Deep phlebothrombosis in pregnancy
ICD-10 O22.3 is a billable code used to indicate a diagnosis of deep phlebothrombosis in pregnancy.
Deep phlebothrombosis (DVT) in pregnancy is a serious condition characterized by the formation of a blood clot in a deep vein, typically in the legs. This condition is particularly concerning during pregnancy due to physiological changes that increase the risk of venous thromboembolism (VTE). Hormonal changes, increased blood volume, and pressure from the growing uterus can lead to venous stasis and hypercoagulability. Symptoms may include swelling, pain, and tenderness in the affected limb, but some patients may be asymptomatic. Diagnosis is often confirmed through imaging studies such as Doppler ultrasound. Management typically involves anticoagulation therapy to prevent clot progression and reduce the risk of pulmonary embolism. Close monitoring is essential, especially in high-risk patients, to ensure maternal and fetal safety. The condition requires careful documentation and coding to reflect the complexity of treatment and the potential for complications.
Documentation must include patient history, risk factors, clinical findings, and treatment plans.
Pregnant patients presenting with leg swelling, pain, or a history of thrombosis.
Consideration of anticoagulation management during labor and delivery.
Detailed documentation of maternal and fetal monitoring, especially in high-risk cases.
Management of pregnant patients with a history of thrombosis or other risk factors.
Coordination of care between obstetricians and maternal-fetal specialists.
Used to confirm DVT in a pregnant patient presenting with leg swelling.
Document the indication for the ultrasound and findings.
Ensure coordination between obstetricians and radiologists.
Common risk factors include obesity, a history of DVT, prolonged immobility, and certain genetic predispositions. Pregnant women should be assessed for these factors to determine the need for prophylactic measures.
