ICD-10 Coding for Vaginal Itch(L29.2, N76.2, B37.31)
Complete ICD-10-CM coding and documentation guide for Vaginal Itch. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Vaginal Itch
L29-L29.9Primary Range
Pruritus
This range includes codes for pruritus, with L29.2 specifically for pruritus vulvae.
Inflammation of the vagina and vulva
This range includes codes for vulvitis and vaginitis, which may accompany pruritus.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| L29.2 | Pruritus vulvae | Use when itching is present without inflammation or infection. |
|
| N76.2 | Acute vulvitis | Use when inflammation accompanies itching. |
|
| B37.31 | Acute candidiasis of vulva and vagina | Use when candidiasis is confirmed by laboratory testing. |
|
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 itch
Essential facts and insights about Vaginal Itch
Primary ICD-10-CM Codes for vaginal itch
Decision Criteria
clinical Criteria
- Itching without discharge or erythema.
Applicable To
- Vulvar itching
Excludes
- Vulvar vestibulitis (N94.810)
Clinical Validation Requirements
- Documented vulvar itching without signs of inflammation or infection.
Code-Specific Risks
- Risk of under-documenting if inflammation or infection is present.
Coding Notes
- Ensure documentation specifies absence of inflammation or infection.
N76.2 - Acute vulvitis
Use when inflammation accompanies itching.
Applicable To
- Vulvar inflammation
Excludes
- Chronic vulvitis (N76.3)
Clinical Validation Requirements
- Documented erythema, swelling, or tenderness of the vulva.
Coding Notes
Ensure inflammation is documented to support this code.
B37.31 - Acute candidiasis of vulva and vagina
Use when candidiasis is confirmed by laboratory testing.
Applicable To
- Yeast infection
Excludes
- Chronic candidiasis (B37.32)
Clinical Validation Requirements
- Positive KOH test or culture confirming candidiasis.
Coding Notes
Ensure laboratory confirmation of candidiasis.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Vaginal Itch to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L29.2.
Impact
Clinical: May lead to incorrect diagnosis., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Use specific medical terminology., Document detailed symptom descriptions.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use L29.2 unless inflammation is documented.
Impact
Using codes for inflammation without documentation.
Mitigation Strategy
Ensure documentation supports 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 Itch, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Vaginal Itch
Use these documentation templates to ensure complete and accurate documentation for Vaginal Itch. These templates include all required elements for proper coding and billing.
Vulvar Itching without Inflammation
Specialty: GynecologyRequired Elements
- Patient history
- Symptom duration
- Physical exam findings
- Test results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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