2025 ICD-10-CM code L29.2
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Dermatology - Pruritus Diseases of the skin and subcutaneous tissue (L00-L99) Feed
Pruritus vulvae is an intense itching sensation affecting the vulva.
Medical necessity for the diagnosis and treatment of pruritus vulvae is established by the presence of significant symptoms that impair the patient's quality of life, such as significant discomfort, sleep disturbance, or interference with daily activities.Further investigation and treatment are medically necessary to determine and address underlying conditions when the pruritus is persistent, severe, or unresponsive to initial management.
The clinical responsibility for managing pruritus vulvae involves a thorough history taking focusing on potential causes like allergies, irritants, infections, and underlying skin conditions.A physical examination is crucial to assess the extent and nature of the itching, identify any lesions or infections, and rule out other dermatological conditions.Depending on the identified etiology, treatment may range from topical corticosteroids or antifungal creams to allergy testing or referral to a specialist for further investigation.
In simple words: Pruritus vulvae means severe itching of the vulva (the outer part of the female genitals).It can be caused by many things, like allergies, infections, or skin problems.A doctor needs to figure out the reason for the itching to give the right treatment.
L29.2, Pruritus vulvae, in the ICD-10-CM classification, denotes an intense itching sensation specifically localized to the vulva.This condition can stem from various underlying causes, including allergic reactions, infections (such as yeast infections or parasitic infestations), skin disorders (like eczema or psoriasis), or irritation from chemicals or fabrics.The diagnosis necessitates a thorough clinical examination to identify the etiology and implement appropriate treatment.
Example 1: A 35-year-old female presents with intense itching of the vulva, accompanied by a burning sensation.She reports no recent changes in hygiene products or sexual activity.Examination reveals erythematous, slightly edematous vulvar skin with no visible lesions.Allergy testing is ordered to explore potential contact dermatitis., A 60-year-old postmenopausal woman complains of persistent vulvar itching, especially at night.She reports dryness and discomfort.Examination shows thin, atrophic vulvar skin.Topical estrogen cream is prescribed to alleviate the dryness and associated pruritus., A 22-year-old female presents with vulvar itching and a white, curd-like discharge.Examination confirms a vulvovaginal candidiasis (yeast infection).An antifungal cream is prescribed, and patient education on hygiene and prevention is provided.
Detailed history of present illness, including onset, duration, character of the itching, any associated symptoms (burning, discharge, lesions), and potential triggers (new hygiene products, medication changes, sexual activity).Complete physical examination of the vulva and surrounding area, noting the presence of erythema, edema, lesions, or discharge.Results of any diagnostic tests such as allergy testing, cultures, or biopsies, as appropriate.Treatment plan and patient response to therapy.
** Pruritus vulvae can be a symptom of various conditions, and accurate coding requires careful consideration of the clinical presentation and diagnostic findings.Always ensure that the documentation fully supports the assigned code.
- Payment Status: Active
- Specialties:Gynecology, Dermatology
- Place of Service:Office, Clinic, Hospital