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ICD-10 Guide
ICD-10 CodesO23.52

O23.52

Billable

Salpingo-oophoritis in pregnancy

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

Code Description

ICD-10 O23.52 is a billable code used to indicate a diagnosis of salpingo-oophoritis in pregnancy.

Key Diagnostic Point:

Salpingo-oophoritis in pregnancy refers to the inflammation of the fallopian tubes and ovaries, which can occur due to various infectious agents, including sexually transmitted infections (STIs) and other pathogens. This condition is particularly concerning during pregnancy as it can lead to complications such as ectopic pregnancy, preterm labor, and adverse fetal outcomes. Symptoms may include pelvic pain, fever, and abnormal vaginal discharge. Diagnosis typically involves a combination of clinical evaluation, imaging studies such as ultrasound, and laboratory tests to identify the causative organism. Treatment often includes antibiotics that are safe for use during pregnancy, as well as supportive care. The management of salpingo-oophoritis in pregnant patients requires careful consideration of both maternal and fetal health, making timely diagnosis and appropriate treatment essential to prevent complications. Regular prenatal care and screening for STIs can help reduce the incidence of this condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between acute and chronic salpingo-oophoritis
  • Identifying the specific infectious agent
  • Assessing the severity of the condition and its impact on pregnancy
  • Understanding the implications of antibiotic use during pregnancy

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings
  • Failure to specify the infectious agent
  • Incorrect coding of the severity of the condition
  • Lack of documentation regarding antibiotic treatment

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed documentation of symptoms, diagnostic tests, and treatment plans is essential. Providers should note any changes in the patient's condition and response to treatment.

Common Clinical Scenarios

A pregnant patient presents with pelvic pain and fever; ultrasound reveals fluid in the pelvis, indicating possible salpingo-oophoritis.

Billing Considerations

Consideration of the safety of prescribed antibiotics and monitoring for potential complications during pregnancy.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of maternal and fetal health, including any high-risk factors that may influence treatment decisions.

Common Clinical Scenarios

A high-risk pregnant patient with a history of STIs presents with acute abdominal pain and is diagnosed with salpingo-oophoritis.

Billing Considerations

Close monitoring of both maternal and fetal well-being, with adjustments to treatment as necessary.

Coding Guidelines

Inclusion Criteria

Use O23.52 When
  • According to ICD
  • 10 coding guidelines, O23
  • 52 should be used when a diagnosis of salpingo
  • oophoritis is confirmed during pregnancy
  • Coders must ensure that the condition is documented as being related to the pregnancy and that any relevant complications are also coded

Exclusion Criteria

Do NOT use O23.52 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58661CPT Code

Laparoscopy, surgical, with salpingectomy

Clinical Scenario

Used when surgical intervention is required for severe salpingo-oophoritis.

Documentation Requirements

Document the indication for surgery and any findings during the procedure.

Specialty Considerations

Ensure that the surgical necessity is clearly linked to the diagnosis of salpingo-oophoritis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including salpingo-oophoritis, which helps in better tracking and management of maternal health issues during pregnancy.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including salpingo-oophoritis, which helps in better tracking and management of maternal health issues during pregnancy.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including salpingo-oophoritis, which helps in better tracking and management of maternal health issues during pregnancy.

Resources

Clinical References

  • •
    CDC Guidelines for STI Treatment

Coding & Billing References

  • •
    CDC Guidelines for STI Treatment

Frequently Asked Questions

What are the common symptoms of salpingo-oophoritis in pregnancy?

Common symptoms include pelvic pain, fever, abnormal vaginal discharge, and sometimes nausea or vomiting. Prompt evaluation is crucial to prevent complications.