A52.76 vs N77.1
A52.76 (Other genitourinary symptomatic late syphilis) compared with N77.1 (Vaginitis, vulvitis and vulvovaginitis in diseases classified elsewhere), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. N77.1 carries an Excludes1 note covering A52.76: “vulvovaginitis in late syphilis (A52.76)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| A52.76Other genitourinary symptomatic late syphilis | N77.1Vaginitis, vulvitis and vulvovaginitis in diseases classified elsewhere | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | A00-B99 — Certain Infectious and Parasitic Diseases (A00-B99) | N00-N99 — Diseases of the Genitourinary System (N00-N99) |
| Definition | Other genitourinary symptomatic late syphilis is a billable ICD-10-CM diagnosis code (A52.76). | Vaginitis, vulvitis and vulvovaginitis in diseases classified elsewhere is a billable ICD-10-CM diagnosis code (N77.1). |
| Includes | Late syphilitic female pelvic inflammatory disease | — |
| Code first | — | underlying disease, such as: pinworm (B80) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources