ICD-10 Coding for Vulvar Lesion(N90.89, D07.1, C51.x)
Complete ICD-10-CM coding and documentation guide for Vulvar Lesion. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Vulvar Lesion
N90-N99Primary Range
Noninflammatory disorders of female genital tract
Includes various noninflammatory vulvar conditions, including hypertrophy and dystrophy.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N90.89 | Other specified noninflammatory disorders of vulva and perineum | Use for noninflammatory vulvar conditions without dysplasia. |
|
| D07.1 | Carcinoma in situ of vulva | Use when biopsy confirms VIN III or carcinoma in situ. |
|
| C51.x | Malignant neoplasm of vulva | Use when biopsy confirms invasive vulvar cancer. |
|
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 lesion
Essential facts and insights about Vulvar Lesion
Primary ICD-10-CM Codes for vulvar lesion
Decision Criteria
clinical Criteria
- No dysplasia present on biopsy
Applicable To
- Vulvar hypertrophy
- Vulvar dystrophy
Excludes
- Vulvar dysplasia (D07.1)
Clinical Validation Requirements
- Absence of dysplasia on pathology
- Documentation of hypertrophy or adhesions
Code-Specific Risks
- Misclassification if dysplasia is present
Coding Notes
- Ensure documentation specifies absence of dysplasia.
D07.1 - Carcinoma in situ of vulva
Use when biopsy confirms VIN III or carcinoma in situ.
Applicable To
- VIN III
- High-grade squamous intraepithelial lesion (HSIL)
Excludes
- Invasive vulvar cancer (C51.x)
Clinical Validation Requirements
- Biopsy confirming VIN III or carcinoma in situ
Coding Notes
Ensure biopsy results are documented.
C51.x - Malignant neoplasm of vulva
Use when biopsy confirms invasive vulvar cancer.
Applicable To
- Invasive squamous cell carcinoma
- Invasive adenocarcinoma
Excludes
- Carcinoma in situ of vulva (D07.1)
Clinical Validation Requirements
- Biopsy confirming invasive cancer
Coding Notes
Document extent of invasion and surgical details.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Excision of benign lesion
11420-11426Excision of malignant lesion
11620-11626Radical vulvectomy with lymphadenectomy
56630-56637Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Vulvar Lesion to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N90.89.
Impact
Clinical: Inaccurate treatment records, Regulatory: Potential audit issues, Financial: Denied claims
Mitigation Strategy
Use standardized templates, Review documentation checklist
Impact
Reimbursement: Incorrect reimbursement rates, Compliance: Non-compliance with coding standards, Data Quality: Inaccurate clinical data
Mitigation Strategy
Ensure biopsy results guide code selection.
Impact
Risk of using benign codes for malignant lesions.
Mitigation Strategy
Regular training and audits.
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 Lesion, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Vulvar Lesion
Use these documentation templates to ensure complete and accurate documentation for Vulvar Lesion. These templates include all required elements for proper coding and billing.
Excision of Vulvar Lesion
Specialty: GynecologyRequired Elements
- Lesion size
- Margins
- Biopsy results
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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