Thank you Barbara. Yes as your doctor decides, it is our final too.
So these 2 codes would suffice I think: 82120 and 87210 ( giving merits for the traditional and prevalently well accepted tests at the Physicians office settings).
87220 I never mentioned. It is for skin hair and nail
Just a brief note about Diagnosis of Vaginitis, to refresh our knowledge.
Vaginitis:
The most common causes of vaginitis are trichomoniasis (Trichomonas vaginalis infection), vaginal candidiasis (Candida vaginalis ), and bacterial vaginosis (BV).
. The term vaginosis implies that infection is accompanied by little or no inflammation of the vagina; with overgrowth of anaerobic bacteria leading to replacement of lactobacilli and an increase in vaginal pH from less than 4.5 up to 7.0. Ideally, a diagnosis of BV is made if 3 out of 4 of 'Amsel's criteria' are met.
Thin, white, homogenous discharge
Clue cells (vaginal epithelial cells heavily coated with bacilli) on microscopy
Vaginal pH greater than 4.5)
presence of an amine odor after the addition of potassium hydroxide (also known as the "whiff" test).
Testing for amines and pH testing is a well-established practice traditionally, Several aspects of the diagnosis are subjective - e.g., the visual examination of the discharge, reading the pH paper, and evaluation of the odor as part of the whiff test. A strong fishy odor on adding alkali to vaginal fluid (positive Whiffs Test).
Microscopic examination may also reveal motile trichomonads or candida hyphae.
Usually these tests are enough for diagnosis at the Physicians office settings, unless Grams score and BV Blue test like stuff are needed at the physicians discretion, mostly at the hospital settings.
Thank you