Vaginismus

This code represents vaginismus, a psychosexual dysfunction characterized by involuntary spasms of the muscles surrounding the vaginal opening, making penetration painful or impossible. It is a reflex action, often stemming from psychological factors such as fear, anxiety, or past trauma, rather than a physical abnormality.

Use this code when documentation clearly indicates a diagnosis of vaginismus, often presenting with dyspareunia, inability to have intercourse, or difficulty with gynecological examinations due to involuntary muscle contractions. Supporting documentation will typically include patient history, physical examination findings noting muscle spasm, and exclusion of other organic causes for pain or penetration difficulties.

• Ensure documentation differentiates vaginismus from other causes of dyspareunia (e.g., endometriosis, vulvodynia) which have distinct codes.
• Consider sequencing this code as a primary diagnosis when it is the main reason for the encounter, especially for counseling or treatment.
• Look for specific terms like "involuntary vaginal muscle spasm," "fear of penetration," or "dyspareunia due to muscle contraction."