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N89 vs R87.7

N89 (Other noninflammatory disorders of vagina) compared with R87.7 (Abnormal histological findings in specimens from female genital organs), 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. R87.7 carries an Excludes1 note covering N89: “dysplasia (mild) (moderate) of vagina (histologically confirmed) (N89.-)”

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

N89Other noninflammatory disorders of vaginaR87.7Abnormal histological findings in specimens from female genital organs
Billing statusNon-billable header

Report instead: N89.0, N89.1, N89.3, N89.4, N89.5

Billable
ClassificationN00-N99 — Diseases of the Genitourinary System (N00-N99)R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99)
DefinitionOther noninflammatory disorders of vagina is a non-billable ICD-10-CM category code (N89).Abnormal histological findings in specimens from female genital organs is a billable ICD-10-CM diagnosis code (R87.7).
Includes
abnormal findings in secretion and smears from cervix uteri
abnormal findings in secretion and smears from vagina
abnormal findings in secretion and smears from vulva

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