Dyspareunia not due to a substance or known physiol cond

This code represents painful sexual intercourse that is not attributable to a physical cause or substance use. It signifies dyspareunia where a thorough medical evaluation has ruled out underlying physiological conditions such as infections, anatomical abnormalities, or hormonal imbalances. This diagnosis often points to psychogenic or idiopathic origins of the pain.

Use this code when documentation clearly indicates a patient's complaint of painful intercourse and the provider has explicitly stated that no physiological cause or substance-related etiology has been identified after appropriate workup. This code is appropriate when the dyspareunia is deemed non-organic or psychogenic in nature.

• Ensure documentation explicitly states "not due to a substance or known physiological condition" or similar phrasing after a diagnostic workup.
• Do not use this code if a specific physiological cause (e.g., endometriosis, vaginitis, atrophy) is identified; instead, refer to N94.1- for physiologically-based dyspareunia.
• Consider co-reporting with codes for psychological conditions (e.g., anxiety, depression) if these are documented as contributing factors.