Pre-pubertal vaginal bleeding

This code signifies any instance of vaginal bleeding occurring in a female patient before the onset of puberty. It indicates abnormal uterine or vaginal bleeding in a pediatric context, prior to menarche.

Apply this code when documentation specifies vaginal bleeding in a child who has not yet experienced their first menstrual period. Supporting documentation should clearly state the patient's age or pre-pubertal status and the presence of vaginal bleeding.

• Always query for the underlying cause of the bleeding if not documented, as this code represents a symptom.
• Do not use this code if the patient has already experienced menarche, even if bleeding is irregular.
• Consider additional codes for any associated symptoms or identified etiologies (e.g., trauma, foreign body, hormonal imbalances).