ICD-10 Coding for Vaginal Burning(N76.88, N76.0, B37.3, T28.3)
Complete ICD-10-CM coding and documentation guide for Vaginal Burning. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Vaginal Burning
N76-N77Primary Range
Inflammatory diseases of female pelvic organs
Includes codes for vaginitis and other inflammatory conditions causing vaginal burning.
Burns and corrosions of external body surface, specified by site
Includes codes for burns affecting the vaginal area.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N76.88 | Other specified inflammation of vagina and vulva | Use for non-infectious causes of vaginal burning. |
|
| N76.0 | Acute vaginitis | Use when bacterial vaginosis is confirmed. |
|
| B37.3 | Candidiasis of vulva and vagina | Use when candidiasis is confirmed. |
|
| T28.3 | Burn of vagina and vulva | Use for burns specifically affecting the vagina. |
|
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 burning
Essential facts and insights about Vaginal Burning
Primary ICD-10-CM Codes for vaginal burning
Decision Criteria
clinical Criteria
- Presence of erythema and negative infectious tests
Applicable To
- Chemical irritation
- Allergic reaction
Excludes
- Infectious vaginitis (N76.0)
Clinical Validation Requirements
- Vaginal burning with erythema
- Negative NAAT for Candida/Trichomonas
- pH <4.5
- No clue cells
Code-Specific Risks
- Misclassification of infectious causes
Coding Notes
- Ensure documentation specifies non-infectious etiology.
N76.0 - Acute vaginitis
Use when bacterial vaginosis is confirmed.
Applicable To
- Bacterial vaginosis
Excludes
- Non-infectious vaginitis (N76.88)
Clinical Validation Requirements
- Fishy odor
- pH >4.5
- +amine test
- 20% clue cells on wet mount
Coding Notes
Document specific infectious findings to support code use.
B37.3 - Candidiasis of vulva and vagina
Use when candidiasis is confirmed.
Applicable To
- Yeast infection
Excludes
- Bacterial vaginosis (N76.0)
Clinical Validation Requirements
- Cottage-cheese discharge
- +KOH prep
- pH 4.0
Coding Notes
Ensure lab results confirm candidiasis.
T28.3 - Burn of vagina and vulva
Use for burns specifically affecting the vagina.
Applicable To
- Chemical burn
- Thermal burn
Excludes
- Radiation burns (L59.8)
Clinical Validation Requirements
- Second-degree burn documentation
- Specific cause of burn
Coding Notes
Document the burn's depth and cause.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Vaginal Burning to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N76.88.
Impact
Clinical: May lead to misdiagnosis., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Ensure all relevant tests are documented., Include specific lab results in notes.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use N76.0 for infectious causes like BV.
Impact
Reimbursement: Incorrect coding affects DRG assignment., Compliance: Violates site-specific coding rules., Data Quality: Misrepresents clinical condition.
Mitigation Strategy
Use T28.3 for vaginal burns, not T21.07XS.
Impact
Misclassification can lead to audit findings.
Mitigation Strategy
Ensure thorough documentation and correct code selection.
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 Burning, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Vaginal Burning
Use these documentation templates to ensure complete and accurate documentation for Vaginal Burning. These templates include all required elements for proper coding and billing.
Vaginal burning with suspected infection
Specialty: OB/GYNRequired Elements
- Location and appearance of erythema
- Discharge characteristics
- Diagnostic test results
- Clinical impression
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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