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v1.0.0
ICD-10 Guide
ICD-10 CodesO22.1

O22.1

Billable

Genital varices in pregnancy

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/08/2025

Code Description

ICD-10 O22.1 is a billable code used to indicate a diagnosis of genital varices in pregnancy.

Key Diagnostic Point:

Genital varices in pregnancy refer to the abnormal dilation of veins in the vulvar and perineal regions, which can occur due to increased blood volume and pressure during pregnancy. This condition is often exacerbated by hormonal changes that lead to venous dilation and can result in discomfort, pain, and swelling. Genital varices may be associated with other venous complications such as deep vein thrombosis (DVT) and pelvic congestion syndrome. The risk of thrombosis increases due to the hypercoagulable state of pregnancy, necessitating careful monitoring and management. Treatment options may include conservative measures such as compression garments, lifestyle modifications, and in some cases, anticoagulation therapy to prevent thrombotic events. Accurate diagnosis and coding are essential for appropriate management and reimbursement, as these conditions can significantly impact maternal health and pregnancy outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between varices and other venous conditions.
  • Understanding the implications of anticoagulation therapy during pregnancy.
  • Documenting associated symptoms and complications accurately.
  • Navigating the coding guidelines for venous complications in pregnancy.

Audit Risk Factors

  • Inadequate documentation of symptoms and treatment plans.
  • Failure to specify the location and severity of varices.
  • Incorrect coding of associated conditions like DVT.
  • Lack of clarity on anticoagulation management.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed documentation of the patient's symptoms, physical examination findings, and treatment plans is essential for accurate coding.

Common Clinical Scenarios

Patients presenting with vulvar pain, swelling, or discomfort during pregnancy.

Billing Considerations

Consideration of the patient's obstetric history and any previous venous issues.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of high-risk factors, including previous thrombotic events and current anticoagulation therapy.

Common Clinical Scenarios

Management of pregnant patients with a history of venous thromboembolism.

Billing Considerations

Close monitoring of both maternal and fetal health in cases of severe varices.

Coding Guidelines

Inclusion Criteria

Use O22.1 When
  • Follow the official ICD
  • CM coding guidelines for obstetric conditions, ensuring that the diagnosis is supported by clinical documentation and that any associated conditions are also coded appropriately

Exclusion Criteria

Do NOT use O22.1 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits for management of genital varices.

Documentation Requirements

Document the patient's symptoms, treatment plan, and any changes in condition.

Specialty Considerations

Obstetricians should ensure that the visit is clearly linked to the management of pregnancy-related conditions.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, improving the ability to track and manage complications like genital varices in pregnancy.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, improving the ability to track and manage complications like genital varices in pregnancy.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common symptoms of genital varices in pregnancy?

Common symptoms include swelling, pain, and discomfort in the vulvar and perineal areas, which may worsen with prolonged standing or sitting.