Ulceration of vulva
ICD-10 N76.6 is a billable code used to indicate a diagnosis of ulceration of vulva.
Ulceration of the vulva refers to the presence of open sores or lesions on the external female genitalia, which can arise from various underlying conditions. This condition may be associated with Bartholin's gland disorders, where cysts or abscesses can lead to secondary ulceration. Vulvovaginitis, an inflammation of the vulva and vagina, can also contribute to ulceration due to irritation, infection, or allergic reactions. Inflammatory conditions such as lichen sclerosus or vulvar vestibulitis may present with ulcerative lesions as well. The etiology of vulvar ulceration can be multifactorial, including infections (e.g., herpes simplex virus, candidiasis), trauma, or dermatological conditions. Diagnosis typically involves a thorough clinical examination, patient history, and may require laboratory tests to identify infectious agents or other underlying causes. Treatment is directed at the underlying cause and may include topical medications, antibiotics, or surgical intervention in cases of severe or persistent ulceration.
Detailed clinical notes including history, examination findings, and treatment plans.
Patients presenting with vulvar pain, itching, or lesions; recurrent vulvovaginitis; Bartholin's gland cysts.
Ensure clear documentation of the ulcer's characteristics and any associated symptoms to support the diagnosis.
Comprehensive skin examination findings, including descriptions of lesions and any relevant history.
Patients with dermatological conditions affecting the vulva, such as lichen sclerosus or psoriasis.
Document any biopsies or dermatological treatments provided to support coding.
Used in cases where ulceration is severe and surgical intervention is required.
Document the extent of the procedure and the reason for surgical intervention.
Gynecologists should ensure that the surgical notes clearly outline the diagnosis and treatment rationale.
Common causes include infections (such as herpes or candidiasis), inflammatory conditions (like lichen sclerosus), and trauma. Accurate diagnosis is essential for appropriate treatment.
