N90.69 ICD-10-CM Code: Other specified hypertrophy of vulva
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.
- MS-DRG 742 — UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC (MDC 13)
- MS-DRG 743 — UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC (MDC 13)
- MS-DRG 760 — MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC (MDC 13)
- MS-DRG 761 — MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC (MDC 13)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for N90.69 in the official ICD-10-CM tabular list.
Inclusion Terms
Alternative terms the tabular list files under this code.
- Other specified hypertrophy of labia
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- anogenital (venereal) warts (A63.0) Compare N90.69 vs A63.0 →
- carcinoma in situ of vulva (D07.1) Compare N90.69 vs D07.1 →
- condyloma acuminatum (A63.0) Compare N90.69 vs A63.0 →
- current obstetric trauma (O70.-, O71.7-O71.8) Compare N90.69 vs O70 →
- inflammation of vulva (N76.-) Compare N90.69 vs N76 →
- severe dysplasia of vulva (D07.1) Compare N90.69 vs D07.1 →
- vulvar intraepithelial neoplasm III VIN III
Indexed Clinical Terms (5)
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.
- Elongated, elongation (congenital), labia minora (acquired)
- Hyperplasia, hyperplastic, labia
- Hyperplasia, hyperplastic, vulva
- Hypertrophy, hypertrophic, vulva, stasis (nonfilarial)
- Redundant, redundancy, labia
Frequently Compared Codes
The official Excludes notes on N90.69 name these codes. Each comparison page covers when the two can — or must not — be reported together.
Change history
- FY2017 — 2016-10-01Added to the code setOther specified hypertrophy of vulvaFY2017 changes
Verify Before Coding
- No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Relationships & Classification
Potential MS-DRG Relationships (FY2026)
Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.
Named in the grouper logic of 4 MS-DRGs: DRG 742 (MDC 13), DRG 743 (MDC 13), DRG 760 (MDC 13), DRG 761 (MDC 13).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):GEN025 — Other specified female genital disorders (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Contextual Map
Every relationship of N90.69 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- N00-N99 — Chapter 14: Diseases of the Genitourinary System (N00-N99) (N00-N99) [Hierarchy]
- N80-N98 — Noninflammatory disorders of female genital tract [Hierarchy]
Clinical classification (CCSR)
- GEN025 — Other specified female genital disorders [CCSR]
Potential MS-DRG
- DRG 742 — UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC [MS-DRG]: “UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC (MDC 13)”
- DRG 743 — UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC [MS-DRG]: “UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC (MDC 13)”
- DRG 760 — MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC [MS-DRG]: “MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC (MDC 13)”
- DRG 761 — MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC [MS-DRG]: “MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC (MDC 13)”
MDC crossing · procedures (2232)
- MDC 13 — Diseases and Disorders of the Female Reproductive System [MDC crossing]: “Diseases and Disorders of the Female Reproductive System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
- 00HE0MZ — Insertion of Neurostimulator Lead into Cranial Nerve, Open Approach [Same-MDC procedure]: “Insertion of Neurostimulator Lead into Cranial Nerve, Open Approach — grouped in MDC 13, the procedure side of this code's crossing.” · check together
- 00HE3MZ — Insertion of Neurostimulator Lead into Cranial Nerve, Percutaneous Approach [Same-MDC procedure]: “Insertion of Neurostimulator Lead into Cranial Nerve, Percutaneous Approach — grouped in MDC 13, the procedure side of this code's crossing.” · check together
- 00HE4MZ — Insertion of Neurostimulator Lead into Cranial Nerve, Percutaneous Endoscopic Approach [Same-MDC procedure]: “Insertion of Neurostimulator Lead into Cranial Nerve, Percutaneous Endoscopic Approach — grouped in MDC 13, the procedure side of this code's crossing.” · check together
- 00HU0MZ — Insertion of Neurostimulator Lead into Spinal Canal, Open Approach [Same-MDC procedure]: “Insertion of Neurostimulator Lead into Spinal Canal, Open Approach — grouped in MDC 13, the procedure side of this code's crossing.” · check together
- 00HU3MZ — Insertion of Neurostimulator Lead into Spinal Canal, Percutaneous Approach [Same-MDC procedure]: “Insertion of Neurostimulator Lead into Spinal Canal, Percutaneous Approach — grouped in MDC 13, the procedure side of this code's crossing.” · check together
- and 2227 more
Index entries
- Elongated, elongation (congenital), labia minora (acquired)[Index term]
- Hyperplasia, hyperplastic, labia[Index term]
- Hyperplasia, hyperplastic, vulva[Index term]
- Hypertrophy, hypertrophic, vulva, stasis (nonfilarial)[Index term]
- Redundant, redundancy, labia[Index term]
Nearest codes (19)
- N90 — Other noninflammatory disorders of vulva and perineum [Sibling]
- N90.0 — Mild vulvar dysplasia [Sibling]
- N90.1 — Moderate vulvar dysplasia [Sibling]
- N90.3 — Dysplasia of vulva, unspecified [Sibling]
- N90.4 — Leukoplakia of vulva [Sibling]
- N90.5 — Atrophy of vulva [Sibling]
- N90.6 — Hypertrophy of vulva [Sibling]
- N90.60 — Unspecified hypertrophy of vulva [Sibling]
- and 11 more
Change history
- FY2017 — Added to the code set [Change history]
Nearest Codes in This Family
Official ICD-10-CM classifications closest to N90.69 in its code family, with their registry titles.
- N90.4 — Leukoplakia of vulva
- N90.5 — Atrophy of vulva
- N90.6 — Hypertrophy of vulva
- N90.60 — Unspecified hypertrophy of vulva
- N90.61 — Childhood asymmetric labium majus enlargement
- 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