Other noninflammatory disorders of vagina
Chapter 14:Diseases of the genitourinary system
ICD-10 N89 is a billable code used to indicate a diagnosis of other noninflammatory disorders of vagina.
N89 encompasses a variety of noninflammatory disorders affecting the vagina that do not involve infectious or inflammatory processes. These conditions can include vaginal atrophy, which is often seen in postmenopausal women due to decreased estrogen levels, leading to thinning and drying of the vaginal walls. Other disorders may include vaginal prolapse, where the vaginal walls weaken and bulge into the vaginal canal, and conditions such as vaginismus or dyspareunia, which can be associated with psychological factors or physical changes. Additionally, this code may be used for benign neoplasms of the vagina, such as vaginal fibromas or cysts. Accurate coding requires a thorough understanding of the patient's symptoms, history, and any relevant diagnostic findings to ensure that the correct noninflammatory disorder is identified and documented.
Detailed patient history, physical examination findings, and any imaging or diagnostic tests performed.
Patients presenting with vaginal dryness, pain during intercourse, or abnormal vaginal masses.
Ensure that the documentation clearly differentiates between inflammatory and noninflammatory conditions.
Comprehensive review of symptoms, including sexual health history and any relevant gynecological history.
Routine check-ups where patients report vaginal discomfort or changes.
Collaboration with gynecologists for referrals and follow-up on complex cases.
Used when a patient with a noninflammatory vaginal disorder requires surgical intervention.
Operative report detailing the procedure and indication.
Gynecologists must ensure that the diagnosis aligns with the surgical procedure.
N89 includes various noninflammatory disorders such as vaginal atrophy, prolapse, and benign neoplasms. It does not include inflammatory conditions or infections.
Accurate coding requires thorough documentation of the patient's symptoms, history, and any relevant diagnostic findings. Always differentiate between inflammatory and noninflammatory conditions.