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ICD-10 Guide
ICD-10 CodesN94.818

N94.818

Billable

Other vulvodynia

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/18/2025

Code Description

ICD-10 N94.818 is a billable code used to indicate a diagnosis of other vulvodynia.

Key Diagnostic Point:

Vulvodynia is a chronic pain condition affecting the vulvar area, characterized by discomfort, burning, or pain that persists for at least three months without an identifiable cause. 'Other vulvodynia' encompasses various forms of vulvar pain that do not fit into more specific categories such as localized vulvodynia or generalized vulvodynia. This condition can significantly impact a woman's quality of life, affecting sexual function, mental health, and overall well-being. It may be associated with menstrual disorders, as hormonal fluctuations can exacerbate symptoms. Additionally, menopausal changes can lead to vulvar atrophy and dryness, further complicating vulvodynia. In the context of female infertility, vulvodynia may hinder sexual intercourse, thus impacting conception efforts. Complications from artificial fertilization procedures may also arise if vulvodynia is present, as discomfort can deter patients from pursuing these options. Effective management often requires a multidisciplinary approach, including gynecological evaluation, pain management, and psychological support.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of symptoms and presentations
  • Overlap with other gynecological conditions
  • Need for comprehensive patient history
  • Potential for misdiagnosis

Audit Risk Factors

  • Inadequate documentation of symptoms
  • Failure to specify the type of vulvodynia
  • Lack of supporting clinical evidence
  • Misalignment with treatment codes

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

Detailed patient history, symptom description, and treatment plans must be documented.

Common Clinical Scenarios

Patients presenting with chronic vulvar pain, discomfort during intercourse, or pain exacerbated by hormonal changes.

Billing Considerations

Consideration of comorbid conditions such as endometriosis or pelvic floor dysfunction is essential for accurate coding.

Pain Management

Documentation Requirements

Comprehensive pain assessments and treatment responses should be documented.

Common Clinical Scenarios

Patients seeking relief from chronic vulvar pain through various pain management strategies.

Billing Considerations

Coordination with gynecologists for a multidisciplinary approach to treatment is crucial.

Coding Guidelines

Inclusion Criteria

Use N94.818 When
  • According to ICD
  • 10 guidelines, N94
  • 818 should be used when vulvodynia is diagnosed but does not fit into more specific categories
  • Coders should ensure that the diagnosis is well
  • supported by clinical documentation and that other potential causes of vulvar pain have been ruled out

Exclusion Criteria

Do NOT use N94.818 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Office visit, established patient, level 3

Clinical Scenario

Used for follow-up visits for vulvodynia management.

Documentation Requirements

Document the patient's history, symptoms, and treatment response.

Specialty Considerations

Gynecologists should ensure comprehensive documentation to support the visit level.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more detailed coding of vulvodynia, enabling better tracking of this condition and its management. This specificity aids in research and improves patient care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of vulvodynia, enabling better tracking of this condition and its management. This specificity aids in research and improves patient care.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more detailed coding of vulvodynia, enabling better tracking of this condition and its management. This specificity aids in research and improves patient care.

Resources

Clinical References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Coding & Billing References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Frequently Asked Questions

What is vulvodynia?

Vulvodynia is a chronic pain condition affecting the vulvar area, characterized by discomfort or pain that persists for at least three months without an identifiable cause.

How is N94.818 different from other vulvodynia codes?

N94.818 is used for vulvodynia that does not fit into more specific categories, allowing for broader classification of vulvar pain.

What documentation is needed for coding N94.818?

Comprehensive documentation of symptoms, patient history, and treatment plans is essential to support the use of this code.