Other noninflammatory disorders of vulva and perineum (N90)

The ICD-10 code N90 category covers a variety of noninflammatory disorders affecting the vulva and perineum, including mild to moderate vulvar dysplasia, leukoplakia, atrophy, hypertrophy, cysts, and complications related to female genital mutilation. These codes help classify specific conditions such as vulval intraepithelial neoplasia, lichen sclerosus, and various hypertrophic or atrophic changes.

This section is used to identify and code distinct noninflammatory vulvar and perineal disorders, providing clarity for conditions like mild vulvar dysplasia (N90.0) and moderate vulvar dysplasia (N90.1), both known as vulval intraepithelial neoplasia (VIN). It also includes leukoplakia of vulva (N90.4), which is related to lichen sclerosus and certain precancerous changes. Atrophy and hypertrophy codes, such as N90.5 and N90.60, describe thinning or enlargement of vulvar tissues. The category uniquely encompasses the multiple types of female genital mutilation status (N90.81-series), aiding in documentation for these specific histories. Other codes include vulvar cysts (N90.7) and various other specified or unspecified noninflammatory conditions, ensuring detailed reporting of vulvar and perineal abnormalities without inflammation.

Instructional Notations

Type 1 Excludes

A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

  • anogenital venereal warts A63.0
  • carcinoma in situ of vulva D07.1
  • condyloma acuminatum A63.0
  • current obstetric trauma O70 O71.7 O71.8
  • inflammation of vulva N76
  • severe dysplasia of vulva D07.1
  • vulvar intraepithelial neoplasm III [VIN III] D07.1