Superficial thrombophlebitis in pregnancy, third trimester
ICD-10 O22.23 is a billable code used to indicate a diagnosis of superficial thrombophlebitis in pregnancy, third trimester.
Superficial thrombophlebitis is an inflammatory condition of the veins that can occur during pregnancy, particularly in the third trimester. This condition is characterized by the formation of a thrombus (blood clot) in a superficial vein, often accompanied by inflammation of the vessel wall. In pregnant women, the risk of venous complications increases due to physiological changes such as increased blood volume, hormonal changes, and pressure from the growing uterus on pelvic veins. Symptoms typically include localized pain, tenderness, and redness along the affected vein. While superficial thrombophlebitis is generally less serious than deep vein thrombosis (DVT), it can still lead to complications if not managed appropriately. Treatment often involves conservative measures such as compression stockings, elevation of the affected limb, and in some cases, anticoagulation therapy to prevent progression to more serious venous thromboembolism. Close monitoring and appropriate management are essential to ensure maternal and fetal safety during this critical period.
Detailed clinical notes on symptoms, treatment plans, and follow-up care are essential for accurate coding.
A pregnant patient presents with leg pain and swelling; ultrasound is performed to rule out DVT.
Consideration of the patient's obstetric history and any pre-existing conditions that may affect venous health.
Thorough documentation of maternal and fetal health, including any high-risk factors that may complicate the pregnancy.
Management of a high-risk pregnancy with a history of venous thromboembolism.
Close monitoring of anticoagulation therapy and its effects on both mother and fetus.
Used when a patient presents for follow-up of superficial thrombophlebitis during pregnancy.
Document the patient's symptoms, examination findings, and treatment plan.
Obstetricians should ensure that the visit is clearly linked to the management of the pregnancy.
Common symptoms include localized pain, tenderness, swelling, and redness along the affected vein. Patients may also experience warmth in the area and discomfort when moving the limb.
