Chronic parametritis and pelvic cellulitis
ICD-10 N73.1 is a billable code used to indicate a diagnosis of chronic parametritis and pelvic cellulitis.
Chronic parametritis and pelvic cellulitis are inflammatory conditions affecting the pelvic region, often resulting from untreated or inadequately treated pelvic inflammatory disease (PID). This condition is characterized by the inflammation of the parametrium, the connective tissue surrounding the uterus, and can lead to the formation of cellulitis in the pelvic area. Chronic parametritis may arise from recurrent infections, such as salpingitis (inflammation of the fallopian tubes), oophoritis (inflammation of the ovaries), or endometritis (inflammation of the endometrium). Symptoms may include chronic pelvic pain, abnormal vaginal discharge, and dyspareunia (painful intercourse). Diagnosis typically involves a combination of clinical evaluation, imaging studies, and laboratory tests to identify the underlying infectious agents. Treatment often includes a course of broad-spectrum antibiotics to address the infection, along with pain management strategies. In some cases, gynecological procedures such as laparoscopy may be necessary to assess and treat complications. Accurate coding is essential for proper reimbursement and to reflect the complexity of the patient's condition.
Detailed patient history, including previous infections, treatment responses, and symptom duration.
Patients presenting with chronic pelvic pain, recurrent infections, or complications from PID.
Ensure all related conditions are documented to support the complexity of the diagnosis.
Comprehensive records of laboratory results, treatment regimens, and patient responses to antibiotics.
Patients with recurrent pelvic infections requiring specialized antibiotic therapy.
Documenting the specific pathogens involved and their resistance patterns can impact treatment and coding.
Used when surgical intervention is required for chronic pelvic pain due to parametritis.
Operative report detailing findings and procedures performed.
Ensure that the diagnosis supports the need for surgical intervention.
Common treatments include broad-spectrum antibiotics, pain management, and in some cases, surgical intervention to address complications or persistent symptoms.
