ICD-10 Coding for Vaginal Irritation(N76.0, B37.3, N89.1, L29.2)
Complete ICD-10-CM coding and documentation guide for Vaginal Irritation. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Vaginal Irritation
N76Primary Range
Inflammation of the vagina and vulva
This range includes conditions such as vaginitis and vulvitis, which are common causes of vaginal irritation.
Candidiasis of vulva and vagina
This code is used for yeast infections, a common cause of vaginal irritation.
Bacterial vaginosis
This code is used for bacterial vaginosis, another common cause of vaginal irritation.
Pruritus vulvae
This code is used for isolated itching without confirmed infection or inflammation.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N76.0 | Acute vaginitis | Use when there is documented inflammation and discharge. |
|
| B37.3 | Candidiasis of vulva and vagina | Use when yeast infection is confirmed by lab tests. |
|
| N89.1 | Bacterial vaginosis | Use when bacterial vaginosis is confirmed by lab tests. |
|
| L29.2 | Pruritus vulvae | Use when itching is the only symptom and no infection is confirmed. |
|
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 irritation
Essential facts and insights about Vaginal Irritation
Primary ICD-10-CM Codes for vaginal irritation
Decision Criteria
clinical Criteria
- Presence of purulent discharge and positive whiff test.
Applicable To
- Vaginal inflammation
- Vulvovaginitis
Excludes
- Chronic vaginitis (N76.1)
Clinical Validation Requirements
- Purulent discharge
- pH >4.5
- Positive whiff test
- Microscopy showing WBCs/clue cells
Code-Specific Risks
- Using without documented inflammation or discharge.
Coding Notes
- Ensure documentation supports inflammation and discharge.
B37.3 - Candidiasis of vulva and vagina
Use when yeast infection is confirmed by lab tests.
Applicable To
- Yeast infection
Excludes
- Candidiasis of other sites
Clinical Validation Requirements
- Thick white discharge
- pH ≤4.5
- KOH prep with hyphae/pseudohyphae
Coding Notes
Ensure lab results confirm yeast infection.
N89.1 - Bacterial vaginosis
Use when bacterial vaginosis is confirmed by lab tests.
Applicable To
- BV
Excludes
- Other bacterial infections
Clinical Validation Requirements
- Gray discharge
- pH >4.5
- Clue cells on wet mount
Coding Notes
Ensure lab results confirm bacterial vaginosis.
L29.2 - Pruritus vulvae
Use when itching is the only symptom and no infection is confirmed.
Applicable To
- Itching of vulva
Excludes
- Vaginitis with itching
Clinical Validation Requirements
- Isolated itching without confirmed infection or inflammation.
Coding Notes
Ensure itching is documented without other symptoms.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Pelvic/perianal pain
R10.2Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Vaginal Irritation to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N76.0.
Impact
Clinical: Leads to misdiagnosis., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Ensure all lab results are documented.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on patient conditions.
Mitigation Strategy
Use L29.2 for isolated itching without inflammation.
Impact
Missing lab results can trigger audits.
Mitigation Strategy
Ensure all relevant test results 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 Irritation, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Vaginal Irritation
Use these documentation templates to ensure complete and accurate documentation for Vaginal Irritation. These templates include all required elements for proper coding and billing.
Vaginal Discharge Evaluation
Specialty: GynecologyRequired Elements
- Patient history
- Symptom description
- Physical exam findings
- Lab test results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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