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ICD Hub / Diseases of the genitourinary system (N00–N99) / GA00.40 - Vulvovaginal ulceration
ICD-11

ICD-11 Codes
for GA00.40 - Vulvovaginal ulceration
Teodor Jurukovski January 1, 1970
Fact checked by: Teodor Jurukovski
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Understanding Vulvovaginal Ulceration

Vulvovaginal ulceration refers to the development of sores or open lesions on the external female genitalia (vulva) and within the vagina. These ulcers can vary in size and appearance, and while some may be asymptomatic, many cause significant pain and discomfort. The ICD-11 code for this condition is GA00.40.

Recognizing the Signs of Vulvovaginal Ulcers

Symptoms associated with vulvovaginal ulceration can differ among individuals. Common presentations include: * Pain or discomfort in the vulvar area * Itching or burning sensations * Visible sores or breaks in the skin * Leaking fluid or discharge from the ulcers * Pain or difficulty during urination * Swollen lymph nodes in the groin area * Fever, particularly if an infection is present Some vulvar ulcers may not present with any noticeable symptoms.

Identifying the Origins of Vulvovaginal Ulcers

A variety of factors can lead to the formation of vulvovaginal ulcers. These include: * **Sexually Transmitted Infections (STIs):** This is a common cause, with herpes simplex virus (HSV), syphilis, and chancroid being frequent culprits. Other STIs like chlamydia and donovanosis can also contribute. * **Fungal Infections:** Vulvovaginal candidiasis, commonly known as a yeast infection, can sometimes manifest as ulcers or erosions. * **Bacterial Infections:** Certain bacterial agents, such as Group A Streptococcus and mycoplasma, can cause vulvar sores. * **Viral Infections:** Viruses like Epstein-Barr virus, cytomegalovirus, and varicella zoster (responsible for chickenpox and shingles) may lead to ulcer formation. * **Inflammatory Conditions:** Autoimmune and inflammatory diseases such as Behcet's disease, Crohn's disease, erosive lichen planus, and pyoderma gangrenosum can present with vulvar ulcerations. * **Trauma:** Repeated friction or scratching of the vulvar area can result in skin irritation and ulcer development. * **Drug Reactions:** Adverse reactions to certain medications, including NSAIDs, sulfonamides, and some antibiotics, can trigger ulcer formation. * **Malignancy:** In rarer cases, vulvar cancer can present as ulcer-like lesions.

How Vulvovaginal Ulceration is Diagnosed

Diagnosing the cause of vulvovaginal ulceration typically involves a comprehensive approach. Healthcare providers will conduct a physical examination of the affected area and review the patient's medical history, including sexual history and current medications. Diagnostic tests may include: * Swabs for bacterial or viral culture * Blood tests to detect specific infections or inflammatory markers * Urine tests * Biopsy of the ulcer tissue for laboratory analysis Accurate diagnosis is crucial for effective treatment.

Managing Vulvovaginal Ulcers

Treatment strategies for vulvovaginal ulceration are tailored to the underlying cause. * **Infectious Causes:** STIs are typically managed with specific antiviral or antibiotic medications, administered orally or intravenously. Fungal infections are treated with antifungal agents. * **Non-Infectious Causes:** For ulcers stemming from inflammatory conditions or drug reactions, treatments may include corticosteroids, antihistamines, or immunomodulatory drugs. * **Symptomatic Relief:** Measures to alleviate pain and discomfort can include Epsom salt baths, over-the-counter pain relievers, cool compresses, topical anaesthetics, and barrier ointments. * **Preventative Measures:** Avoiding irritants such as harsh soaps, douches, or tight-fitting clothing is recommended. Proper wound care and hygiene are essential during the healing process.

Coding and Documentation for Vulvovaginal Ulceration

The official ICD-11 code for vulvovaginal ulceration is GA00.40. When documenting this condition, it is important to specify the underlying cause if it is known, as this will influence the primary diagnosis code and treatment plan. For example, if the ulceration is due to herpes simplex virus, the specific code for genital herpes would also be relevant. Accurate coding ensures proper medical billing and facilitates comprehensive patient care records. This ICD-11 code for vulvovaginal ulceration is used for reporting and statistical purposes.

Frequently asked questions

What does the ICD-11 classification code GA00.40 represent?
ICD-11 code GA00.40 represents Vulvovaginal ulceration or inflammation. It is a specific classification within the broader category of Inflammatory disorders of the female genital tract.
How is the ICD-11 code GA00.40 utilized in coding and documentation?
The ICD-11 code GA00.40 is used to classify conditions characterized by ulceration or inflammation affecting both the vulva and vagina. It falls under Chapter 16: Diseases of the genitourinary system.
Can additional details be specified when coding ICD-11 GA00.40?
Yes, ICD-11 supports post-coordination, allowing for the addition of extension codes to specify details such as the precise anatomical site within the vulva or vagina, or the identified infectious agent, when applicable and documented.
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