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v1.0.0
ICD-10 Guide
DiagnosesVaginal Atrophy

Vaginal Atrophy

ICD-10 Coding for Vaginal Atrophy(N95.2, N89.8, N90.5)

PRIMARY SPECIALTYGynecology
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Vaginal Atrophy?
Essential facts and insights about Vaginal Atrophy

Key Clinical Considerations:

  • Vaginal dryness
  • Itching or burning sensation
  • Dyspareunia (painful intercourse)
  • Urinary symptoms (e.g., urgency, frequency)
  • Thin, pale vaginal mucosa on examination

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history of menopausal status or hormonal changes
  • Description of symptoms and their duration
  • Physical exam findings related to vaginal health
  • Assessment of impact on quality of life

Coding Guidelines

Usage Guidelines & Examples

  • Follow guidelines for coding menopausal symptoms and related conditions.
  • Common errors include misclassifying vaginal atrophy as other gynecological disorders.

Code Exclusions

Important Exclusions

  • Vulvovaginal candidiasis
  • Vulvodynia
  • Other causes of vaginal symptoms

Related ICD-10 Codes

Primary Codes
N95.2
Vaginal atrophy
Ancillary Codes
N90.5
Differential Codes
N89.8
N95.2

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Gynecology

Specialty Applications

  • Postmenopausal women
  • Patients undergoing cancer treatment affecting estrogen levels

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

What are the documentation requirements?

Document patient history, symptoms, and physical exam findings.

What are the billing considerations?

Ensure accurate coding to reflect the diagnosis and any associated treatments.