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F52.5

Billable

Vaginismus not due to a substance or known physiological condition

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Involuntary tightening of vaginal muscles that prevents or makes sexual intercourse difficult or impossible.

Coding Tips

  • Confirm the condition is not due to a medical condition, pelvic trauma, or anatomical abnormality
  • Document severity and whether penetration is completely prevented or just difficult

Excludes 2 — Not included here, may code separately

  • vaginismus (due to a known physiological condition) (N94.2)

Code Hierarchy

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