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2025 ICD-10-CM code N90.0

Mild vulvar dysplasia, also known as vulvar intraepithelial neoplasia (VIN) grade I.

Refer to the ICD-10-CM official guidelines for coding and sequencing.Ensure proper documentation to support the diagnosis.

Medical necessity for the diagnosis and treatment of N90.0 is established based on the presence of abnormal cellular changes on the vulva, which may represent a precancerous lesion. Treatment decisions depend on the patient's age, risk factors, and the severity of dysplasia.

Gynecologist, Dermatologist

IMPORTANT May be related to vulvar intraepithelial neoplasia (VIN) grade I.Excludes: Anogenital warts (A63.0), carcinoma in situ of vulva (D07.1), condyloma acuminatum (A63.0), severe dysplasia of vulva (D07.1), vulvar intraepithelial neoplasm III (VIN III) (D07.1).

In simple words: Mild vulvar dysplasia is a non-cancerous condition affecting the vulva (the outer part of the female genitals). It involves abnormal cell growth but is generally considered low-grade and may not require treatment.Doctors usually monitor it closely or may suggest treatment options depending on the individual case.

N90.0, Mild vulvar dysplasia, refers to a non-cancerous condition characterized by abnormal cell growth on the vulva.It's considered a low-grade lesion, also classified as vulvar intraepithelial neoplasia (VIN) grade I.This condition is typically identified through a colposcopy and biopsy, which examines the vulvar tissue microscopically to assess the extent and nature of the cellular changes.Mild vulvar dysplasia is generally considered a precursor to more severe dysplasia, though it can regress spontaneously or remain stable over time. Treatment options may include watchful waiting, topical therapies, or surgical excision depending on the severity and patient factors.

Example 1: A 35-year-old woman presents with abnormal Pap smear results showing mild cellular changes on the vulva.Colposcopy reveals mild dysplasia, and a biopsy confirms N90.0.The physician opts for a watchful waiting approach with regular follow-up examinations., A 40-year-old woman undergoes a routine gynecological examination, and a colposcopy and biopsy reveal mild vulvar dysplasia (N90.0).Due to her age and the presence of mild dysplasia, the physician recommends topical treatment with imiquimod., A 50-year-old woman with a history of HPV infection and abnormal Pap smears undergoes a colposcopy and biopsy that reveals mild vulvar dysplasia (N90.0). Given the patient's risk factors and the presence of dysplasia, the physician recommends surgical excision of the affected tissue.

* Patient history including risk factors (e.g., HPV infection, smoking)* Physical examination findings* Colposcopy report with images* Histopathology report of the vulvar biopsy confirming the diagnosis of mild vulvar dysplasia* Documentation of treatment plan and patient's response to treatment (if any)* Follow-up plans

** Further investigation may be warranted in cases of persistent or progressive dysplasia. Regular follow-up is crucial for monitoring.

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