Ulceration of vagina
ICD-10 N76.5 is a billable code used to indicate a diagnosis of ulceration of vagina.
Ulceration of the vagina refers to the presence of open sores or lesions on the vaginal mucosa, which can result from various underlying conditions, including infections, inflammatory diseases, or trauma. This condition may be associated with Bartholin's gland disorders, where cysts or abscesses can lead to localized inflammation and subsequent ulceration. Vulvovaginitis, characterized by inflammation of the vulva and vagina, can also contribute to ulcer formation, particularly in cases of infectious etiology such as bacterial vaginosis or sexually transmitted infections. Inflammatory conditions of the female genital tract, including lichen sclerosus or lichen planus, may present with ulceration as a symptom. Clinically, patients may report symptoms such as pain, itching, or abnormal discharge, and a thorough gynecological examination is essential for diagnosis. Treatment typically involves addressing the underlying cause, which may include antibiotics for infections, corticosteroids for inflammatory conditions, or surgical intervention for Bartholin's gland issues. Accurate coding is crucial for appropriate management and reimbursement.
Detailed patient history, examination findings, and treatment plans.
Patients presenting with vaginal pain, discharge, or lesions.
Ensure documentation reflects the specific etiology of ulceration for accurate coding.
Skin examination findings, biopsy results if applicable, and treatment notes.
Patients with inflammatory skin conditions affecting the genital area.
Document any dermatological conditions that may contribute to vaginal ulceration.
When a biopsy is performed to rule out malignancy in a patient with vaginal ulceration.
Document indication for biopsy and findings.
Gynecologists should ensure proper coding for biopsy procedures.
Common causes include infections (e.g., herpes, bacterial vaginosis), inflammatory conditions (e.g., lichen sclerosus), and trauma. Accurate diagnosis is essential for effective treatment.
