Ulceration of vulva

This code signifies the presence of an open sore or lesion on the external female genitalia (vulva). These ulcers can result from various etiologies, including infections, inflammatory conditions, trauma, or dermatological disorders affecting the vulvar region.

Apply this code when documentation clearly indicates an ulcerated lesion of the vulva. This includes conditions such as aphthous ulcers, Behçet's disease manifestations, or ulcers secondary to sexually transmitted infections (e.g., herpes simplex) when the specific infectious agent is not separately coded or is unknown. Supporting documentation should detail the presence and location of the ulceration.

• Always seek to identify and code the underlying cause of the vulvar ulceration if known and documented (e.g., specific infection, autoimmune disease).
• Differentiate from other vulvar lesions such as cysts, abscesses, or non-ulcerated inflammatory conditions.
• Consider additional codes for pain (e.g., N94.81 for vulvodynia) or other associated symptoms if documented.