Atrophy of vulva

This code represents the thinning, drying, and inflammation of the vaginal walls due to a decrease in estrogen. It is a common condition, particularly after menopause, leading to symptoms like dyspareunia, itching, and urinary issues.

Use this code for documented cases of vulvar atrophy, often referred to as atrophic vaginitis or genitourinary syndrome of menopause (GSM) affecting the vulva. Documentation should clearly indicate the diagnosis of atrophy impacting the external female genitalia.

• Distinguish from other vulvar conditions like lichen sclerosus or vulvodynia, which have different ICD-9 codes.
• Consider sequencing this code as a secondary diagnosis if a primary condition (e.g., menopause) is being treated.
• Ensure the medical record specifies "vulva" as the affected area, not just "vagina," for accurate coding.