Atrophic vaginitis

What ICD-9 code shoud I use for a patient that has atrophic vaginitis but is NOT menopausal or post menopausal?

Cause

What is the cause? The most common cause of vaginal atrophy is the decrease in estrogen which happens naturally during perimenopause, and increasingly so in post-menopause. However this condition can sometimes be caused by other circumstances.

how about

616.11? That will get your claim paid- if the insurer really wants to know the type they can request records.

Thanks

That will work! Thank you!

She is not menopausal.

She has lack of estrogen related to birth control and extreme weight loss.

vaginitis

Look also at codes 256.39 , 616.11 with an E code for adverse effect of a drug (birth control). Code also the weight loss. Code 616.11 cannot be primary diagnosis code.

why not?

what's wrong with 616.11?

616.11

It is in "Italics", any code in italics cannot be # 1 code. You have to code first the underlying condition. "Code first underlying condition". Code 616.11 must be a secondary code.

out of curiosity

What about 623.8?