Torsion of right ovary and ovarian pedicle
ICD-10 N83.511 is a billable code used to indicate a diagnosis of torsion of right ovary and ovarian pedicle.
Torsion of the right ovary and its pedicle is a surgical emergency characterized by the twisting of the ovarian tissue around its vascular supply, leading to compromised blood flow. This condition often presents with acute abdominal or pelvic pain, nausea, and vomiting. It can occur in women of any age but is most common in those of reproductive age. Risk factors include ovarian cysts, pregnancy, and anatomical abnormalities. Diagnosis is typically made through clinical evaluation and imaging studies, such as ultrasound, which may reveal an enlarged, edematous ovary with decreased or absent blood flow. Prompt surgical intervention is crucial to salvage the affected ovary and prevent complications such as necrosis or peritonitis. The condition can be associated with other gynecological disorders, including endometriosis, which may complicate the clinical picture, and it is essential for coders to understand the nuances of these associations for accurate coding.
Detailed clinical notes including patient history, physical examination findings, imaging results, and surgical reports.
Acute abdominal pain in reproductive-age women, suspected ovarian masses, and post-operative follow-ups.
Ensure that all relevant gynecological conditions are documented to support the diagnosis and any associated procedures.
Thorough documentation of presenting symptoms, triage notes, and any imaging or lab results obtained in the emergency setting.
Patients presenting with acute pelvic pain, nausea, and vomiting.
Rapid assessment and documentation are critical for timely intervention and coding accuracy.
Used when laparoscopic intervention is performed for torsion.
Document the surgical procedure performed and any findings.
Ensure that the procedure is linked to the diagnosis of torsion.
Common symptoms include sudden onset of unilateral pelvic pain, nausea, vomiting, and sometimes fever. Patients may also present with abdominal tenderness and signs of peritoneal irritation.