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ICD-10 Guide
ICD-10 CodesO22.10

O22.10

Billable

Genital varices in pregnancy, unspecified trimester

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

Code Description

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

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. These varices may lead to discomfort, pain, and swelling, and can be exacerbated by factors such as prolonged standing or sitting. The condition is often benign but can be associated with more serious venous complications, including thrombosis. Thrombosis in the context of genital varices can lead to significant morbidity, necessitating careful monitoring and management. Anticoagulation therapy may be indicated in cases where thrombosis is suspected or confirmed, but it must be balanced against the risks of bleeding and other complications during pregnancy. Proper diagnosis typically involves a thorough clinical examination and may include imaging studies to assess the extent of venous involvement. Management strategies may include lifestyle modifications, compression garments, and in some cases, surgical intervention. It is crucial for healthcare providers to document the presence and severity of symptoms, as well as any treatments administered, to ensure accurate coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in symptoms and severity of genital varices
  • Potential for associated complications such as thrombosis
  • Need for careful documentation of trimester and clinical findings
  • Differentiation from other venous conditions in pregnancy

Audit Risk Factors

  • Inadequate documentation of symptoms and treatment
  • Failure to specify the trimester of pregnancy
  • Misclassification of varices as other venous conditions
  • Lack of supporting clinical evidence for anticoagulation therapy

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed documentation of symptoms, clinical findings, and treatment plans is essential for accurate coding.

Common Clinical Scenarios

Patients presenting with vulvar pain and swelling during pregnancy, requiring evaluation for varices.

Billing Considerations

Consideration of the patient's obstetric history and any previous venous issues is important for accurate assessment.

Maternal-Fetal Medicine

Documentation Requirements

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

Common Clinical Scenarios

Management of pregnant patients with a history of venous thromboembolism presenting with genital varices.

Billing Considerations

Close monitoring of anticoagulation therapy and its implications for both maternal and fetal health.

Coding Guidelines

Inclusion Criteria

Use O22.10 When
  • According to ICD
  • 10 coding guidelines, it is essential to document the specific trimester of pregnancy when coding for conditions like genital varices
  • The unspecified trimester code should only be used when the trimester is not documented or cannot be determined

Exclusion Criteria

Do NOT use O22.10 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59510CPT Code

Cesarean delivery

Clinical Scenario

When a cesarean delivery is performed due to complications from genital varices.

Documentation Requirements

Documentation must include the indication for cesarean delivery related to varices.

Specialty Considerations

Obstetricians should document any complications arising from varices that necessitate surgical intervention.

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, including genital varices. This specificity aids in better tracking of maternal health outcomes and resource allocation in obstetric care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including genital varices. This specificity aids in better tracking of maternal health outcomes and resource allocation in obstetric care.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including genital varices. This specificity aids in better tracking of maternal health outcomes and resource allocation in obstetric care.

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 vulvar swelling, discomfort, and pain, which may worsen with prolonged standing or sitting. Patients may also report a feeling of heaviness in the pelvic area.