Polycystic ovarian syndrome
ICD-10 E28.2 is a billable code used to indicate a diagnosis of polycystic ovarian syndrome.
Polycystic ovarian syndrome (PCOS) is a common endocrine disorder affecting women of reproductive age, characterized by a combination of symptoms including irregular menstrual cycles, hyperandrogenism (excess male hormones), and polycystic ovaries. The pathophysiology of PCOS is complex and involves hormonal imbalances, particularly elevated levels of insulin and androgens, which can lead to various metabolic and reproductive issues. Women with PCOS may experience symptoms such as weight gain, acne, hirsutism (excessive hair growth), and infertility. The condition is also associated with an increased risk of developing type 2 diabetes, cardiovascular disease, and endometrial cancer. Diagnosis typically involves a combination of clinical evaluation, hormonal assessments, and imaging studies such as ultrasound to identify the presence of multiple cysts on the ovaries. Management of PCOS often includes lifestyle modifications, hormonal therapies, and medications to address specific symptoms and reduce long-term health risks.
Detailed hormonal profiles, imaging results, and symptomatology.
Evaluation of patients with irregular menstrual cycles and signs of hyperandrogenism.
Endocrinologists must ensure comprehensive documentation of all hormonal assessments and related metabolic conditions.
Menstrual history, physical examination findings, and ultrasound results.
Management of infertility in women diagnosed with PCOS.
Gynecologists should document the impact of PCOS on reproductive health and any treatments provided.
Used to confirm the presence of polycystic ovaries in a patient suspected of having PCOS.
Document the reason for the ultrasound and findings.
Endocrinologists and gynecologists should ensure imaging results are included in the patient's medical record.
Common symptoms include irregular menstrual cycles, excessive hair growth (hirsutism), acne, weight gain, and infertility.
PCOS is diagnosed based on clinical symptoms, hormonal evaluations, and imaging studies such as pelvic ultrasound.
Women with PCOS are at increased risk for type 2 diabetes, cardiovascular disease, and endometrial cancer.
