Inversion of uterus
ICD-10 N85.5 is a billable code used to indicate a diagnosis of inversion of uterus.
Inversion of the uterus is a rare but serious condition that occurs when the uterus turns inside out, either partially or completely, often following childbirth. This condition can lead to significant complications, including hemorrhage, shock, and even death if not promptly addressed. Inversion can occur during the third stage of labor when the placenta is delivered, or it may happen postpartum due to excessive pulling on the umbilical cord or uterine atony. Symptoms may include severe abdominal pain, vaginal bleeding, and a visible or palpable mass in the vagina. Diagnosis is typically made through physical examination and imaging studies, such as ultrasound. Treatment involves manual replacement of the uterus into its normal position, and in severe cases, surgical intervention may be necessary. Understanding the risk factors, such as multiparity, prolonged labor, and uterine abnormalities, is crucial for prevention and management. Proper coding of this condition is essential for accurate medical records and reimbursement.
Detailed labor and delivery notes, including any complications encountered during the third stage of labor.
Management of a patient presenting with postpartum hemorrhage and signs of uterine inversion.
Ensure that all relevant clinical findings, interventions, and outcomes are documented to support the diagnosis.
Comprehensive assessment notes, including vital signs and immediate interventions performed.
Emergency presentation of a patient with acute abdominal pain and vaginal bleeding post-delivery.
Document the timeline of events leading to the diagnosis and any emergency measures taken.
Used in conjunction with N85.5 when delivery is complicated by uterine inversion.
Complete delivery notes, including any complications and interventions.
Obstetricians should ensure that all aspects of care are documented to support coding.
Common causes include excessive pulling on the umbilical cord, uterine atony, and multiparity. It can also occur in cases of abnormal placentation.
Treatment typically involves manual repositioning of the uterus. In severe cases, surgical intervention may be required to control bleeding and restore normal anatomy.
