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ICD-10 Guide
ICD-10 CodesO23.592

O23.592

Billable

Infection of other part of genital tract in pregnancy, second trimester

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

Code Description

ICD-10 O23.592 is a billable code used to indicate a diagnosis of infection of other part of genital tract in pregnancy, second trimester.

Key Diagnostic Point:

Infection of the genital tract during pregnancy can occur in various forms, including bacterial vaginosis, vulvovaginitis, and other infections affecting the cervix or vagina. These infections can lead to complications such as preterm labor, chorioamnionitis, and postpartum infections. During the second trimester, the risk of these infections may increase due to hormonal changes and the growing uterus, which can alter the normal flora of the genital tract. Symptoms may include abnormal vaginal discharge, itching, and discomfort. Diagnosis typically involves a thorough clinical evaluation, including a pelvic examination and laboratory tests to identify the causative organism. Treatment often includes appropriate antibiotics that are safe for use during pregnancy, as certain medications can pose risks to fetal development. It is crucial for healthcare providers to monitor the mother and fetus closely to prevent adverse outcomes associated with these infections.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of genital tract infections
  • Understanding the implications of antibiotic use during pregnancy
  • Recognizing the potential complications associated with untreated infections
  • Navigating documentation requirements for high-risk pregnancies

Audit Risk Factors

  • Inadequate documentation of infection type and treatment
  • Failure to document maternal and fetal monitoring
  • Incorrect coding of the trimester or infection site
  • Lack of clarity in clinical notes regarding the severity of the infection

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed clinical notes including symptoms, diagnostic tests, and treatment plans are essential for accurate coding.

Common Clinical Scenarios

Patients presenting with symptoms of vaginitis, cervicitis, or other genital infections during routine prenatal visits.

Billing Considerations

Consideration of the safety of prescribed antibiotics and their potential effects on pregnancy outcomes.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of maternal health status, fetal monitoring, and any interventions performed.

Common Clinical Scenarios

Management of high-risk pregnancies complicated by infections, requiring close monitoring and specialized care.

Billing Considerations

Infections may necessitate multidisciplinary approaches, including consultations with infectious disease specialists.

Coding Guidelines

Inclusion Criteria

Use O23.592 When
  • Follow the official ICD
  • CM guidelines for obstetric coding, ensuring that the trimester is accurately documented and that any complications are noted

Exclusion Criteria

Do NOT use O23.592 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 patients with diagnosed infections.

Documentation Requirements

Document the reason for the visit, treatment plan, and any changes in symptoms.

Specialty Considerations

Ensure that the visit is linked to the management of the infection.

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, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    CDC Guidelines for Antibiotic Use in Pregnancy

Coding & Billing References

  • •
    CDC Guidelines for Antibiotic Use in Pregnancy

Frequently Asked Questions

What are the common infections coded under O23.592?

Common infections include bacterial vaginosis, cervicitis, and vulvovaginitis, which can occur during the second trimester and require careful management.