Intrauterine synechiae
ICD-10 N85.6 is a billable code used to indicate a diagnosis of intrauterine synechiae.
Intrauterine synechiae, also known as Asherman's syndrome, is a condition characterized by the formation of scar tissue within the uterine cavity. This condition often arises after trauma to the endometrium, such as from surgical procedures like dilation and curettage (D&C), cesarean sections, or infections. The presence of synechiae can lead to various reproductive issues, including infertility, recurrent pregnancy loss, and abnormal menstrual cycles. Clinically, patients may present with symptoms such as amenorrhea, dysmenorrhea, or infertility, although some may be asymptomatic. Diagnosis is typically confirmed through hysterosalpingography (HSG) or hysteroscopy, which allows for direct visualization of the uterine cavity. Treatment options may include hysteroscopic resection of the synechiae, which can restore normal uterine function and improve reproductive outcomes. Understanding the implications of intrauterine synechiae is crucial for managing patients with a history of uterine surgery or recurrent pregnancy loss.
Detailed surgical history, diagnostic imaging results, and treatment plans.
Patients with a history of D&C presenting with infertility or abnormal menstrual cycles.
Documentation must clearly indicate the diagnosis and any associated procedures performed.
Comprehensive fertility evaluations, including hormonal assessments and imaging studies.
Infertility workup in patients with a history of uterine surgery.
Need for thorough documentation of all diagnostic and therapeutic interventions.
Used to confirm the diagnosis of intrauterine synechiae.
Document findings from the hysteroscopy and any interventions performed.
Obstetricians should ensure that the procedure is linked to the diagnosis of N85.6.
Common symptoms include abnormal menstrual cycles, infertility, and in some cases, amenorrhea. However, some patients may be asymptomatic.
