N76.5 — Ulceration of vagina
N76.5 is a billable, specific ICD-10-CM code for ulceration of vagina. It is valid for submission on a claim.
Excludes2 inherited from the categories above N76.5
Also inherited, and the opposite of Excludes1: these conditions are not part of N76.5, but a patient can have both, so you may code both.
Other codes that can never be billed with N76.5
These codes carry an Excludes1 note pointing at N76.5. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading N76.5 alone.
Risk adjustment
N76.5 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
N76.5 is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A58710Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
- A58720Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
- A58747Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
- A58761Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
How N76.5 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to N76.5.
- Ulcer, ulcerated, ulcerating, ulceration, ulcerative›vagina
Code history
N76.5 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share N76. If N76.5 is not quite right, the correct code is usually one of these.
Questions about N76.5
- Is N76.5 a billable ICD-10-CM code?
- Yes. N76.5 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does N76.5 sit in the tabular list?
- Diseases of the genitourinary system (N00-N99), in the block Inflammatory diseases of female pelvic organs (N70-N77).