Fournier disease of vagina and vulva
ICD-10 N76.82 is a billable code used to indicate a diagnosis of fournier disease of vagina and vulva.
Fournier disease, also known as Fournier's gangrene, is a rare but severe form of necrotizing fasciitis that primarily affects the perineal region, including the vagina and vulva in females. This condition is characterized by rapid onset of pain, swelling, and erythema in the affected area, often accompanied by systemic symptoms such as fever and malaise. The disease typically arises from polymicrobial infections, often involving both aerobic and anaerobic bacteria, and can be precipitated by various factors including diabetes mellitus, immunosuppression, or trauma. In women, it may be associated with Bartholin's gland disorders, vulvovaginitis, or other inflammatory conditions of the female genital tract. Early recognition and aggressive surgical intervention, including debridement of necrotic tissue, along with broad-spectrum intravenous antibiotics, are critical for improving outcomes. The condition can lead to significant morbidity and mortality if not treated promptly, making awareness and accurate coding essential for effective management and reimbursement.
Detailed clinical notes including patient history, physical examination findings, and treatment plans.
Patients presenting with severe vulvar pain, swelling, and systemic symptoms; cases following Bartholin's gland cyst or abscess.
Ensure that all relevant comorbidities are documented, as they can influence treatment and coding.
Comprehensive microbiological data and treatment response documentation.
Management of polymicrobial infections in patients with Fournier disease.
Documentation of antibiotic regimens and any surgical interventions performed.
Used in cases where surgical intervention is required for Fournier disease.
Operative report detailing findings and procedures performed.
Ensure that the surgical specialty is clearly documented.
Common symptoms include severe pain in the perineal area, swelling, erythema, fever, and systemic signs of infection. Rapid progression of symptoms is typical.
Diagnosis is primarily clinical, supported by imaging studies and microbiological cultures to identify the causative organisms.
Treatment typically involves urgent surgical debridement of necrotic tissue and broad-spectrum intravenous antibiotics.
