ICD-10-CM Code N77.1

Vaginitis, vulvitis and vulvovaginitis in diseases classified elsewhere

Version 2020 Billable Code Diagnoses For Females Only Manifestation Diagnoses

Valid for Submission

N77.1 is a billable code used to specify a medical diagnosis of vaginitis, vulvitis and vulvovaginitis in diseases classified elsewhere. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code N77.1 might also be used to specify conditions or terms like allergic vaginitis, circinate vulvovaginitis co-occurrent with reactive arthritis triad, crohn's disease of skin, crohn's disease of vulva, fusarium estrogenism and vulvovaginitis, genital lichen planus, etc

The code N77.1 is applicable to female patients only. It is clinically and virtually impossible to use this code on a non-female patient.

ICD-10:N77.1
Short Description:Vaginitis, vulvitis and vulvovaginitis in dis classd elswhr
Long Description:Vaginitis, vulvitis and vulvovaginitis in diseases classified elsewhere

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code N77.1:

Code First

Code First
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
  • underlying disease, such as:
  • pinworm B80

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • candidal vulvovaginitis B37.3
  • chlamydial vulvovaginitis A56.02
  • gonococcal vulvovaginitis A54.02
  • herpesviral herpes simplex vulvovaginitis A60.04
  • trichomonal vulvovaginitis A59.01
  • tuberculous vulvovaginitis A18.18
  • vulvovaginitis in early syphilis A51.0
  • vulvovaginitis in late syphilis A52.76

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Diagnoses for females only - Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, this code applies to FEMALES only .
  • Manifestation diagnoses - Manifestation codes describe the manifestation of an underlying disease, not the disease itself, and therefore should not be used as a principal diagnosis.

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Allergic vaginitis
  • Circinate vulvovaginitis co-occurrent with reactive arthritis triad
  • Crohn's disease of skin
  • Crohn's disease of vulva
  • Fusarium estrogenism AND vulvovaginitis
  • Genital lichen planus
  • Lichen planus of vulva
  • Reactive arthritis triad
  • Vaginitis associated with another disorder
  • Vaginitis associated with another disorder
  • Vulvitis associated with another disorder
  • Vulvovaginitis associated with another disorder
  • Vulvovaginitis associated with another disorder

Diagnostic Related Groups

The ICD-10 code N77.1 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2019 through 09/30/2020.

  • 742 - UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC
  • 743 - UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC

Convert N77.1 to ICD-9

  • 616.11 - Vaginitis in oth disease (Approximate Flag)

Code Classification

  • Diseases of the genitourinary system (N00–N99)
    • Inflammatory diseases of female pelvic organs (N70-N77)
      • Vulvovaginal ulceration and inflam in diseases classd elswhr (N77)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Vaginitis

What is vaginitis?

Vaginitis, also called vulvovaginitis, is an inflammation or infection of the vagina. It can also affect the vulva, which is the external part of a woman's genitals. Vaginitis can cause itching, pain, discharge, and odor.

Vaginitis is common, especially in women in their reproductive years. It usually happens when there is a change in the balance of bacteria or yeast that are normally found in your vagina. There are different types of vaginitis, and they have different causes, symptoms, and treatments.

What causes vaginitis?

Bacterial vaginosis (BV) is the most common vaginal infection in women ages 15-44. It happens when there is an imbalance between the "good" and "harmful" bacteria that are normally found in a woman's vagina. Many things can change the balance of bacteria, including

  • Taking antibiotics
  • Douching
  • Using an intrauterine device (IUD)
  • Having unprotected sex with a new partner
  • Having many sexual partners

Yeast infections (candidiasis) happen when too much candida grows in the vagina. Candida is the scientific name for yeast. It is a fungus that lives almost everywhere, including in your body. You may have too much growing in the vagina because of

  • Antibiotics
  • Pregnancy
  • Diabetes, especially if it is not well-controlled
  • Corticosteroid medicines

Trichomoniasis can also cause vaginitis. Trichomoniasis is a common sexually transmitted disease. It is caused by a parasite.

You can also have vaginitis if you are allergic or sensitive to certain products that you use. Examples include vaginal sprays, douches, spermicides, soaps, detergents, or fabric softeners. They can cause burning, itching, and discharge.

Hormonal changes can also cause vaginal irritation. Examples are when you are pregnant or breastfeeding, or when you have gone through menopause.

Sometimes you can have more than one cause of vaginitis at the same time.

What are the symptoms of vaginitis?

The symptoms of vaginitis depend on which type you have.

With BV, you may not have symptoms. You could have a thin white or gray vaginal discharge. There may be an odor, such as a strong fish-like odor, especially after sex.

Yeast infections produce a thick, white discharge from the vagina that can look like cottage cheese. The discharge can be watery and often has no smell. Yeast infections usually cause the vagina and vulva to become itchy and red.

You may not have symptoms when you have trichomoniasis. If you do have them, they include itching, burning, and soreness of the vagina and vulva. You may have burning during urination. You could also have gray-green discharge, which may smell bad.

How is the cause of vaginitis diagnosed?

To find out the cause of your symptoms, your health care provider may

  • Ask you about your medical history
  • Do a pelvic exam
  • Look for vaginal discharge, noting its color, qualities, and any odor
  • Study a sample of your vaginal fluid under a microscope

In some cases, you may need more tests.

What are the treatments for vaginitis?

The treatment depends on which type of vaginitis you have.

BV is treatable with antibiotics. You may get pills to swallow, or cream or gel that you put in your vagina. During treatment, you should use a condom during sex or not have sex at all.

Yeast infections are usually treated with a cream or with medicine that you put inside your vagina. You can buy over-the-counter treatments for yeast infections, but you need to be sure that you do have a yeast infection and not another type of vaginitis. See your health care provider if this is the first time you have had symptoms. Even if you have had yeast infections before, it is a good idea to call your health care provider before using an over-the-counter treatment.

The treatment for trichomoniasis is usually a single-dose antibiotic. Both you and your partner(s) should be treated, to prevent spreading the infection to others and to keep from getting it again.

If your vaginitis is due to an allergy or sensitivity to a product, you need to figure out which product is causing the problem. It could be a product that you started using recently. Once you figure it out, you should stop using the product.

If the cause of your vaginitis is a hormonal change, your health care provider may give you estrogen cream to help with your symptoms.

Can vaginitis cause other health problems?

It is important to treat BV and trichomoniasis, because having either of them can increase your risk for getting HIV or another sexually transmitted disease. If you are pregnant, BV or trichomoniasis can increase your risk for preterm labor and preterm birth.

Can vaginitis be prevented?

To help prevent vaginitis

  • Do not douche or use vaginal sprays
  • Use a condom when having sex
  • Avoid clothes that hold in heat and moisture
  • Wear cotton underwear

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Vulvar Disorders

The vulva is the external part of a woman's genitals. Some problems you can have with the vulvar area include

  • Vaginitis or vulvovaginitis, swelling or infection of the vulva and vagina
  • Skin problems due to allergy
  • Vulvar cancer
  • Vulvodynia, or vulvar pain

Symptoms may include redness, itching, pain, or cracks in the skin. Treatment depends on the cause.


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