Incompetence or weakening of rectovaginal tissue
ICD-10 N81.83 is a billable code used to indicate a diagnosis of incompetence or weakening of rectovaginal tissue.
Incompetence or weakening of rectovaginal tissue refers to a condition where the connective tissue between the rectum and vagina becomes weakened, leading to potential complications such as rectovaginal fistulas or pelvic organ prolapse. This condition can be associated with various gynecological disorders, including endometriosis, which can cause scarring and adhesions that compromise the integrity of the rectovaginal septum. Female genital prolapse, characterized by the descent of pelvic organs, may also contribute to or exacerbate the weakening of rectovaginal tissue. Additionally, the presence of fistulas, which are abnormal connections between the rectum and vagina, can arise from chronic inflammation or surgical complications. Ovarian disorders and polyps of the female genital tract may indirectly affect the pelvic support structures, leading to further complications. Accurate diagnosis often requires a thorough clinical evaluation, imaging studies, and sometimes surgical intervention to assess the extent of tissue damage and to plan appropriate treatment.
Detailed history of pelvic symptoms, prior surgeries, and imaging results.
Patients presenting with pelvic pain, prolapse symptoms, or rectovaginal fistulas.
Ensure comprehensive documentation of all associated conditions and treatments to support coding.
Surgical history, details of any rectovaginal fistula repair, and associated bowel symptoms.
Patients with rectovaginal fistulas or complications from pelvic surgeries.
Document the extent of tissue damage and any reconstructive procedures performed.
Used when surgical intervention is required for rectovaginal fistula repair.
Document the indication for surgery, including the diagnosis of tissue incompetence.
Ensure that the surgical approach aligns with the diagnosis and that all relevant conditions are documented.
Common causes include childbirth trauma, chronic pelvic inflammatory disease, endometriosis, and previous pelvic surgeries that may compromise tissue integrity.
