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v1.0.0
ICD-10 Guide
ICD-10 CodesN76.1

N76.1

Billable

Subacute and chronic vaginitis

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

Code Description

ICD-10 N76.1 is a billable code used to indicate a diagnosis of subacute and chronic vaginitis.

Key Diagnostic Point:

Subacute and chronic vaginitis refers to the inflammation of the vagina that persists over a prolonged period, often characterized by symptoms such as itching, burning, and abnormal discharge. This condition can arise from various etiologies, including infections (bacterial, fungal, or viral), irritants, or hormonal changes. Bartholin's gland disorders, which may lead to cysts or abscesses, can contribute to vaginitis symptoms. Vulvovaginitis, a broader term encompassing inflammation of both the vulva and vagina, is often associated with subacute and chronic vaginitis. Inflammatory conditions of the female genital tract can result from sexually transmitted infections, allergic reactions, or irritants such as soaps and hygiene products. Accurate diagnosis is essential, as treatment may vary significantly based on the underlying cause. Clinicians must consider the patient's history, physical examination findings, and laboratory results to determine the appropriate management plan.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between acute and chronic forms of vaginitis
  • Identifying the specific etiology (e.g., infectious vs. non-infectious)
  • Documenting associated conditions such as Bartholin's gland disorders
  • Understanding the overlap with other codes related to vulvovaginitis

Audit Risk Factors

  • Inadequate documentation of chronicity
  • Failure to specify the underlying cause of vaginitis
  • Misclassification of acute vs. chronic conditions
  • Lack of supporting clinical evidence for the diagnosis

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

Detailed patient history, including symptoms, duration, and any previous treatments.

Common Clinical Scenarios

Patients presenting with persistent vaginal discharge, itching, or discomfort.

Billing Considerations

Consideration of hormonal factors, STIs, and potential need for referral to a specialist.

Primary Care

Documentation Requirements

Comprehensive review of symptoms and any relevant medical history.

Common Clinical Scenarios

Routine check-ups where patients report vaginal discomfort or discharge.

Billing Considerations

Awareness of the need for follow-up and potential referrals for persistent cases.

Coding Guidelines

Inclusion Criteria

Use N76.1 When
  • According to ICD
  • 10 guidelines, N76
  • 1 should be used when the vaginitis is subacute or chronic in nature
  • It is essential to document the duration of symptoms and any relevant diagnostic tests performed

Exclusion Criteria

Do NOT use N76.1 When
  • Exclusion criteria include conditions that are not classified as vaginitis

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used when a patient presents for evaluation of chronic vaginitis.

Documentation Requirements

Document the patient's history, examination findings, and treatment plan.

Specialty Considerations

Gynecologists may require additional documentation regarding the examination of the pelvic area.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of vaginitis, enabling better tracking of chronic conditions and their management. This specificity aids in research and quality improvement initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of vaginitis, enabling better tracking of chronic conditions and their management. This specificity aids in research and quality improvement initiatives.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common causes of subacute and chronic vaginitis?

Common causes include bacterial vaginosis, yeast infections, sexually transmitted infections, irritants, and hormonal changes, particularly in postmenopausal women.