Back to HomeBeta

ICD-10 Coding for Vaginal Dryness(N95.2, N89.8)

Complete ICD-10-CM coding and documentation guide for Vaginal Dryness. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Atrophic VaginitisVaginal Atrophy

Related ICD-10 Code Ranges

Complete code families applicable to Vaginal Dryness

N95-N99Primary Range

Other disorders of the genitourinary system

This range includes codes for conditions affecting the female genital tract, including vaginal dryness.

Other noninflammatory disorders of the female genital tract

Includes codes for noninflammatory conditions like vaginal atrophy not related to menopause.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
N95.2Postmenopausal atrophic vaginitisUse when vaginal dryness is confirmed to be due to menopause.
  • Menopausal status confirmed
  • pH ≥5.0 on litmus testing
N89.8Other specified noninflammatory disorders of vaginaUse for vaginal dryness not related to menopause.
  • Non-menopausal status
  • pH testing and symptom documentation

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 dryness

Essential facts and insights about Vaginal Dryness

The ICD-10 code for postmenopausal vaginal dryness is N95.2, while N89.8 is used for non-menopausal cases.

Primary ICD-10-CM Codes for vaginal dryness

Postmenopausal atrophic vaginitis
Billable Code

Decision Criteria

clinical Criteria

  • Menopausal status with supporting pH test

Applicable To

  • Postmenopausal vaginal atrophy

Excludes

  • Non-menopausal vaginal atrophy

Clinical Validation Requirements

  • Menopausal status confirmed
  • pH ≥5.0 on litmus testing

Code-Specific Risks

  • Incorrect use in non-menopausal patients

Coding Notes

  • Ensure menopausal status is documented when using N95.2.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Pelvic and perineal pain

R10.2
Use when dyspareunia is present alongside vaginal dryness.

Sjögren’s syndrome with dry mucosa

M35.01
Use when dryness is due to Sjögren’s syndrome.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Other specified noninflammatory disorders of vagina

N89.8
Use for non-menopausal vaginal dryness or atrophy.

Postmenopausal atrophic vaginitis

N95.2
Use only if menopause is confirmed.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Vaginal Dryness to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N95.2.

Impact

Clinical: Leads to incorrect diagnosis coding., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.

Mitigation Strategy

Always document menopausal status, Use pH tests to confirm diagnosis

Impact

Reimbursement: May lead to claim denials if menopausal status is not documented., Compliance: Incorrect coding can result in compliance issues., Data Quality: Affects accuracy of patient records.

Mitigation Strategy

Use N89.8 for non-menopausal vaginal dryness.

Impact

Failure to document menopausal status when using N95.2.

Mitigation Strategy

Ensure all relevant clinical details are documented.

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 Dryness, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Vaginal Dryness

Use these documentation templates to ensure complete and accurate documentation for Vaginal Dryness. These templates include all required elements for proper coding and billing.

Postmenopausal Vaginal Dryness

Specialty: Gynecology

Required Elements

  • Menopausal status
  • pH test results
  • Symptom duration

Example Documentation

Patient reports severe vaginal dryness with pH 6.0, pale/thinned mucosa, and dyspareunia lasting >6 months post-menopause.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Vaginal dryness
Good Documentation Example
Severe vaginal dryness with pH 6.0, pale/thinned mucosa, and dyspareunia lasting >6 months post-menopause.
Explanation
The good example provides specific clinical details and confirms menopausal status.

Need help with ICD-10 coding for Vaginal Dryness? Ask your questions below.

Ask about any ICD-10 CM code, or paste a medical note

We build tools for
clinician happiness.

Learn More at Freed.ai
Back to HomeBeta

Built by Freed

Try Freed for free for 7 days.

Learn more