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ICD-10 Guide
ICD-10 CodesO22.11

O22.11

Billable

Genital varices in pregnancy, first trimester

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

Code Description

ICD-10 O22.11 is a billable code used to indicate a diagnosis of genital varices in pregnancy, first trimester.

Key Diagnostic Point:

Genital varices in pregnancy, particularly during the first trimester, refer to the abnormal dilation of veins in the genital area, which can occur due to increased blood volume and hormonal changes associated with pregnancy. These varices may lead to discomfort, pain, or swelling in the vulvar region and can be exacerbated by factors such as prolonged standing or increased intra-abdominal pressure. The condition is often benign but can be associated with venous complications, including thrombosis. In some cases, the presence of genital varices may necessitate careful monitoring and management, particularly if there are signs of thrombosis or if the patient has a history of venous thromboembolism. Anticoagulation therapy may be considered in high-risk cases, but it must be balanced against the potential risks to the fetus. Proper diagnosis and management are crucial to prevent complications and ensure maternal and fetal well-being.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between varices and other venous conditions
  • Understanding the implications of anticoagulation in pregnancy
  • Monitoring for potential complications such as thrombosis
  • Documenting the severity and symptoms accurately

Audit Risk Factors

  • Inadequate documentation of symptoms and severity
  • Failure to document the management plan, including anticoagulation
  • Misclassification of varices as thrombosis without proper evidence
  • Lack of follow-up documentation on the condition's progression

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed documentation of the patient's symptoms, physical examination findings, and any interventions performed.

Common Clinical Scenarios

Patients presenting with vulvar pain or swelling during the first trimester, requiring evaluation for varices.

Billing Considerations

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

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of maternal and fetal health, especially in high-risk pregnancies.

Common Clinical Scenarios

Management of patients with a history of venous thromboembolism or those presenting with severe symptoms.

Billing Considerations

Close monitoring for complications and coordination with other specialists may be necessary.

Coding Guidelines

Inclusion Criteria

Use O22.11 When
  • According to the official ICD
  • 10 coding guidelines, O22
  • 11 should be used when documenting genital varices specifically during the first trimester of pregnancy
  • Coders must ensure that the diagnosis is supported by clinical documentation and that any associated complications are also coded appropriately

Exclusion Criteria

Do NOT use O22.11 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 patients with genital varices.

Documentation Requirements

Document the patient's symptoms, examination findings, and management plan.

Specialty Considerations

Obstetricians should ensure that the visit is clearly related to the management of the varices.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like genital varices, improving the accuracy of data collection and reimbursement processes. Coders must be familiar with the nuances of the new coding system to ensure proper documentation and billing.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like genital varices, improving the accuracy of data collection and reimbursement processes. Coders must be familiar with the nuances of the new coding system to ensure proper documentation and billing.

Reimbursement & Billing Impact

reimbursement processes. Coders must be familiar with the nuances of the new coding system to ensure proper documentation and billing.

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, or discomfort in the vulvar area, which may worsen with prolonged standing or physical activity.