AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 4; ICD-10-CM NEW/REVISED CODES

Pre-Pubertal Vaginal Bleeding

A new code N93.1, Pre-pubertal vaginal bleeding, has been created to differentiate pre-pubertal vaginal bleeding from other types of abnormal vaginal bleeding. Pre-pubertal vaginal bleeding is frequently encountered in pediatric gynecology requiring work up. A specific code was required as this condition in a child requires a different differential diagnosis and workup compared to the adult patient. Causes of such pre-pubertal vaginal bleeding include foreign object, trauma, urethral prolapse, vulvar dermatologic conditions, fluctuations in endogenous hormones or exogenous intake of hormones, cervical or vaginal tumors, or precocious puberty. Although several of these conditions have their own unique codes...

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