Vaginismus not due to a substance or known physiol condition

This code represents involuntary spasms of the muscles surrounding the vagina, making penetration painful or impossible, when the underlying cause is psychological rather than physical. It describes a psychogenic sexual dysfunction characterized by muscle contraction.

Apply this code when documentation clearly indicates vaginismus is present and explicitly rules out any physiological or substance-related etiology. This diagnosis is typically made after a thorough medical evaluation has excluded organic causes for the muscle spasms.

• Ensure physician documentation specifies "not due to a substance or known physiological condition."
• Do not use if a physical cause (e.g., infection, anatomical abnormality) is identified; refer to N94.2 in such cases.
• Consider sequencing with other mental health diagnoses if applicable, based on the primary reason for the encounter.