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N90.69 vs O71.8

N90.69 (Other specified hypertrophy of vulva) compared with O71.8 (Other specified obstetric trauma), 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. N90.69 carries an Excludes1 note covering O71.8: “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

N90.69Other specified hypertrophy of vulvaO71.8Other specified obstetric trauma
Billing statusBillableNon-billable header

Report instead: O71.81, O71.82, O71.89

ClassificationN00-N99 — Diseases of the Genitourinary System (N00-N99)O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)
DefinitionOther specified hypertrophy of vulva is a billable ICD-10-CM diagnosis code (N90.69).Other specified obstetric trauma is a non-billable ICD-10-CM category code (O71.8).
Includes
Other specified hypertrophy of labia
obstetric damage from instruments

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