N94.81 ICD-10-CM Code: Vulvodynia
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Coder workflow for N94.81
MedCoder structured workflow — derived from this code’s own official record
Before you code N94.81
- N94.81 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).
ReviewN94.810, N94.818, N94.819
See the relationships section · Guide: How to choose an ICD-10-CM code →
Choose the right path
- Does the documentation support one of the more specific codes beneath N94.81?
Yes → Select that code and continue the checks below on its own page.
No → N94.81 cannot be reported as written; query for the specificity its subcategory needs.
Consider N94.81. Then confirm the code is valid for the date of service in the Verify section.
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Verify Before Coding
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder structured relationships — computed from published CMS and AHRQ datasets
Other codes that name N94.81 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 1 Excludes1 note: R10.2 — Pelvic and perineal pain.
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
Referenced by 12 Excludes2 notes across 2 chapters: G89 — Pain, not elsewhere classified, R10 — Abdominal and pelvic pain (via N94.-), R10-R19 — Symptoms and signs involving the digestive system and abdomen (R10-R19) (via N94.-), R11 — Nausea and vomiting (via N94.-), R12 — Heartburn (via N94.-), R13 — Aphagia and dysphagia (via N94.-), R14 — Flatulence and related conditions (via N94.-), R15 — Fecal incontinence (via N94.-), R16 — Hepatomegaly and splenomegaly, not elsewhere classified (via N94.-), R17 — Unspecified jaundice (via N94.-), R18 — Ascites (via N94.-), R19 — Other symptoms and signs involving the digestive system and abdomen (via N94.-).
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
Contextual Map
Every relationship of N94.81 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.
Run N94.81 with these 9 related codes in Claim Check
Hierarchy
- N00-N99 — Chapter 14: Diseases of the Genitourinary System (N00-N99) (N00-N99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- N80-N98 — Noninflammatory disorders of female genital tract[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Referenced by Excludes1 notes
- R10.2 — Pelvic and perineal pain[Excludes1]: “vulvodynia (N94.81)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Excludes2 notes (12)
- G89 — Pain, not elsewhere classified[Excludes2]: “vulvodynia (N94.81-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R10 — Abdominal and pelvic pain[Excludes2](via N94.-): “symptoms referable to female genital organs (N94.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R10-R19 — Symptoms and signs involving the digestive system and abdomen (R10-R19)[Excludes2](via N94.-): “symptoms referable to female genital organs (N94.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R11 — Nausea and vomiting[Excludes2](via N94.-): “symptoms referable to female genital organs (N94.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R12 — Heartburn[Excludes2](via N94.-): “symptoms referable to female genital organs (N94.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R13 — Aphagia and dysphagia[Excludes2](via N94.-): “symptoms referable to female genital organs (N94.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R14 — Flatulence and related conditions[Excludes2](via N94.-): “symptoms referable to female genital organs (N94.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R15 — Fecal incontinence[Excludes2](via N94.-): “symptoms referable to female genital organs (N94.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- and 4 more
Nearest codes (18)
- N94 — Pain and other conditions associated with female genital organs and menstrual cycle[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- N94.0 — Mittelschmerz[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- N94.1 — Dyspareunia[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- N94.10 — Unspecified dyspareunia[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- N94.11 — Superficial (introital) dyspareunia[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- N94.12 — Deep dyspareunia[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- N94.19 — Other specified dyspareunia[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- N94.2 — Vaginismus[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 10 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Common coding questions
Can N94.81 be billed directly?
No. N94.81 (Vulvodynia) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "N94.81 — Vulvodynia." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/n94.81-vulvodynia
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionVulvodynia
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to N94.81 in its code family, with their registry titles.
- N94.3 — Premenstrual tension syndrome
- N94.4 — Primary dysmenorrhea
- N94.5 — Secondary dysmenorrhea
- N94.6 — Dysmenorrhea, unspecified
- N94.8 — Other specified conditions associated with female genital organs and menstrual cycle
- N94.810 — Vulvar vestibulitis
- N94.818 — Other vulvodynia
- N94.819 — Vulvodynia, unspecified
- N94.89 — Other specified conditions associated with female genital organs and menstrual cycle
- N94.9 — Unspecified condition associated with female genital organs and menstrual cycle