Vulvovaginal ulceration and inflammation in diseases classified elsewhere
Chapter 14:Diseases of the genitourinary system
ICD-10 N77 is a billable code used to indicate a diagnosis of vulvovaginal ulceration and inflammation in diseases classified elsewhere.
N77 refers to vulvovaginal ulceration and inflammation that occurs as a result of underlying diseases classified in other categories. This code encompasses a variety of conditions affecting the vulva and vagina, including Bartholin's gland disorders, vulvovaginitis, and other inflammatory conditions of the female genital tract. Bartholin's gland disorders can lead to cysts or abscesses, causing localized pain and inflammation. Vulvovaginitis, which may be caused by infections (bacterial, fungal, or viral), irritants, or allergens, presents with symptoms such as itching, burning, and discharge. Inflammatory conditions may arise from systemic diseases, autoimmune disorders, or as a reaction to medications. Accurate coding requires a thorough understanding of the underlying conditions and their manifestations, as well as the clinical context in which these symptoms occur.
Detailed patient history, including symptoms, duration, and any previous treatments.
Patients presenting with vulvar pain, discharge, or swelling.
Ensure that the underlying condition is clearly documented to support the use of N77.
Comprehensive skin examination notes, including descriptions of lesions and any associated symptoms.
Diagnosis of inflammatory skin conditions affecting the vulva.
Document any differential diagnoses considered during the evaluation.
Used in cases where severe underlying conditions necessitate surgical intervention.
Operative report detailing the procedure and indication.
Obstetricians should document the reason for surgery related to N77.
Use code N77 when vulvovaginal ulceration and inflammation are secondary to diseases classified elsewhere, ensuring that the underlying condition is well-documented.
