N76.82
BillableFournier disease of vagina and vulva
HCC Category Mapping
V28HCC 92 — Bone/Joint/Muscle Infections/Necrosis
0.209V24HCC 39 — Bone/Joint/Muscle Infections/Necrosis
0.482ESRDHCC 39 — Bone/Joint/Muscle Infections/Necrosis
0.000What This Code Means
A serious, rapidly spreading bacterial infection of the vulva and surrounding tissues that requires urgent medical attention and often surgical intervention.
Coding Tips
- •This is a medical emergency; ensure documentation reflects the acute and severe nature
- •Code any associated sepsis, necrotizing fasciitis, or systemic complications separately
Clinical Significance
Fournier disease affecting female genitalia represents a life-threatening necrotizing fasciitis requiring emergency surgical intervention and intensive care management. The high mortality and morbidity associated with this condition makes it critical for accurate risk assessment and resource allocation.
Documentation Requirements
- ✓Clinical diagnosis of necrotizing fasciitis of vulva/vagina
- ✓Documentation of tissue necrosis and gangrene in female genitalia
- ✓Evidence of rapid progression and systemic involvement
- ✓Surgical debridement records and extent of tissue removal
- ✓Antibiotic therapy and response to treatment
- ✓Assessment of sepsis or systemic complications
- ✓Imaging studies showing extent of infection
- ✓Multidisciplinary care coordination documentation
Commonly Confused Codes
N49.3 — Fournier gangrene (male genital involvement)N76.4 — Abscess of vulva (localized abscess without necrosis)L03.316 — Cellulitis of female external genital organs (superficial infection)N76.0 — Acute vaginitis (inflammatory condition without necrosis)L08.9 — Local skin and soft tissue infection, unspecified (non-necrotizing)
Code Hierarchy
└N76Other inflammation of vagina and vulva└N76.8Other specified inflammation of vagina and vulva└N76.82Fournier disease of vagina and vulva
└N76.82Fournier disease of vagina and vulva