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ICD-10 Guide
ICD-10 CodesL29.2

L29.2

Billable

Pruritus vulvae

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 L29.2 is a billable code used to indicate a diagnosis of pruritus vulvae.

Key Diagnostic Point:

Pruritus vulvae refers to the intense itching of the vulvar area, which can significantly impact a patient's quality of life. The condition may arise from various etiologies, including infections (such as yeast or bacterial infections), dermatological conditions (like eczema or psoriasis), irritants (such as soaps or hygiene products), or systemic diseases (like diabetes or liver disease). The anatomy involved includes the external female genitalia, which encompasses the labia majora, labia minora, clitoris, and vaginal opening. Disease progression can vary; acute pruritus may resolve quickly with appropriate treatment, while chronic pruritus may indicate an underlying condition requiring further investigation. Diagnostic considerations involve a thorough patient history, physical examination, and possibly laboratory tests to identify the underlying cause. Differential diagnoses should be considered to rule out other conditions that may present similarly, such as vulvodynia or vulvar neoplasia.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires thorough evaluation to determine underlying causes.
  • Treatment complexity: Treatment may vary based on etiology, requiring tailored approaches.
  • Documentation requirements: Detailed documentation of symptoms, history, and treatment response is essential.
  • Coding specificity: Requires accurate coding to reflect the specific nature of the pruritus.

Audit Risk Factors

  • Common coding errors: Misuse of related codes or failure to specify the location of pruritus.
  • Documentation gaps: Incomplete patient history or lack of detail in treatment plans.
  • Billing challenges: Potential for denials if documentation does not support the diagnosis.

Specialty Focus

Medical Specialties

Primary medical specialty: Dermatology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Secondary specialty: Gynecology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Pruritus vulvae can significantly affect a patient's quality of life, leading to discomfort, anxiety, and decreased sexual health. Understanding its prevalence and impact on population health is essential, as it may indicate underlying health issues. Effective management can improve healthcare utilization patterns, reduce unnecessary visits, and enhance patient satisfaction. Epidemiologically, conditions leading to pruritus vulvae are common, making awareness and proper coding critical for effective healthcare delivery.

ICD-9 vs ICD-10

Pruritus vulvae can significantly affect a patient's quality of life, leading to discomfort, anxiety, and decreased sexual health. Understanding its prevalence and impact on population health is essential, as it may indicate underlying health issues. Effective management can improve healthcare utilization patterns, reduce unnecessary visits, and enhance patient satisfaction. Epidemiologically, conditions leading to pruritus vulvae are common, making awareness and proper coding critical for effective healthcare delivery.

Reimbursement & Billing Impact

reimbursement rates.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for L00-L99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for L00-L99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by L29.2?

L29.2 covers pruritus vulvae due to various causes, including infections (e.g., candidiasis), dermatological conditions (e.g., contact dermatitis), and systemic diseases. It does not cover pruritus due to other anatomical sites.

When should L29.2 be used instead of related codes?

L29.2 should be used specifically when the pruritus is localized to the vulvar area. If pruritus is generalized or affects other areas, related codes such as L29.0 should be considered.

What documentation supports L29.2?

Documentation should include a detailed patient history, description of symptoms, any relevant physical examination findings, and results from laboratory tests if performed. Treatment plans and responses should also be documented.