Torsion of ovary and ovarian pedicle, unspecified side
ICD-10 N83.519 is a billable code used to indicate a diagnosis of torsion of ovary and ovarian pedicle, unspecified side.
Torsion of the ovary occurs when the ovary twists around the ligaments that hold it in place, leading to a compromised blood supply. This condition can result in severe abdominal pain, nausea, and vomiting. It is often acute and requires prompt diagnosis and intervention to prevent ovarian necrosis. The torsion can occur on either side, but when unspecified, it indicates that the side affected has not been documented. Torsion is frequently associated with ovarian cysts or masses, which can increase the risk of twisting. In women with endometriosis, the presence of adhesions may also contribute to the likelihood of torsion. The condition is a surgical emergency, and timely intervention is critical to preserve ovarian function. Diagnosis typically involves imaging studies such as ultrasound with Doppler flow studies to assess blood flow to the ovary. Treatment usually involves surgical detorsion and, if necessary, removal of any cysts or masses present.
Detailed clinical notes on symptoms, imaging results, and surgical findings.
Acute abdominal pain in reproductive-age women, especially with known ovarian cysts.
Ensure clear documentation of the side affected if known, and any associated conditions.
Thorough assessment notes, including pain scale and initial imaging results.
Patients presenting with acute abdominal pain and nausea.
Document all differential diagnoses considered and any immediate interventions performed.
Used for surgical intervention in cases of ovarian torsion.
Document the surgical findings and any procedures performed.
Ensure that the procedure is linked to the diagnosis of torsion.
Common symptoms include sudden onset of severe abdominal or pelvic pain, nausea, vomiting, and sometimes fever. Patients may also experience unilateral tenderness upon examination.
