Superficial thrombophlebitis in pregnancy, first trimester
ICD-10 O22.21 is a billable code used to indicate a diagnosis of superficial thrombophlebitis in pregnancy, first trimester.
Superficial thrombophlebitis in pregnancy, particularly during the first trimester, is characterized by inflammation of a superficial vein associated with thrombosis. This condition can arise due to hormonal changes, increased blood volume, and venous stasis that occur during pregnancy. The first trimester is a critical period where the risk of venous complications can increase due to the physiological changes in the body. Symptoms typically include localized pain, tenderness, and redness along the affected vein. Diagnosis is often clinical, supported by ultrasound if necessary to rule out deep vein thrombosis (DVT). Management may involve conservative measures such as compression stockings and elevation of the affected limb, with anticoagulation considered in more severe cases or if there is a risk of progression to DVT. It is essential for healthcare providers to monitor the condition closely, as untreated superficial thrombophlebitis can lead to more serious complications, including pulmonary embolism.
Detailed documentation of symptoms, physical examination findings, and treatment plans is essential for accurate coding.
Patients presenting with leg pain and swelling during the first trimester, requiring differentiation from DVT.
Consideration of the patient's obstetric history and any previous venous complications.
Comprehensive documentation of maternal and fetal health, including any high-risk factors.
Management of patients with a history of thrombosis or those presenting with risk factors for venous complications.
Close monitoring of anticoagulation therapy and its effects on both mother and fetus.
Used for follow-up visits for patients diagnosed with superficial thrombophlebitis.
Document the patient's symptoms, treatment plan, and any changes in condition.
Obstetricians should ensure that the visit is clearly linked to the management of the thrombophlebitis.
Common symptoms include localized pain, tenderness, swelling, and redness along the affected vein. Patients may also experience warmth in the area.
