ICD-10 Coding for Vaginal Atrophy(N95.2, N89.8, N90.5)
Complete ICD-10-CM coding and documentation guide for Vaginal Atrophy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Vaginal Atrophy
N95-N99Primary Range
Other disorders of the genitourinary system
This range includes codes for various disorders affecting the female genitourinary system, including postmenopausal atrophic vaginitis.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N95.2 | Postmenopausal atrophic vaginitis | Use when the patient is postmenopausal and presents with symptoms of vaginal atrophy. |
|
| N89.8 | Other noninflammatory disorders of vagina | Use for vaginal atrophy not related to menopause. |
|
| N90.5 | Atrophy of vulva | Use when vulvar atrophy is present alongside vaginal atrophy. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for vaginal atrophy
Essential facts and insights about Vaginal Atrophy
Primary ICD-10-CM Codes for vaginal atrophy
Decision Criteria
clinical Criteria
- Patient is postmenopausal with symptoms of vaginal atrophy.
Applicable To
- Postmenopausal vaginal atrophy
Excludes
- Non-menopausal atrophy (N89.8)
Clinical Validation Requirements
- Confirmed menopause
- Vaginal symptoms such as dryness and dyspareunia
- Vaginal pH >4.5
Code-Specific Risks
- Incorrect use without menopause confirmation
Coding Notes
- Ensure menopausal status is documented.
N89.8 - Other noninflammatory disorders of vagina
Use for vaginal atrophy not related to menopause.
Applicable To
- Non-menopausal vaginal atrophy
Excludes
- Postmenopausal atrophic vaginitis (N95.2)
Clinical Validation Requirements
- Vaginal atrophy due to non-menopausal causes such as chemotherapy
Coding Notes
Document the specific non-menopausal cause.
N90.5 - Atrophy of vulva
Use when vulvar atrophy is present alongside vaginal atrophy.
Applicable To
- Vulvar atrophy
Clinical Validation Requirements
- Documented vulvar thinning or pallor
Coding Notes
Ensure vulvar symptoms are documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Atrophy of vulva
N90.5Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Vaginal Atrophy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N95.2.
Impact
Clinical: Misdiagnosis risk., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always confirm and document menopause in relevant cases.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Ensure menopause is documented before using N95.2.
Impact
Lack of documentation can lead to audit issues.
Mitigation Strategy
Ensure all patient records include menopausal status when coding N95.2.
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 Vaginal Atrophy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Vaginal Atrophy
Use these documentation templates to ensure complete and accurate documentation for Vaginal Atrophy. These templates include all required elements for proper coding and billing.
Postmenopausal woman with vaginal atrophy
Specialty: GynecologyRequired Elements
- Menopausal status
- Vaginal symptoms
- pH level
- Maturation index
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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