ICD-10 · PDGM grouping
N94 Pain and other conditions associated with female genital organs and menstrual cycle
All 15 codes in the N94 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
15
Can lead a claim
14
Cannot lead a claim
1
What CMS assigns to N94
14 of the 15 codes group to MMTA - Other (10) and MMTA - Gastrointestinal tract and Genitourinary system (4); 1 is assigned no clinical group. None of the 15 is assigned a comorbidity subgroup. 14 of the 15 can lead a claim.
Every code in N94
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| N94.0 | Mittelschmerz | Can lead a claim | A | None |
| N94.1 Dyspareunia | ||||
| N94.10 | Unspecified dyspareunia | Can lead a claim | A | None |
| N94.11 | Superficial (introital) dyspareunia | Can lead a claim | A | None |
| N94.12 | Deep dyspareunia | Can lead a claim | A | None |
| N94.19 | Other specified dyspareunia | Can lead a claim | A | None |
| N94.2 | Vaginismus | Can lead a claim | A | None |
| N94.3 | Premenstrual tension syndrome | Can lead a claim | A | None |
| N94.4 | Primary dysmenorrhea | Can lead a claim | A | None |
| N94.5 | Secondary dysmenorrhea | Can lead a claim | A | None |
| N94.6 | Dysmenorrhea, unspecified | Can lead a claim | J | None |
| N94.8 Other specified conditions associated with female genital organs and menstrual cycle | ||||
| N94.81 Vulvodynia | ||||
| N94.810 | Vulvar vestibulitis | Can lead a claim | J | None |
| N94.818 | Other vulvodynia | Can lead a claim | A | None |
| N94.819 | Vulvodynia, unspecified | Can lead a claim | J | None |
| N94.89 | Other specified conditions associated with female genital organs and menstrual cycleCMS: Oth cond assoc w female genital organs and menstrual cycle | Can lead a claim | J | None |
| N94.9 | Unspecified condition associated with female genital organs and menstrual cycleCMS: Unsp cond assoc w female genital organs and menstrual cycle | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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