ICD code N76.0 is a classification used to identify and document acute vaginitis in medical records and facilitate healthcare data analysis.
ICD code N76.0 is a classification used to identify and document the diagnosis of acute vaginitis, which is an inflammation of the vagina characterized by symptoms such as itching, discharge, and irritation. This code is utilized by healthcare providers for accurate medical record-keeping and to facilitate the billing process by ensuring that the condition is clearly communicated to insurance companies for reimbursement purposes.
1. Sudden Onset of Symptoms: The condition presents with a rapid onset of symptoms, indicating an acute nature rather than a chronic or recurrent issue.
2. Vaginal Discharge: The presence of abnormal vaginal discharge, which may vary in color, consistency, and odor, is a key diagnostic criterion.
3. Vaginal Itching or Irritation: Patients may report itching or irritation in the vaginal area, which can be a significant indicator of acute inflammation.
4. Vaginal Redness and Swelling: Physical examination may reveal redness and swelling of the vaginal tissues, suggesting an inflammatory response.
5. Pain or Discomfort: Patients may experience pain or discomfort in the vaginal area, which can be exacerbated during urination or sexual intercourse.
6. Absence of Chronic Symptoms: The symptoms should not be part of a chronic condition or a recurrent pattern, distinguishing it from chronic vaginitis.
7. Exclusion of Other Causes: Other potential causes of similar symptoms, such as sexually transmitted infections or dermatological conditions, should be ruled out through appropriate testing and clinical evaluation.
For the ICD code N76.0, which pertains to acute vaginitis, the relevant CPT codes that may be applicable for treatment and management include:
1. 99201-99205: Evaluation and Management (E/M) codes for new patients, depending on the complexity and time spent during the visit.
2. 99211-99215: E/M codes for established patients, based on the level of service provided.
3. 87480: Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique.
4. 87510: Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique.
5. 87660: Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique.
6. 87210: Wet mount for infectious agents (e.g., bacteria, yeast, trichomonas).
7. 88150: Cytopathology, slides, cervical or vaginal (the Bethesda System), manual screening under physician supervision.
8. 57170: Diaphragm or cervical cap fitting with instructions.
9. 99241-99245: Consultation codes for office or other outpatient consultations, if applicable.
These CPT codes are examples of procedures and services that may be performed in the evaluation and treatment of acute vaginitis, as indicated by ICD code N76.0. It is important for healthcare providers to select the appropriate CPT codes based on the specific services rendered and the clinical scenario.
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