Hematocolpos
ICD-10 N89.7 is a billable code used to indicate a diagnosis of hematocolpos.
Hematocolpos refers to the accumulation of blood in the vagina, typically due to obstruction of menstrual flow. This condition can arise from various causes, including congenital anomalies, such as an imperforate hymen, or acquired conditions like cervical stenosis or vaginal septum. Hematocolpos is often associated with menstrual irregularities and can lead to significant discomfort, abdominal pain, and in some cases, infection. Diagnosis is typically made through a combination of clinical examination, imaging studies such as ultrasound, and sometimes hysteroscopy. Treatment usually involves addressing the underlying cause of the obstruction, which may include surgical intervention to remove the obstruction or drainage of the accumulated blood. It is crucial for healthcare providers to recognize the symptoms early to prevent complications such as infection or further reproductive issues. Hematocolpos is a relatively rare condition but can have significant implications for a patient's reproductive health if not properly managed.
Detailed patient history, physical examination findings, imaging results, and treatment plans.
Patients presenting with abdominal pain, menstrual irregularities, or abnormal vaginal bleeding.
Ensure all imaging and surgical interventions are well-documented to support the diagnosis.
Clear imaging reports indicating the presence of hematocolpos and any associated findings.
Ultrasound evaluations for patients with suspected obstructive conditions.
Radiologists should provide detailed descriptions of findings to aid in accurate coding.
Used when surgical intervention is needed to relieve hematocolpos.
Document the indication for the procedure and any findings during the D&C.
Gynecologists should ensure that the reason for the D&C is clearly linked to the diagnosis of hematocolpos.
Common causes include congenital anomalies like an imperforate hymen, cervical stenosis, and vaginal septum. These conditions can obstruct menstrual flow, leading to blood accumulation.
