Question 1

What is ICD-10 code N72?

Accepted Answer

N72 is the ICD-10-CM diagnosis code for inflammatory disease of cervix uteri. Inflammation of the cervix (the opening of the uterus), which can be caused by infections, irritation, or sexually transmitted diseases. N72 sits in the ICD-10-CM chapter for diseases of the genitourinary system (n00-n99), within the section covering inflammatory diseases of female pelvic organs (n70-n77).

N72 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

Document the underlying cause if identified (infectious agent, STI, or other etiology).

Question 2

Is N72 an HCC code?

Accepted Answer

No. N72 is a billable ICD-10-CM code but does not map to any payment HCC category under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can still be reported on Medicare Advantage encounter data submissions, but it does not contribute to the beneficiary's Risk Adjustment Factor (RAF) score and therefore does not affect the risk-adjusted capitation payment to the plan. V28 reached 100% phase-in for payment year 2026.

Question 3

Is N72 billable?

Accepted Answer

Yes. N72 is a billable ICD-10-CM code that can be reported on professional and institutional claims as a primary or secondary diagnosis when the provider documentation supports the specific condition described. Billable codes in ICD-10-CM are coded to the highest level of specificity available for the documented diagnosis. N72 is current for fiscal year 2026 and remains in the active CMS ICD-10-CM code set published by the National Center for Health Statistics.

Question 4

What is the V28 vs V24 difference for N72?

Accepted Answer

N72 does not map to a payment HCC under either the CMS-HCC V28 risk adjustment model or the older V24 model. V28 reached 100% phase-in for payment year 2026, replacing V24 which was used during the PY2024–PY2025 transition. Because neither community model rewards N72 with a risk adjustment factor, it contributes zero to a Medicare Advantage beneficiary's V28/V24 community RAF score in either version. Coders should check whether provider documentation supports a more specific child code that does map to a community payment HCC.

Question 5

What should coders know when reporting N72?

Accepted Answer

Document the underlying cause if identified (infectious agent, STI, or other etiology) This code encompasses both acute and chronic cervicitis; specify the cause when possible for better clinical clarity

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N72

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N72 ICD-10-CM Code: Inflammatory disease of cervix uteri

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N72

Is N72 an HCC code?

Get the V28 RAF + MEAT cheat sheet

What This Code Means

Coding Tips

Includes

Excludes 1, Do NOT code together

Use Additional Code

Code Hierarchy

Work N72 in HCC Buddy