ICD-10 Coding for Vaginal Pain(R10.2, N94.89)
Complete ICD-10-CM coding and documentation guide for Vaginal Pain. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Vaginal Pain
R10.2Primary Range
Pelvic and perineal pain
This range includes codes for pain localized to the pelvic and perineal regions, including vaginal pain.
Other specified conditions associated with female genital organs and menstrual cycle
This range is used for chronic or unspecified female genital organ pain not covered by more specific codes.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R10.2 | Pelvic and perineal pain | Use for acute or chronic vaginal pain without a confirmed cause. |
|
| N94.89 | Other specified conditions associated with female genital organs and menstrual cycle | Use for chronic pain syndromes not covered by more specific codes. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for vaginal pain
Essential facts and insights about Vaginal Pain
Primary ICD-10-CM Codes for vaginal pain
Decision Criteria
clinical Criteria
- Pain localized to the vaginal area without a specific diagnosis.
Applicable To
- Vaginal pain
Excludes
- Dyspareunia (N94.1)
Clinical Validation Requirements
- Localized tenderness in the vaginal area
- Pain characteristics such as burning or stabbing
- Exacerbating factors like intercourse or tampon use
Code-Specific Risks
- Risk of using this code when a more specific diagnosis is available.
Coding Notes
- Ensure documentation specifies the location and characteristics of the pain.
N94.89 - Other specified conditions associated with female genital organs and menstrual cycle
Use for chronic pain syndromes not covered by more specific codes.
Applicable To
- Chronic vulvar/vaginal pain without infection
Excludes
- Acute pain conditions
Clinical Validation Requirements
- Duration of pain >3 months
- Exclusion of infections and neoplasms
Coding Notes
Document the chronic nature and exclusion of other conditions.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Chronic pain syndrome
G89.21Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Vaginal Pain to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R10.2.
Impact
Clinical: Inadequate treatment planning., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Use structured templates., Train staff on documentation standards.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use N94.1 when pain is specifically during intercourse.
Impact
Using R10.2 for conditions better described by other codes.
Mitigation Strategy
Regular training and audits of coding practices.
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 Vaginal Pain, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Vaginal Pain
Use these documentation templates to ensure complete and accurate documentation for Vaginal Pain. These templates include all required elements for proper coding and billing.
Acute Vaginal Pain
Specialty: GynecologyRequired Elements
- Location of pain
- Pain characteristics
- Associated symptoms
- Diagnostic tests
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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