N89.5 vs N99.2
N89.5 and N99.2 can never be reported together. ICD-10-CM declares them mutually exclusive with an Excludes1 note, meaning the two conditions cannot occur in the same patient — so exactly one of them is correct for any given encounter.
The official note, declared on N89.5
postprocedural adhesions of vagina (N99.2)
N89.5
Stricture and atresia of vagina
Billable
- Chapter 14
- Diseases of the genitourinary system
- Section
- N80-N98
Use when the record says
- Vaginal adhesions
- Vaginal stenosis
Indexed under
- Adhesions, adhesive › vagina (postinfective)
- Band › vagina (s)
- Closure › vagina
- Contraction, contracture, contracted › vagina (s)
- Obstruction, obstructed, obstructive › vagina
N99.2
Postprocedural adhesions of vagina
Billable
- Chapter 14
- Diseases of the genitourinary system
- Section
- N99
Indexed under
- Adhesions, adhesive › postoperative › vagina (postinfective)
- Adhesions, adhesive › vagina › postoperative (postinfective)
- Cicatrix › vagina › postoperative (adherent) (contracted) (painful) (vicious)
- Scar, scarring › vagina › postoperative
- Complication › genitourinary › postprocedural › vaginal › adhesions (s) (from) (of)
Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027