Deep phlebothrombosis in pregnancy, second trimester
ICD-10 O22.32 is a billable code used to indicate a diagnosis of deep phlebothrombosis in pregnancy, second 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. During the second trimester, physiological changes such as increased blood volume, hormonal fluctuations, and venous stasis contribute to the risk of thromboembolic events. Pregnant women are particularly susceptible due to the compression of pelvic veins by the enlarging uterus, which can impede venous return and lead to clot formation. Symptoms may include unilateral leg swelling, pain, tenderness, and discoloration. Diagnosis is often confirmed through imaging studies such as Doppler ultrasound. Management typically involves anticoagulation therapy to prevent clot extension and reduce the risk of pulmonary embolism, which is a life-threatening complication. Close monitoring and follow-up are essential to ensure maternal and fetal safety throughout the treatment process.
Detailed documentation of symptoms, diagnostic imaging results, and treatment plans is essential for accurate coding.
A pregnant patient presents with unilateral leg swelling and pain; Doppler ultrasound confirms DVT.
Consideration of the patient's obstetric history and any previous thromboembolic events is crucial for accurate coding.
Comprehensive documentation of maternal and fetal health, including any high-risk factors for thrombosis.
Management of a pregnant patient with a history of DVT requiring anticoagulation therapy.
Close monitoring of both maternal and fetal well-being during anticoagulation therapy is necessary.
Used to confirm the diagnosis of DVT in a pregnant patient.
Document the indication for the ultrasound and the findings.
Ensure that the ultrasound is performed by a qualified technician and interpreted by a specialist.
Common symptoms include unilateral leg swelling, pain, tenderness, and discoloration. It is crucial to differentiate these symptoms from normal pregnancy-related changes.