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Compare/N77 vs O00

N77 vs O00

N77 (Vulvovaginal ulceration and inflammation in diseases classified elsewhere) compared with O00 (Ectopic pregnancy), 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 carries an Excludes1 note covering O00: “abortion or ectopic or molar pregnancy (O00-O07, O08.0)”

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

N77Vulvovaginal ulceration and inflammation in diseases classified elsewhereO00Ectopic pregnancy
Billing statusNon-billable header

Report instead: N77.0, N77.1

Non-billable header

Report instead: O00.00, O00.01, O00.101, O00.102, O00.109

ClassificationN00-N99 — Diseases of the Genitourinary System (N00-N99)O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)
DefinitionVulvovaginal ulceration and inflammation in diseases classified elsewhere is a non-billable ICD-10-CM category code (N77).Ectopic pregnancy is a non-billable ICD-10-CM category code (O00).
Includes
ruptured ectopic pregnancy
Use additional code
code from category O08 to identify any associated complication

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources