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ICD-10 Guide
ICD-10 CodesN95.2

N95.2

Billable

Postmenopausal atrophic vaginitis

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

Code Description

ICD-10 N95.2 is a billable code used to indicate a diagnosis of postmenopausal atrophic vaginitis.

Key Diagnostic Point:

Postmenopausal atrophic vaginitis is a condition characterized by the thinning, drying, and inflammation of the vaginal walls due to decreased estrogen levels following menopause. This condition can lead to various symptoms, including vaginal dryness, irritation, painful intercourse (dyspareunia), and urinary symptoms such as urgency and frequency. The atrophic changes in the vaginal epithelium can also increase susceptibility to infections. The onset of postmenopausal atrophic vaginitis typically occurs in women who have undergone menopause, which is defined as the cessation of menstrual periods for 12 consecutive months. The condition is often underreported due to the stigma associated with discussing sexual health issues, yet it significantly impacts the quality of life. Treatment options include vaginal moisturizers, lubricants, and estrogen therapy, which can help alleviate symptoms and restore vaginal health. Accurate coding of this condition is essential for appropriate management and reimbursement, as it reflects the need for targeted therapies and follow-up care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of menopausal physiology and its impact on vaginal health.
  • Differentiation from other types of vaginitis (e.g., infectious vaginitis).
  • Documentation must specify postmenopausal status and symptoms.
  • Potential overlap with other ICD-10 codes related to vaginal disorders.

Audit Risk Factors

  • Inadequate documentation of menopausal status.
  • Failure to document specific symptoms associated with atrophic vaginitis.
  • Misclassification of the condition as infectious vaginitis.
  • Lack of follow-up documentation for treatment efficacy.

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

Detailed patient history, including menopausal status, symptoms, and treatment plans.

Common Clinical Scenarios

Patients presenting with vaginal dryness, dyspareunia, or recurrent urinary tract infections post-menopause.

Billing Considerations

Ensure that the documentation reflects the chronic nature of the condition and any treatments provided.

Urology

Documentation Requirements

Assessment of urinary symptoms and their relation to vaginal health.

Common Clinical Scenarios

Women experiencing urinary urgency or frequency alongside vaginal symptoms.

Billing Considerations

Document any urological evaluations performed to rule out other causes of urinary symptoms.

Coding Guidelines

Inclusion Criteria

Use N95.2 When
  • According to ICD
  • CM guidelines, N95
  • 2 should be used when the patient has a confirmed diagnosis of postmenopausal atrophic vaginitis
  • Documentation must clearly indicate the patient's menopausal status and any associated symptoms

Exclusion Criteria

Do NOT use N95.2 When
  • Exclusion criteria include other types of vaginitis or conditions that do not relate to menopause

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used during follow-up visits for management of postmenopausal atrophic vaginitis.

Documentation Requirements

Document the patient's symptoms, treatment response, and any changes in management.

Specialty Considerations

Gynecologists should ensure that the visit focuses on reproductive health and symptom management.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like postmenopausal atrophic vaginitis, improving the accuracy of patient records and treatment plans. This specificity aids in better understanding and managing women's health issues post-menopause.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like postmenopausal atrophic vaginitis, improving the accuracy of patient records and treatment plans. This specificity aids in better understanding and managing women's health issues post-menopause.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Coding & Billing References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Frequently Asked Questions

What are the common symptoms of postmenopausal atrophic vaginitis?

Common symptoms include vaginal dryness, irritation, painful intercourse, and urinary symptoms such as urgency and frequency.

How is postmenopausal atrophic vaginitis treated?

Treatment options include vaginal moisturizers, lubricants, and estrogen therapy to alleviate symptoms and restore vaginal health.