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ICD-10 Guide
ICD-10 CodesO23.519

O23.519

Billable

Infections of cervix in pregnancy, unspecified trimester

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

Code Description

ICD-10 O23.519 is a billable code used to indicate a diagnosis of infections of cervix in pregnancy, unspecified trimester.

Key Diagnostic Point:

Infections of the cervix during pregnancy can pose significant risks to both the mother and the fetus. These infections may arise from various pathogens, including bacteria, viruses, and fungi, and can lead to complications such as preterm labor, chorioamnionitis, and postpartum infections. The cervix serves as a barrier to protect the uterus and fetus, and any infection can compromise this protective function. Symptoms may include abnormal vaginal discharge, pelvic pain, and bleeding. Diagnosis typically involves a thorough clinical evaluation, including a pelvic examination and laboratory tests to identify the causative organism. Treatment often includes the use of antibiotics, which must be carefully selected to ensure safety during pregnancy. The choice of antibiotics is guided by the type of infection, the trimester of pregnancy, and the potential risks to the developing fetus. It is crucial for healthcare providers to monitor the mother closely for any signs of complications and to provide appropriate follow-up care to ensure a healthy pregnancy outcome.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential pathogens causing cervicitis.
  • Need for accurate trimester identification for treatment decisions.
  • Differentiation from other similar obstetric conditions.
  • Potential for complications affecting coding accuracy.

Audit Risk Factors

  • Inadequate documentation of clinical findings.
  • Failure to specify the trimester of pregnancy.
  • Misidentification of the causative organism.
  • Lack of follow-up documentation post-treatment.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed documentation of symptoms, clinical findings, and treatment plans is essential. Providers should note any laboratory results and follow-up care.

Common Clinical Scenarios

A pregnant patient presents with abnormal vaginal discharge and pelvic pain; a pelvic exam reveals cervical inflammation.

Billing Considerations

Consideration of antibiotic safety in pregnancy is crucial, as some antibiotics may pose risks to fetal development.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of maternal and fetal health, including any high-risk factors that may complicate the infection.

Common Clinical Scenarios

A high-risk pregnant patient with a history of preterm labor presents with cervicitis.

Billing Considerations

Close monitoring for potential complications such as preterm labor or chorioamnionitis is necessary.

Coding Guidelines

Inclusion Criteria

Use O23.519 When
  • According to the official ICD
  • 10 coding guidelines, accurate coding for infections in pregnancy requires specificity regarding the trimester and the nature of the infection
  • Coders must ensure that the diagnosis aligns with the clinical documentation and that any associated conditions are also coded appropriately

Exclusion Criteria

Do NOT use O23.519 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits for management of cervicitis in pregnant patients.

Documentation Requirements

Documentation must include the patient's history, examination findings, and treatment plan.

Specialty Considerations

Obstetricians should ensure that the visit is clearly linked to the diagnosis of cervicitis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding obstetric conditions, including infections of the cervix. This specificity aids in better tracking of maternal and fetal outcomes and enhances the ability to analyze data for quality improvement in obstetric care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding obstetric conditions, including infections of the cervix. This specificity aids in better tracking of maternal and fetal outcomes and enhances the ability to analyze data for quality improvement in obstetric care.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding obstetric conditions, including infections of the cervix. This specificity aids in better tracking of maternal and fetal outcomes and enhances the ability to analyze data for quality improvement in obstetric care.

Resources

Clinical References

  • •
    CDC Guidelines for Treating STIs in Pregnancy

Coding & Billing References

  • •
    CDC Guidelines for Treating STIs in Pregnancy

Frequently Asked Questions

What are the common pathogens associated with cervicitis in pregnancy?

Common pathogens include Chlamydia trachomatis, Neisseria gonorrhoeae, and various bacterial species associated with bacterial vaginosis. Accurate identification is crucial for effective treatment.