Torsion of left fallopian tube
ICD-10 N83.522 is a billable code used to indicate a diagnosis of torsion of left fallopian tube.
Torsion of the fallopian tube occurs when the tube twists around itself, compromising its blood supply. This condition can lead to ischemia and necrosis of the affected tube if not promptly diagnosed and treated. Torsion of the left fallopian tube is often associated with acute abdominal pain, which may be unilateral and can radiate to the lower back or thigh. Patients may present with nausea, vomiting, and signs of peritoneal irritation. The condition can be idiopathic or associated with underlying factors such as pelvic masses, endometriosis, or anatomical abnormalities. In women with endometriosis, adhesions can contribute to the risk of torsion by tethering the fallopian tube to surrounding structures. Additionally, conditions like ovarian cysts or tumors can increase the likelihood of torsion due to their mass effect. Diagnosis typically involves imaging studies, such as ultrasound, to assess blood flow and rule out other conditions like ectopic pregnancy or ovarian torsion. Surgical intervention is often required to untwist the tube and restore blood flow, and in some cases, removal of the affected tube may be necessary if necrosis has occurred.
Detailed clinical notes on patient history, physical examination findings, imaging results, and surgical notes.
Patients presenting with acute pelvic pain, suspected torsion, or complications from endometriosis.
Ensure clear documentation of any associated conditions and the rationale for surgical intervention.
Thorough documentation of initial assessment, imaging studies, and any interventions performed.
Patients presenting to the emergency department with acute abdominal pain and suspected torsion.
Accurate coding of the diagnosis and any procedures performed in the emergency setting.
Used when surgical intervention is required for torsion.
Document the indication for surgery and findings during the procedure.
Obstetrics and Gynecology specialists should ensure accurate coding of the procedure performed.
Common symptoms include sudden onset of unilateral pelvic pain, nausea, vomiting, and signs of peritoneal irritation. Patients may also experience referred pain to the lower back or thigh.
