Pruritus of genital organs

This code describes the symptom of itching specifically localized to the external genitalia, perineum, or pubic area. It indicates a patient's complaint of pruritus without specifying an underlying cause, which may range from dermatological conditions to infections or systemic diseases.

Use this code when documentation clearly indicates a patient presents with or complains of itching of the genital organs. This is appropriate when the etiology of the pruritus is unknown or has not yet been definitively diagnosed. Supporting documentation includes patient history, physical exam findings noting genital itching, or a chief complaint of pruritus in the genital region.

• Always attempt to code the underlying cause of the pruritus if known and documented (e.g., fungal infection, contact dermatitis).
• This code is for the symptom; it should be used as a secondary diagnosis if a definitive cause is identified and coded as the primary.
• Distinguish from generalized pruritus (698.9) or pruritus ani (698.0) based on documented anatomical location.