ICD-10 N76.82
Billable / Specific HCC v28: 39Fournier disease of vagina and vulva
About ICD-10-CM N76.82
ICD-10-CM code N76.82 represents Fournier disease of vagina and vulva. This is a billable/specific code in the Genitourinary System chapter (block N76). The 2026 edition of ICD-10-CM N76.82 became effective on October 1, 2025.
Coding Tips for N76.82
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
N76.82 is a CMS-HCC v28 risk-adjustment code (category 39). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under N76.82. Per CMS ICD-10-CM Tabular 2026.
- Fournier gangrene of vagina and vulva
Type 1 Excludes
Pure excludes, these codes can never be coded together with N76.82. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- gangrene in diabetes mellitus (E08-E13 with .52)
Coding Notes
Code Also
- , if applicable, diabetes mellitus (E08-E13 with .9)
Medicare Advantage HCC Impact
Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.
Medicare LCD Coverage for N76.82
Local Coverage Determinations (LCDs) from CMS MACs that list N76.82 as a covered diagnosis.
Showing top 10 of 537 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing N76.82.
4 Medicare
CPT Codes Commonly Billed with N76.82
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To N76.82
Other codes in section N70-N77 (Inflammatory diseases of female pelvic organs).
ICD-10 N76.82, Billing FAQ
Is ICD-10 code N76.82 billable? +
Yes, N76.82 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to N76.82? +
ICD-10 N76.82 includes: Fournier gangrene of vagina and vulva.
What codes are Type 1 Excludes for N76.82? +
Type 1 Excludes (never code together with N76.82): gangrene in diabetes mellitus (E08-E13 with .52)
Does N76.82 affect Medicare Advantage HCC risk adjustment? +
Yes. N76.82 maps to CMS-HCC v28 category 39. Capture this diagnosis annually for accurate Medicare Advantage risk score.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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