Acute vaginitis
ICD-10 N76.0 is a billable code used to indicate a diagnosis of acute vaginitis.
Acute vaginitis is an inflammatory condition of the vagina characterized by symptoms such as itching, burning, and abnormal discharge. It can be caused by various factors, including infections (bacterial, fungal, or viral), irritants, or allergic reactions. In particular, Bartholin's gland disorders can contribute to acute vaginitis, as obstruction or infection of these glands can lead to localized inflammation and discomfort. Vulvovaginitis, which encompasses inflammation of both the vulva and vagina, is often seen in conjunction with acute vaginitis. Clinically, acute vaginitis may present with a range of symptoms, including dysuria, dyspareunia, and changes in vaginal discharge, which may be purulent, watery, or curd-like depending on the underlying cause. Diagnosis typically involves a thorough history, physical examination, and may include laboratory tests to identify the causative organism. Treatment often involves antibiotics for bacterial infections, antifungals for yeast infections, or symptomatic relief for irritant-induced vaginitis. Accurate coding is essential for appropriate treatment and reimbursement.
Detailed patient history, physical examination findings, and lab results.
Patients presenting with vaginal discharge, itching, or discomfort.
Ensure documentation specifies the type of vaginitis and any associated conditions.
Comprehensive history and physical exam, including sexual history.
Routine visits where patients report symptoms of vaginitis.
Consider referral to specialists for persistent or complicated cases.
Used for follow-up visits after initial diagnosis of acute vaginitis.
Document the patient's symptoms, treatment plan, and any changes in condition.
Obstetricians may need to document additional gynecological history.
Common causes include bacterial infections, yeast infections, and irritants such as soaps or hygiene products. Each cause may present with different symptoms and requires specific treatment.
