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ICD-10 Coding for Vulvar Mass(N90.89, C51.9)

Complete ICD-10-CM coding and documentation guide for Vulvar Mass. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Vulvar LesionVulvar Tumor

Related ICD-10 Code Ranges

Complete code families applicable to Vulvar Mass

N90-N99Primary Range

Noninflammatory disorders of female genital tract

Includes codes for noninflammatory vulvar disorders such as cysts and hypertrophy.

Malignant neoplasms of female genital organs

Covers malignant conditions of the vulva, including squamous cell carcinoma.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
N90.89Other specified noninflammatory disorders of vulva and perineumUse for noninflammatory vulvar disorders such as cysts and adhesions.
  • Ultrasound confirmation of cyst
  • Physical examination findings
C51.9Malignant neoplasm of vulva, unspecifiedUse for confirmed malignant neoplasms of the vulva.
  • Biopsy confirmation of malignancy
  • Histologic examination

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 vulvar mass

Essential facts and insights about Vulvar Mass

The ICD-10 code for a noninflammatory vulvar mass is N90.89, while C51.9 is used for malignant neoplasms.

Primary ICD-10-CM Codes for vulvar mass

Other specified noninflammatory disorders of vulva and perineum
Billable Code

Decision Criteria

clinical Criteria

  • Presence of noninflammatory vulvar disorder confirmed by imaging or physical exam.

Applicable To

  • Vulvar cysts
  • Vulvar adhesions

Excludes

  • Malignant neoplasm of vulva (C51.-)

Clinical Validation Requirements

  • Ultrasound confirmation of cyst
  • Physical examination findings

Code-Specific Risks

  • Misclassification of malignant lesions

Coding Notes

  • Ensure laterality is documented when applicable.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Abdominal and pelvic swelling, mass and lump, other specified site

R19.07
Use when the etiology of the mass is unknown.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Malignant neoplasm of vulva, unspecified

C51.9
Requires histologic confirmation of malignancy.

Other specified noninflammatory disorders of vulva and perineum

N90.89
Use for non-malignant conditions.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Vulvar Mass to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N90.89.

Impact

Clinical: May affect treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.

Mitigation Strategy

Always document the side of the body affected.

Impact

Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding standards., Data Quality: Inaccurate medical records.

Mitigation Strategy

Use C51.9 with histology report linkage.

Impact

Coding C51.9 without biopsy confirmation.

Mitigation Strategy

Require biopsy results before coding.

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 Vulvar Mass, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Vulvar Mass

Use these documentation templates to ensure complete and accurate documentation for Vulvar Mass. These templates include all required elements for proper coding and billing.

Biopsy-confirmed vulvar mass

Specialty: Gynecology

Required Elements

  • Location and size of the mass
  • Biopsy results
  • Histologic type

Example Documentation

Patient presents with a 3 cm mass on the left labium majus. Biopsy confirms squamous cell carcinoma.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Vulvar mass noted.
Good Documentation Example
3 cm firm mass on left labium majus, biopsy confirms squamous cell carcinoma.
Explanation
The good example provides specific size, location, and biopsy results.

Need help with ICD-10 coding for Vulvar Mass? Ask your questions below.

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