N90.4 — Leukoplakia of vulva
N90.4 is a billable, specific ICD-10-CM code for leukoplakia of vulva. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Dystrophy of vulva
- Kraurosis of vulva
- Lichen sclerosus of external female genital organs
Risk adjustment
N90.4 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
N90.4 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56346Billing and Coding: Removal of Benign and Malignant Skin Lesions
How N90.4 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 N90.4.
- Breisky's disease
- Leukokraurosis vulva(e)
- Dystrophy, dystrophia›vulva
- Hyperkeratosis›vulva
- Kraurosis›vulva
- Leukoplakia›vulva
- Vulvitis›leukoplakic
- Disease, diseased›white-spot, meaning lichen sclerosus et atrophicus›vulva
- Lichen›albus›vulva
- Lichen›atrophicus›vulva
- Lichen›sclerosus›vulva
Related codes at this level
Codes that share N90. If N90.4 is not quite right, the correct code is usually one of these.
Questions about N90.4
- Is N90.4 a billable ICD-10-CM code?
- Yes. N90.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does N90.4 sit in the tabular list?
- Diseases of the genitourinary system (N00-N99), in the block Noninflammatory disorders of female genital tract (N80-N98).