Vaginismus

This code represents vaginismus, a condition characterized by involuntary spasms of the muscles surrounding the vagina, making vaginal penetration difficult or impossible. These spasms can cause significant pain and distress during attempted intercourse, gynecological examinations, or tampon insertion. The condition is physical in nature, distinct from psychological causes.

Use this code when documentation clearly indicates a diagnosis of vaginismus without an underlying psychological etiology. This code is appropriate for cases where the muscle spasms are the primary physical barrier to vaginal penetration. Supporting documentation should describe the involuntary nature of the muscle contractions and the associated physical symptoms.

• Always review documentation to differentiate between physical (N94.2) and psychogenic (F52.5) vaginismus, as these are Excludes1.
• Ensure the physician's notes explicitly state "vaginismus" or describe the characteristic involuntary muscle spasms.
• Consider any associated pain codes (e.g., N94.1, N94.89) if documented, but sequence N94.2 as the primary diagnosis if it is the reason for the encounter.