Vulvar vestibulitis

This code represents vulvar vestibulitis, a chronic pain syndrome characterized by severe pain upon touch or pressure to the vulvar vestibule, often described as burning or stinging. It is a localized form of vulvodynia, specifically affecting the tissue surrounding the vaginal opening.

Use this code when documentation clearly indicates a diagnosis of vulvar vestibulitis, often presenting with localized provoked vestibulodynia. Supporting documentation should describe the patient's symptoms, the location of the pain, and findings from a physical examination, such as erythema or tenderness upon cotton swab test.

• Differentiate from generalized vulvodynia (N94.89) or other specified vulvodynia (N94.818) based on the localized nature of the pain.
• Ensure the documentation specifies "vestibulitis" or "vestibulodynia" localized to the vestibule.
• Consider co-reporting with codes for associated conditions, such as dyspareunia (N94.1) if present.