ICD-10 Coding for Childbirth Complicated by Vulvovaginitis(O86.13)
Complete ICD-10-CM coding and documentation guide for Childbirth Complicated by Vulvovaginitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Childbirth Complicated by Vulvovaginitis
O86.1-O86.19Primary Range
Infections of the genital tract following delivery
This range includes codes for postpartum infections, including vulvovaginitis following delivery.
Infections of the genitourinary tract in pregnancy
This range is used for vulvovaginitis occurring during pregnancy, not postpartum.
Key Information: ICD-10 code for vulvovaginitis following childbirth
Essential facts and insights about Childbirth Complicated by Vulvovaginitis
Primary ICD-10-CM Code for childbirth complicated by vulvovaginitis
Decision Criteria
clinical Criteria
- Postpartum symptoms with lab confirmation
coding Criteria
- Use O86.13 for postpartum cases only
documentation Criteria
- Include specific postpartum timing and lab results
Applicable To
- Postpartum vulvovaginitis
Excludes
- Antepartum vulvovaginitis (O23.5)
Clinical Validation Requirements
- Postpartum timing (≤42 days post-delivery)
- Vaginal discharge/itching with pH >4.5
- Positive KOH/wet mount/molecular testing
Code-Specific Risks
- Confusion with antepartum codes
- Omission of postpartum timing documentation
Coding Notes
- Ensure documentation specifies postpartum timing and diagnostic confirmation.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Infections of the genitourinary tract in pregnancy
O23.5Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Childbirth Complicated by Vulvovaginitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O86.13.
Impact
Clinical: Misclassification of the condition's timing., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials or reduced reimbursement.
Mitigation Strategy
Always document the postpartum day count., Verify timing with patient history.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Verify and document the timing of symptoms relative to delivery.
Impact
Lack of specific postpartum timing can trigger audits.
Mitigation Strategy
Ensure all postpartum cases include timing and diagnostic details.
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 Childbirth Complicated by Vulvovaginitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Childbirth Complicated by Vulvovaginitis
Use these documentation templates to ensure complete and accurate documentation for Childbirth Complicated by Vulvovaginitis. These templates include all required elements for proper coding and billing.
Postpartum Vaginitis Diagnosis
Specialty: Obstetrics and GynecologyRequired Elements
- Postpartum timing
- Symptoms description
- Diagnostic test results
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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