ICD-10/N90.4

N90.4 ICD 2026 Code: Leukoplakia of vulva

N90.4 is the authoritative medical code for Leukoplakia of vulva. This classification is used in medical billing and clinical recording to specify the clinical criteria for leukoplakia of vulva (ICD-10-CM N90.4), ensuring healthcare documentation aligns with 2026 federal coding standards.

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Official Registry Overview & Definition

Leukoplakia of vulva is a billable ICD-10-CM diagnosis code N90.4. Inclusion terms: Dystrophy of vulva; Kraurosis of vulva; Lichen sclerosus of external female genital organs. Excludes1 (not coded here): anogenital venereal warts A63.0; carcinoma in situ of vulva D07.1; condyloma acuminatum A63.0; current obstetric trauma (O70.-, O71.7-O71.8); inflammation of vulva N76.-; severe dysplasia of vulva D07.1; vulvar intraepithelial neoplasm III VIN III.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for N90.4 in the official ICD-10-CM tabular list.

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Dystrophy of vulva
  • Kraurosis of vulva
  • Lichen sclerosus of external female genital organs

Excludes1 — Not Coded Here

Conditions that can never be reported with this code; the two are mutually exclusive.

  • anogenital venereal warts A63.0
  • carcinoma in situ of vulva D07.1
  • condyloma acuminatum A63.0
  • current obstetric trauma (O70.-, O71.7-O71.8)
  • inflammation of vulva N76.-
  • severe dysplasia of vulva D07.1
  • vulvar intraepithelial neoplasm III VIN III

Frequently Asked Questions (FAQ) & Clinical Guidance

What can't be coded together with N90.4?

Per Excludes1 instructions, N90.4 must not be reported with: anogenital (venereal) warts (A63.0); carcinoma in situ of vulva (D07.1); condyloma acuminatum (A63.0); current obstetric trauma (O70.-, O71.7-O71.8).

What conditions are included under N90.4?

Leukoplakia of vulva includes: Dystrophy of vulva; Kraurosis of vulva; Lichen sclerosus of external female genital organs.

Codes in This Family (19)

Official ICD-10-CM classifications in the same code family as N90.4, with their registry titles.

  • N90 — Other noninflammatory disorders of vulva and perineum
  • N90.0 — Mild vulvar dysplasia
  • N90.1 — Moderate vulvar dysplasia
  • N90.3 — Dysplasia of vulva, unspecified
  • N90.5 — Atrophy of vulva
  • N90.6 — Hypertrophy of vulva
  • N90.60 — Unspecified hypertrophy of vulva
  • N90.61 — Childhood asymmetric labium majus enlargement
  • N90.69 — Other specified hypertrophy of vulva
  • N90.7 — Vulvar cyst
  • N90.8 — Other specified noninflammatory disorders of vulva and perineum
  • N90.81 — Female genital mutilation status
  • N90.810 — Female genital mutilation status, unspecified
  • N90.811 — Female genital mutilation Type I status
  • N90.812 — Female genital mutilation Type II status
  • N90.813 — Female genital mutilation Type III status
  • N90.818 — Other female genital mutilation status
  • N90.89 — Other specified noninflammatory disorders of vulva and perineum
  • N90.9 — Noninflammatory disorder of vulva and perineum, unspecified

Indexed Clinical Terms (11)

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.

  • Breisky's disease
  • Disease, diseased, white-spot, meaning lichen sclerosus et atrophicus, vulva
  • Dystrophy, dystrophia, vulva
  • Hyperkeratosis, vulva
  • Kraurosis, vulva
  • Leukokraurosis vulva (e)
  • Leukoplakia, vulva
  • Lichen, albus, vulva
  • Lichen, atrophicus, vulva
  • Lichen, sclerosus (et atrophicus), vulva
  • Vulvitis (acute) (allergic) (atrophic) (hypertrophic) (intertriginous) (senile), leukoplakic

Related Codes & Numerical Sequence (Crawl Map)

Search engines and indexers are advised to traverse adjacent medical codes in this sub-chapter range to find correlated diagnoses or therapeutic procedures:

ICD Code N85.4 Malposition of uterus
ICD Code N88.4 Hypertrophic elongation of cervix uteri
ICD Code N89.4 Leukoplakia of vagina
ICD Code N91.4 Secondary oligomenorrhea
ICD Code N92.4 Excessive bleeding in the premenopausal period
ICD Code N94.4 Primary dysmenorrhea
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