Is N94.1 a billable ICD-10-CM code?

No. N94.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does N94.1 sit in the tabular list?

Diseases of the genitourinary system (N00-N99), in the block Noninflammatory disorders of female genital tract (N80-N98).

What cannot be coded together with N94.1?

N94.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

N94.1

N94.1 — Dyspareunia

Non-billable headerICD-10-CM

N94.1 is a non-billable header ICD-10-CM code for dyspareunia. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

psychogenic dyspareunia (F52.6)

Risk adjustment

N94.1 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.

Code to one of these instead N94.1

4 child codes. Green means billable.

Related codes at this level

Codes that share N94. If N94.1 is not quite right, the correct code is usually one of these.

Questions about N94.1

Is N94.1 a billable ICD-10-CM code?: No. N94.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does N94.1 sit in the tabular list?: Diseases of the genitourinary system (N00-N99), in the block Noninflammatory disorders of female genital tract (N80-N98).
What cannot be coded together with N94.1?: N94.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.