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v1.0.0
ICD-10 Guide
ICD-10 CodesO22.92

O22.92

Billable

Venous complication in pregnancy, unspecified, second trimester

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

Code Description

ICD-10 O22.92 is a billable code used to indicate a diagnosis of venous complication in pregnancy, unspecified, second trimester.

Key Diagnostic Point:

Venous complications during pregnancy, particularly in the second trimester, can manifest as a range of conditions including deep vein thrombosis (DVT) and superficial venous thrombosis. These complications arise due to physiological changes in the body, such as increased blood volume and hormonal changes that affect coagulation. The risk of venous thromboembolism (VTE) is heightened during pregnancy due to factors like venous stasis, increased coagulability, and vascular endothelial changes. Symptoms may include swelling, pain, and tenderness in the affected limb, and in severe cases, can lead to pulmonary embolism. Accurate diagnosis often requires imaging studies such as Doppler ultrasound. Management may involve anticoagulation therapy, which must be carefully monitored to balance the risks of thrombosis against potential bleeding complications. This code is used when the specific type of venous complication is not documented, necessitating thorough clinical documentation to ensure appropriate coding and treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation of venous complications.
  • Need for precise documentation of symptoms and imaging results.
  • Differentiation between types of venous complications (DVT vs. superficial thrombosis).
  • Management protocols involving anticoagulation therapy.

Audit Risk Factors

  • Inadequate documentation of clinical findings.
  • Failure to specify the type of venous complication.
  • Inconsistent coding of anticoagulation therapy.
  • Lack of follow-up documentation on treatment outcomes.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed clinical notes including symptoms, diagnostic imaging, and treatment plans.

Common Clinical Scenarios

Pregnant patients presenting with leg swelling, pain, or tenderness; patients with a history of thrombosis.

Billing Considerations

Consideration of anticoagulation management and monitoring during pregnancy.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation for high-risk pregnancies, including maternal and fetal assessments.

Common Clinical Scenarios

Management of pregnant patients with a history of VTE or other risk factors.

Billing Considerations

In-depth evaluation of maternal health and fetal implications of anticoagulation therapy.

Coding Guidelines

Inclusion Criteria

Use O22.92 When
  • Follow official ICD
  • CM guidelines for obstetric coding, ensuring that the code reflects the trimester and specific condition
  • Documentation must support the diagnosis and any treatments provided

Exclusion Criteria

Do NOT use O22.92 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

76937CPT Code

Ultrasound, Doppler, extremity

Clinical Scenario

Used to evaluate suspected DVT in a pregnant patient.

Documentation Requirements

Document indication for ultrasound and findings.

Specialty Considerations

Ensure that the ultrasound report is linked to the diagnosis of venous complications.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of venous complications, improving the accuracy of claims and facilitating better patient management through detailed documentation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of venous complications, improving the accuracy of claims and facilitating better patient management through detailed documentation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of venous complications, improving the accuracy of claims and facilitating better patient management through detailed documentation.

Resources

Clinical References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Coding & Billing References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Frequently Asked Questions

What are the common symptoms of venous complications in pregnancy?

Common symptoms include leg swelling, pain, tenderness, and in severe cases, signs of pulmonary embolism such as shortness of breath or chest pain.