ICD-10 Coding for Atrophic Vaginitis(N95.2)
Complete ICD-10-CM coding and documentation guide for Atrophic Vaginitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Atrophic Vaginitis
N95-N99Primary Range
Other disorders of the female genital tract
This range includes codes for conditions affecting the female genital tract, including atrophic vaginitis.
Key Information: ICD-10 code for atrophic vaginitis
Essential facts and insights about Atrophic Vaginitis
Primary ICD-10-CM Code for atrophic vaginitis
Decision Criteria
clinical Criteria
- Patient is postmenopausal with symptoms of vaginal dryness and dyspareunia.
documentation Criteria
- Documentation must link symptoms to menopause.
Applicable To
- Senile vaginitis
Excludes
- Non-menopausal atrophy
Clinical Validation Requirements
- Postmenopausal status
- Symptoms: dyspareunia, dryness
- Exam findings: pale, thin vaginal walls
Code-Specific Risks
- Confusion with other types of vaginitis
- Incorrect use for non-menopausal patients
Coding Notes
- Ensure documentation specifies postmenopausal status and atrophic changes.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Acute vaginitis
N76.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Atrophic Vaginitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N95.2.
Impact
Clinical: May lead to incorrect treatment., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always specify menopausal status in documentation., Include detailed exam findings.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Code both if infection is present, but prioritize N95.2 as the underlying cause.
Impact
Using N95.2 without proper documentation of menopause.
Mitigation Strategy
Ensure documentation includes menopausal status and specific symptoms.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Atrophic Vaginitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Atrophic Vaginitis
Use these documentation templates to ensure complete and accurate documentation for Atrophic Vaginitis. These templates include all required elements for proper coding and billing.
Postmenopausal patient with atrophic vaginitis
Specialty: GynecologyRequired Elements
- Menopausal status
- Symptoms: dyspareunia, dryness
- Exam findings: pale, thin vaginal walls
- pH level
- Microscopy results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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