Bicornate uterus
ICD-10 Q51.3 is a billable code used to indicate a diagnosis of bicornate uterus.
A bicornate uterus is a congenital uterine anomaly characterized by a uterus that has two horns and a single cervix, resulting from incomplete fusion of the Müllerian ducts during embryonic development. This condition can lead to various reproductive complications, including infertility, recurrent pregnancy loss, and preterm labor. The bicornate uterus is classified as a type of Müllerian duct anomaly and is often diagnosed through imaging techniques such as ultrasound or MRI. Patients may present with symptoms related to menstrual irregularities or complications during pregnancy. It is essential for healthcare providers to recognize this condition to manage potential obstetric risks effectively. The diagnosis and management of a bicornate uterus require a multidisciplinary approach, often involving obstetricians, gynecologists, and reproductive endocrinologists.
Documentation should include detailed patient history, physical examination findings, and any imaging results. It is crucial to note any associated congenital anomalies.
Common scenarios include evaluation of adolescents with menstrual irregularities or referrals for reproductive health concerns.
Consideration of the patient's age and developmental stage is essential for accurate coding and management.
Genetic counseling notes should document family history, potential genetic syndromes associated with uterine anomalies, and any chromosomal evaluations performed.
Scenarios may include genetic counseling for families with a history of congenital anomalies or recurrent pregnancy loss.
Genetic implications of uterine anomalies should be discussed, especially if there are associated chromosomal abnormalities.
Used to evaluate uterine anomalies, including bicornate uterus.
Document indications for the procedure and findings.
Obstetricians and gynecologists should ensure proper coding based on findings.
A bicornate uterus can lead to complications such as miscarriage, preterm labor, and abnormal fetal positioning. Close monitoring and management by a healthcare provider are essential for affected individuals.
