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Compare/N90 vs O71.7

N90 vs O71.7

N90 (Other noninflammatory disorders of vulva and perineum) compared with O71.7 (Obstetric hematoma of pelvis), 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. N90 carries an Excludes1 note covering O71.7: “current obstetric trauma (O70.-, O71.7-O71.8)”

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

N90Other noninflammatory disorders of vulva and perineumO71.7Obstetric hematoma of pelvis
Billing statusNon-billable header

Report instead: N90.0, N90.1, N90.3, N90.4, N90.5

Billable
ClassificationN00-N99 — Diseases of the Genitourinary System (N00-N99)O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)
DefinitionOther noninflammatory disorders of vulva and perineum is a non-billable ICD-10-CM category code (N90).Obstetric hematoma of pelvis is a billable ICD-10-CM diagnosis code (O71.7).
Includes
obstetric damage from instruments
Obstetric hematoma of perineum
Obstetric hematoma of vagina
Obstetric hematoma of vulva

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