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ICD-10 Guide
ICD-10 CodesN94.810

N94.810

Billable

Vulvar vestibulitis

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

Code Description

ICD-10 N94.810 is a billable code used to indicate a diagnosis of vulvar vestibulitis.

Key Diagnostic Point:

Vulvar vestibulitis, also known as vulvar vestibulitis syndrome (VVS), is a condition characterized by chronic pain and discomfort in the vulvar vestibule, the area surrounding the vaginal opening. This condition is often associated with symptoms such as burning, itching, and pain during intercourse (dyspareunia), which can significantly impact a woman's quality of life and sexual health. The etiology of vulvar vestibulitis is not fully understood, but it may involve a combination of factors including inflammation, hypersensitivity, and possibly infections. It is often seen in conjunction with other conditions such as vulvodynia and can be exacerbated by hormonal changes, particularly during menstruation or menopause. Diagnosis typically involves a thorough clinical examination and may require exclusion of other conditions such as infections or dermatological issues. Treatment options vary and may include topical anesthetics, hormonal therapies, physical therapy, and in some cases, surgical intervention. Understanding vulvar vestibulitis is crucial for addressing menstrual disorders, menopausal disorders, and female infertility, as it can affect sexual function and reproductive health.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in symptom presentation among patients
  • Need for differential diagnosis to rule out other conditions
  • Potential overlap with other vulvar disorders
  • Documentation of chronicity and impact on quality of life

Audit Risk Factors

  • Inadequate documentation of symptoms and their impact
  • Failure to document treatment attempts and responses
  • Misdiagnosis or coding of related conditions
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

Detailed patient history, symptom description, treatment plans, and follow-up notes.

Common Clinical Scenarios

Patients presenting with chronic vulvar pain, dyspareunia, or recurrent vulvar infections.

Billing Considerations

Ensure comprehensive documentation of all symptoms and treatments to support the diagnosis.

Dermatology

Documentation Requirements

Skin examination findings, biopsy results if applicable, and treatment history.

Common Clinical Scenarios

Patients with vulvar skin conditions that may mimic or coexist with vulvar vestibulitis.

Billing Considerations

Document any dermatological findings that may contribute to the diagnosis.

Coding Guidelines

Inclusion Criteria

Use N94.810 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the condition's chronicity and impact on the patient's life
  • Include any relevant comorbidities and treatment responses

Exclusion Criteria

Do NOT use N94.810 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits for vulvar vestibulitis management.

Documentation Requirements

Document history of present illness, review of systems, and treatment plan.

Specialty Considerations

Ensure that the visit is clearly linked to the management of vulvar vestibulitis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of vulvar vestibulitis, improving the ability to track and manage this condition in clinical practice. It has also facilitated better understanding and treatment pathways for affected patients.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of vulvar vestibulitis, improving the ability to track and manage this condition in clinical practice. It has also facilitated better understanding and treatment pathways for affected patients.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of vulvar vestibulitis, improving the ability to track and manage this condition in clinical practice. It has also facilitated better understanding and treatment pathways for affected patients.

Resources

Clinical References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Coding & Billing References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Frequently Asked Questions

What are the common symptoms of vulvar vestibulitis?

Common symptoms include localized pain in the vulvar vestibule, burning sensations, itching, and pain during intercourse. These symptoms can vary in intensity and may be triggered by touch or pressure.