ICD-10 Coding for Acute Vaginitis(N76.0)
Complete ICD-10-CM coding and documentation guide for Acute Vaginitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Acute Vaginitis
N70-N77Primary Range
Inflammatory diseases of female pelvic organs
This range includes codes for inflammatory conditions affecting female pelvic organs, including acute vaginitis.
Candidiasis
This range includes codes for candidiasis, which can be a differential diagnosis for acute vaginitis.
Trichomoniasis
This range includes codes for trichomoniasis, another differential diagnosis for acute vaginitis.
Key Information: ICD-10 code for acute vaginitis
Essential facts and insights about Acute Vaginitis
Primary ICD-10-CM Code for acute vaginitis
Decision Criteria
clinical Criteria
- Presence of clue cells and positive whiff test
coding Criteria
- No specific pathogen identified
documentation Criteria
- Detailed findings including pH and microscopy results
Applicable To
- Bacterial vaginosis diagnosed via clinical criteria
Excludes
- Chronic vaginitis (N76.1)
Clinical Validation Requirements
- Vaginal pH >4.5
- Positive whiff test
- Presence of clue cells on wet mount
Code-Specific Risks
- Incorrect use when a specific pathogen is identified
Coding Notes
- Ensure documentation supports the use of N76.0 with specific clinical findings.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other specified bacterial agents as the cause of diseases classified elsewhere
B96.89Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Acute Vaginitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N76.0.
Impact
Clinical: May lead to misdiagnosis., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Use structured templates., Include specific test results.
Impact
Reimbursement: May lead to claim denials if incorrect code is used., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use B37.3 if yeast is confirmed.
Impact
Using N76.0 without supporting documentation.
Mitigation Strategy
Ensure all clinical criteria are documented.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Acute Vaginitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Acute Vaginitis
Use these documentation templates to ensure complete and accurate documentation for Acute Vaginitis. These templates include all required elements for proper coding and billing.
Acute vaginitis diagnosis in primary care
Specialty: Primary CareRequired Elements
- Patient symptoms
- Vaginal pH
- Whiff test result
- Microscopy findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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