The ICD-10-CM classifies CKD based on severity. The severity of CKD is designated by stages 1-5. Stage 2, code N18.2, equates to mild CKD; stage 3, codes N18.30-N18.32, equate to moderate CKD; and stage 4, code N18.4, equates to severe CKD. Code N18.6, End stage renal disease (ESRD), is assigned when the provider has documented end- stage renal disease (ESRD). If both a stage of CKD and ESRD are documented, assign code N18.6 only.
N89.8
Other specified noninflammatory disorders of vagina
Exclusions 18 never code together
- abnormal results from vaginal cytologic examination without histologic confirmation (R87.62-)R87.62-
- carcinoma in situ of vagina (D07.2)D07.2
- HGSIL of vagina (R87.623)R87.623
- inflammation of vagina (N76.-)N76.-
- senile (atrophic) vaginitis (N95.2)N95.2
- severe dysplasia of vagina (D07.2)D07.2
- trichomonal leukorrhea (A59.00)A59.00
- vaginal intraepithelial neoplasia [VAIN], grade III (D07.2)D07.2
- current obstetric trauma (O70.-, O71.4, O71.7-O71.8)O70.-O70.-O71.4O71.4O71.7-O71.8O71.7-O71.8
- old laceration involving muscles of pelvic floor (N81.8)N81.8N81.8
- certain conditions originating in the perinatal period (P04-P96)P04-P96
- certain infectious and parasitic diseases (A00-B99)A00-B99
- complications of pregnancy, childbirth and the puerperium (O00-O9A)O00-O9A
- congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)Q00-Q99
- endocrine, nutritional and metabolic diseases (E00-E88)E00-E88
- injury, poisoning and certain other consequences of external causes (S00-T88)S00-T88
- neoplasms (C00-D49)C00-D49
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)R00-R94
Excludes1 — never code together. The excluded condition and this one are mutually exclusive.
Excludes2 — not included here, but the patient may have both. Code both when documented.
Instructional notes 3
- Leukorrhea NOS
- Old vaginal laceration
- Pessary ulcer of vagina
Official Guidelines 3
ICD-10-CM Official Guidelines for Coding and Reporting, quoted in full. Published by CMS and NCHS; in the public domain.
Patients who have undergone kidney transplant may still have some form of chronic kidney disease (CKD) because the kidney transplant may not fully restore kidney function. Therefore, the presence of CKD alone does not constitute a transplant complication. Assign the appropriate N18 code for the patient’s stage of CKD and code Z94.0, Kidney transplant status. If a transplant complication such as failure or rejection or other transplant complication is documented, see section I.C.19.g for information on coding complications of a kidney transplant. If the documentation is unclear as to whether the patient has a complication of the transplant, query the provider.
Patients with CKD may also suffer from other serious conditions, most commonly diabetes mellitus and hypertension. The sequencing of the CKD code in relationship to codes for other contributing conditions is based on the conventions in the Tabular List. See I.C.9. Hypertensive chronic kidney disease. See I.C.19. Chronic kidney disease and kidney transplant complications.
Index entries leading here 25
- Calculus, calculi, calculous
- vagina N89.8
- Caruncle (inflamed)
- myrtiform N89.8
- Cicatrix (adherent) (contracted) (painful) (vicious) L90.5
- vagina N89.8
- Implantation
- cyst
- vagina N89.8
- cyst
- Cyst (colloid) (mucous) (simple) (retention)
- Deformity Q89.9
- vagina (acquired) N89.8
- Discharge (from)
- vaginal N89.8
- Disease, diseased — see also Syndrome
- Fibrosis, fibrotic
- vagina N89.8
- Flatus R14.3
- vaginalis N89.8
- Fluor (vaginalis) N89.8
- Hematoma (traumatic) (skin surface intact) — see also Contusion
- vagina (ruptured) (nontraumatic) N89.8
- Hydrocolpos (congenital) N89.8
- Hydrometrocolpos N89.8
- Tag (hypertrophied skin) (infected) L91.8
- hymen N89.8
- Rupture, ruptured
- hymen (nontraumatic) (nonintentional) N89.8
- Hypertrophy, hypertrophic
- vagina N89.8
- Irritation
- vagina N89.8
- Kraurosis
- vagina N89.8
- Laceration
- Lesion (s) (nontraumatic)
- vagina N89.8
- Leukorrhea N89.8
- Necrosis, necrotic (ischemic) — see also Gangrene
- vagina N89.8
- Ulcer, ulcerated, ulcerating, ulceration, ulcerative
- Scar, scarring L90.5
- vagina N89.8
Alongside this code 8 same parent — N89
Additional references
Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.