Erosion and ectropion of cervix uteri
Chapter 14:Diseases of the genitourinary system
ICD-10 N86 is a billable code used to indicate a diagnosis of erosion and ectropion of cervix uteri.
Erosion and ectropion of the cervix uteri are conditions characterized by the abnormal exposure of the cervical epithelium. Erosion refers to the loss of the epithelial layer, often resulting from chronic inflammation or hormonal changes, while ectropion involves the eversion of the cervical tissue, exposing the inner lining to the vaginal canal. These conditions can lead to symptoms such as abnormal vaginal discharge, bleeding, and discomfort during intercourse. They are often associated with hormonal fluctuations, particularly during pregnancy or with the use of oral contraceptives. While these conditions are generally benign, they can be indicative of underlying cervical dysplasia or other cervical pathologies. Diagnosis typically involves a pelvic examination and may be confirmed through colposcopy and biopsy if necessary. Treatment options may include observation, cauterization, or surgical intervention depending on the severity and associated symptoms. Understanding these conditions is crucial for proper management and coding, as they can impact a patient's reproductive health and require careful monitoring.
Detailed patient history, examination findings, and treatment plans must be documented.
Routine gynecological exams revealing cervical abnormalities, follow-up visits for abnormal Pap smears.
Coders should ensure that any associated conditions, such as dysplasia, are accurately captured.
Comprehensive documentation of patient symptoms and any referrals made for further evaluation.
Patients presenting with abnormal vaginal bleeding or discharge.
Family practitioners should be aware of the need for referrals to specialists for definitive diagnosis and treatment.
Used when a patient with cervical erosion undergoes a D&C for further evaluation.
Document the indication for the procedure and any findings.
Obstetricians should ensure that the reason for the procedure aligns with the diagnosis.
Common symptoms include abnormal vaginal discharge, bleeding between periods, and discomfort during intercourse. However, many women may be asymptomatic.
