Complete ICD-10-CM coding and documentation guide for Vaginitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Complete code families applicable to Vaginitis
Inflammatory diseases of female pelvic organs
This range includes codes for various types of vaginitis, including bacterial, candidal, and trichomonal infections.
Trichomoniasis
This range includes codes for trichomonal infections, which can present similarly to vaginitis.
Candidal vulvovaginitis
This code is used for candidal infections of the vulva and vagina, a common differential diagnosis for vaginitis.
Compare key differences between these codes to ensure accurate selection
Code | Description | When to Use | Key Documentation |
---|---|---|---|
N76.0 | Acute vaginitis | Use for acute bacterial vaginosis when clinical criteria such as Amsel criteria are met. |
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N76.1 | Subacute and chronic vaginitis | Use for chronic or subacute presentations of vaginitis. |
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A59.01 | Trichomonal vulvovaginitis | Use when trichomoniasis is confirmed via laboratory testing. |
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B37.3 | Candidal vulvovaginitis | Use when candidal infection is confirmed via laboratory testing. |
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Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Essential facts and insights about Vaginitis
Use for chronic or subacute presentations of vaginitis.
Document chronicity and any recurrent treatment failures.
Use when trichomoniasis is confirmed via laboratory testing.
Ensure lab confirmation of trichomoniasis.
Use when candidal infection is confirmed via laboratory testing.
Document specific findings supporting candidal infection.
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Avoid these common documentation and coding issues when documenting Vaginitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N76.0.
Clinical: Inaccurate diagnosis and treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Ensure all lab results are included in documentation.
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Code B37.3 and document discharge and KOH findings.
Reimbursement: Potential underpayment for services., Compliance: Failure to comply with coding specificity., Data Quality: Incomplete clinical data.
Add B96.89 for identified bacterial agents.
Failure to document Amsel criteria can lead to audit issues.
Ensure all criteria are documented in patient records.
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.
Common questions about ICD-10 coding for Vaginitis, with expert answers to help guide accurate code selection and documentation.
Use these documentation templates to ensure complete and accurate documentation for Vaginitis. These templates include all required elements for proper coding and billing.
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