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2025 ICD-10-CM code N90.3

Dysplasia of the vulva, unspecified.

Adhere to the official ICD-10-CM coding guidelines and conventions for accurate code selection. If the dysplasia is specified (e.g., mild, moderate, severe), use the more specific code instead of N90.3.

Modifiers may be applicable depending on the circumstances of the encounter and the services provided. Consult the official coding guidelines for appropriate modifier usage.

Medical necessity for coding N90.3 is established through documented clinical findings suggestive of vulvar dysplasia, prompting the need for diagnostic and potentially therapeutic interventions.The severity and potential for progression warrant coding accuracy for appropriate management and treatment.

The clinical responsibility for coding N90.3 rests with the physician or qualified healthcare professional who performs the examination and interpretation of the findings. This includes appropriate clinical documentation for proper reimbursement.

IMPORTANT Consider other codes within the N80-N98 block depending on the specifics of the dysplasia, such as its type, severity, and presence of associated conditions.It is essential to cross-reference with clinical findings and pathology reports to ensure accurate selection.

In simple words: This code describes an abnormal change in the cells of the vulva (the outer part of the female genitals). The specific type or severity of the change isn't specified.

N90.3 in the ICD-10-CM classification system refers to dysplasia of the vulva, unspecified.This code encompasses abnormal cellular growth in the vulvar tissue, without specifying the type or severity of the dysplasia.It is crucial to differentiate this from other vulvar conditions such as infections, inflammation, or neoplasms. Accurate coding requires detailed clinical documentation regarding the nature and extent of the dysplasia.

Example 1: A 35-year-old female presents with abnormal Pap smear results. Colposcopy reveals mild dysplasia of the vulva, unspecified. Code N90.3 is used., A 50-year-old woman undergoes a routine gynecological exam, and a biopsy reveals moderate vulvar dysplasia. Code N90.3 is applied until further testing clarifies the subtype., A 60-year-old patient has an abnormal vulvar lesion. A biopsy is performed, but the results only describe unspecified dysplasia. Code N90.3 is utilized pending further assessment.

Detailed clinical notes, including the patient's history, physical examination findings, results of any diagnostic tests (e.g., Pap smear, colposcopy, biopsy), and the pathologist's report detailing the findings (type and grade of dysplasia).

** Always ensure that the documentation supports the chosen code.Use the most specific code available based on the clinical findings.In cases of uncertainty, consult with a coding specialist or physician for clarification.

  • Payment Status: Active
  • Modifier TC rule: Not applicable.
  • Specialties:Gynecology, Pathology
  • Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center
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