N94.89

Exclusions 8 never code together

Excludes2

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

Excludes2 — not included here, but the patient may have both. Code both when documented.

Instructional notes

No further instructional notes apply.

Official Guidelines 3

ICD-10-CM Official Guidelines for Coding and Reporting, quoted in full. Published by CMS and NCHS; in the public domain.

I.C.14.a.1 Stages of chronic kidney disease (CKD) chapter guidance p.62

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.

I.C.14.a.2 Chronic kidney disease and kidney transplant status chapter guidance p.62

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.

I.C.14.a.3 Chronic kidney disease with other conditions chapter guidance p.63

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 26

Deformity Q89.9
- genitalia, genital organ (s) or system NEC
  - female (congenital) Q52.9
    - acquired N94.89
Bleeding — see also Hemorrhage
- vicarious N94.89
Hydrocele (spermatic cord) (testis) (tunica vaginalis) N43.3
- canal of Nuck N94.89
- female NEC N94.89
- round ligament N94.89
Cyst (colloid) (mucous) (simple) (retention)
- canal of Nuck (female) N94.89
- pelvis, female N94.89
- sebaceous (duct) (gland) L72.3
  - genital organ NEC
    - female N94.89
Cephalomenia N94.89
Colic (bilious) (infantile) (intestinal) (recurrent) (spasmodic) R10.83
- uterus NEC N94.89
Congestion, congestive
- pelvic, female N94.89
Syndrome — see also Disease
- congestion-fibrosis (pelvic) , female N94.89
- pelvic congestion-fibrosis, female N94.89
- sympathetic
  - pelvic, female N94.89
Cramp (s) R25.2
- uterus N94.89
Disease, diseased — see also Syndrome
- pelvis, pelvic
  - female NOS N94.9
    - specified NEC N94.89
  - peritoneum, female NEC N94.89
- peritoneum K66.9
  - pelvic, female NEC N94.89
Disorder (of) — see also Disease
- late luteal phase dysphoric N94.89
Endosalpingiosis N94.89
Epistaxis (multiple) R04.0
- vicarious menstruation N94.89
Pain (s) R52
- genital organ
  - female N94.89
- female genital organs NEC N94.89
- ovary N94.89
- uterus NEC N94.89
Hemorrhage, hemorrhagic (concealed) R58
- intrapelvic
  - female N94.89
Keratosis L57.0
- female genital NEC N94.89
Thrombosis, thrombotic (bland) (multiple) (progressive) (silent) (vessel) I82.90
- genital organ
  - female NEC N94.89
Hematocele
- female NEC N94.89
Hyperplasia, hyperplastic
- genital
  - female NEC N94.89
Hematoma (traumatic) (skin surface intact) — see also Contusion
- genital organ NEC (nontraumatic)
  - female (nonobstetric) N94.89
- pelvis (female) (nontraumatic) (nonobstetric) N94.89
Frozen T69.9
- pelvis (female) N94.89
Retention — see also Retained
- menses N94.89
Menses, retention N94.89
Suppression
- menstruation N94.89
Menstruation
- vicarious (nasal) N94.89
- retained N94.89
- suppression N94.89
Spasm (s) , spastic, spasticity R25.2
- perineal, female N94.89

Alongside this code 1 same parent — N94.8

N94.81 Vulvodynia category

Medications 4

266 Genital Diseases, Female drugs 97 Genital Neoplasms, Female drugs 2973 Pathological Conditions, Signs and Symptoms drugs 1315 Female Urogenital Diseases and Pregnancy Complications drugs

MED-RT files conditions by MeSH, which carves the world differently from ICD-10. These are name matches on this code's description, offered as candidates — not as an assertion that they are this code.

Additional references

AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

This code