N94.81 vs R10.2
N94.81 (Vulvodynia) compared with R10.2 (Pelvic and perineal pain), 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. R10.2 carries an Excludes1 note covering N94.81: “vulvodynia (N94.81)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Yes, when both are documented. R10.2 carries an Excludes2 note covering N94.81: “symptoms referable to female genital organs (N94.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| N94.81Vulvodynia | R10.2Pelvic and perineal pain | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | N00-N99 — Diseases of the Genitourinary System (N00-N99) | R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) |
| Definition | Vulvodynia is a non-billable ICD-10-CM category code (N94.81). | Pelvic and perineal pain is a non-billable ICD-10-CM category code (R10.2). |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources