Deep phlebothrombosis in pregnancy, unspecified trimester
ICD-10 O22.30 is a billable code used to indicate a diagnosis of deep phlebothrombosis in pregnancy, unspecified trimester.
Deep phlebothrombosis (DVT) in pregnancy is a serious condition characterized by the formation of a blood clot in a deep vein, typically in the legs. This condition can occur at any stage of pregnancy and is associated with increased venous stasis due to hormonal changes, increased blood volume, and pressure from the growing uterus. Symptoms may include swelling, pain, and tenderness in the affected limb, but some patients may be asymptomatic. DVT poses significant risks, including pulmonary embolism, which can be life-threatening. Management often involves anticoagulation therapy to prevent clot progression and complications. The diagnosis requires careful clinical assessment and may involve imaging studies such as ultrasound. Accurate coding is essential for appropriate treatment and reimbursement, as well as for tracking maternal morbidity associated with venous thromboembolism during pregnancy.
Detailed documentation of patient history, symptoms, and treatment plans is essential. Include any imaging results and anticoagulation management.
A pregnant patient presents with unilateral leg swelling and pain; ultrasound confirms DVT. Another scenario includes a patient with a history of DVT requiring anticoagulation management during pregnancy.
Consider the patient's obstetric history, risk factors for thrombosis, and any contraindications for anticoagulation.
Comprehensive documentation of maternal and fetal health, including any complications related to DVT and management strategies.
A high-risk pregnancy with a previous history of DVT requiring close monitoring and anticoagulation therapy.
Focus on the implications of DVT on fetal health and the need for multidisciplinary management.
Used to confirm DVT in a pregnant patient presenting with leg swelling.
Document the indication for the ultrasound and findings.
Ensure that the ultrasound is performed by a qualified provider and that results are documented in the patient's record.
Common risk factors include a history of DVT, obesity, advanced maternal age, prolonged immobility, and certain medical conditions such as thrombophilia.