Pain and other conditions associated with female genital organs and menstrual cycle (N94)

The ICD-10 code section N94 is used to classify pain and other conditions associated with female genital organs and the menstrual cycle. This includes a variety of specific disorders such as Mittelschmerz (N94.0), different forms of dyspareunia (N94.1 series), vaginismus (N94.2), and menstrual pain conditions like primary and secondary dysmenorrhea (N94.4, N94.5).

This section helps identify and code conditions ranging from ovary-related pain described as Mittelschmerz or ovarian pain (N94.0) to sexual pain disorders such as pain following intercourse or superficial dyspareunia (N94.10, N94.11). It also includes muscle spasms around the vagina known as vaginismus (N94.2) and syndromes tied to menstrual cycle symptoms like premenstrual tension syndrome (N94.3). Primary and secondary menstrual cramps are coded under N94.4 and N94.5, while unspecified dysmenorrhea falls under N94.6. Other codes cover vulvodynia and related pain disorders (N94.81 series) as well as various less common or unspecified female genital and menstrual conditions (N94.8, N94.9). Using these codes accurately ensures precise documentation of female reproductive system pain and dysfunction in clinical and billing records.

Clinical Terms

The following clinical terms provide additional context, helping users better understand the clinical background and common associations for each diagnosis listed in this section. Including related terms alongside ICD-10-CM codes supports coders, billers, and healthcare professionals in improving accuracy, enhancing documentation, and facilitating research or patient education.

Dysmenorrhea

Painful menstruation.

Dyspareunia

Recurrent genital pain occurring during, before, or after SEXUAL INTERCOURSE in either the male or the female.

Peritoneal Fibrosis

Disorder characterized by a wide range of structural changes in PERITONEUM, resulting from fibrogenic or inflammatory processes. Peritoneal fibrosis is a common complication in patients receiving PERITONEAL DIALYSIS and contributes to its gradual decrease in efficiency.

Superovulation

Occurrence or induction of release of more ova than are normally released at the same time in a given species. The term applies to both animals and humans.

Vaginismus

Recurrent or persistent involuntary SPASM of the outer muscles of the VAGINA, occurring during vaginal penetration.

Vulvar Vestibulitis

Inflammation of the vulvar vestibular region at the entrance of the VAGINA, generally involving surface mucosa and submucosal vestibular glands. It is characterized by ERYTHEMA and chronic recurrent pain in this area.

Vulvodynia

Complex pain syndrome with unknown etiology, characterized by constant or intermittent generalized vulva pain (Generalized vulvodynia) or localized burning sensations in the VESTIBULE area when pressure is applied (Vestibulodynia, or Vulvar Vestibulitis Syndrome). Typically, vulvar tissue with vulvodynia appears normal without infection or skin disease. Vulvodynia impacts negatively on a woman's quality of life as it interferes with sexual and daily activities.