Dyspareunia

This code signifies painful sexual intercourse, a condition that can affect individuals of any gender but is most commonly reported by women. The pain can be superficial (at the vaginal opening) or deep (in the pelvis), and may occur before, during, or after intercourse. It is a symptom, not a definitive diagnosis, and often indicates an underlying medical issue.

Use this code when documentation explicitly states "dyspareunia" as a presenting symptom or a reason for the encounter. It is appropriate for reporting the patient's complaint of painful intercourse, regardless of the identified etiology. Supporting documentation would include patient history, physical exam findings, and physician notes detailing the symptom.

• Always code the underlying cause of dyspareunia if known and documented (e.g., endometriosis, vaginitis, pelvic inflammatory disease).
• This code should be sequenced as a secondary diagnosis when a definitive cause is identified and treated.
• Do not confuse with vaginismus (306.51), which is involuntary muscle spasms preventing intercourse, though both can result in painful sex.