range includes codes for candidiasis, which can be associated with vaginal lesions.
Anogenital herpesviral infections
This range includes codes for herpes infections, which may present as vaginal lesions.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N89.8 | Other specified noninflammatory disorders of vagina | Use for noninflammatory vaginal cysts or leukoplakia. |
|
| N90.89 | Other specified noninflammatory disorders of vulva and perineum | Use for vulvar lesions that extend to the vaginal area. |
|
| B37.3 | Candidiasis of vulva and vagina | Use when candidiasis is confirmed alongside a vaginal lesion. |
|
| A60.04 | Herpesviral infection of vulva | Use when herpes is confirmed as the cause of vaginal lesions. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for vaginal lesion
Essential facts and insights about Vaginal Lesion
Primary ICD-10-CM Codes for vaginal lesion
Decision Criteria
clinical Criteria
- Noninflammatory cyst confirmed by imaging
Applicable To
- Vaginal cyst
- Leukorrhea
Excludes
- Candidiasis of vagina and vulva (B37.3)
Clinical Validation Requirements
- Imaging or pathology confirming cyst structure
- Colposcopy findings
Code-Specific Risks
- Risk of using for inflammatory conditions
Coding Notes
- Ensure documentation specifies noninflammatory nature.
N90.89 - Other specified noninflammatory disorders of vulva and perineum
Use for vulvar lesions that extend to the vaginal area.
Applicable To
- Vulvar lesion extending to vaginal area
Excludes
- Lichen sclerosus (L90.8)
Clinical Validation Requirements
- Biopsy showing benign histology
Coding Notes
Ensure lesion extension is documented.
B37.3 - Candidiasis of vulva and vagina
Use when candidiasis is confirmed alongside a vaginal lesion.
Applicable To
- Yeast infection
Clinical Validation Requirements
- Positive KOH prep for pseudohyphae
Coding Notes
Document laboratory findings.
A60.04 - Herpesviral infection of vulva
Use when herpes is confirmed as the cause of vaginal lesions.
Applicable To
- Herpetic lesions
Clinical Validation Requirements
- Viral culture positive for HSV-2
Coding Notes
Ensure viral confirmation is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Candidiasis of vulva and vagina
B37.3Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Vaginal Lesion to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N89.8.
Impact
Clinical: Inaccurate clinical records, Regulatory: Potential audit issues, Financial: Incorrect billing
Mitigation Strategy
Standardize documentation templates, Regular training for clinicians
Impact
Reimbursement: May lead to incorrect reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Affects accuracy of clinical data.
Mitigation Strategy
Ensure documentation specifies noninflammatory nature.
Impact
Inadequate documentation of lesion size and location.
Mitigation Strategy
Implement standardized documentation protocols.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Vaginal Lesion, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Vaginal Lesion
Use these documentation templates to ensure complete and accurate documentation for Vaginal Lesion. These templates include all required elements for proper coding and billing.
Benign Vaginal Cyst
Specialty: GynecologyRequired Elements
- Lesion size
- Location
- Method of removal
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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