Incompetence of cervix uteri
ICD-10 N88.3 is a billable code used to indicate a diagnosis of incompetence of cervix uteri.
Incompetence of the cervix uteri, also known as cervical insufficiency, is a condition characterized by the premature dilation of the cervix during pregnancy, which can lead to preterm birth or miscarriage. This condition is often asymptomatic until significant cervical changes occur. Women with cervical incompetence may experience a history of previous preterm births, cervical surgeries, or trauma. Diagnosis typically involves a combination of clinical evaluation, ultrasound measurements of cervical length, and patient history. Management may include cervical cerclage, progesterone supplementation, or close monitoring during pregnancy. Understanding the underlying causes, such as congenital anomalies or hormonal imbalances, is crucial for effective treatment and prevention of adverse pregnancy outcomes. The condition is distinct from inflammatory disorders and requires careful assessment to differentiate it from other cervical pathologies.
Detailed obstetric history, including previous pregnancies and outcomes, and any cervical interventions.
Management of patients with a history of preterm labor or cervical surgeries.
Documentation must clearly indicate the diagnosis and treatment plan, including any surgical interventions.
Comprehensive ultrasound reports and assessments of cervical length.
Monitoring high-risk pregnancies with cervical incompetence.
Emphasis on multidisciplinary care and coordination with obstetricians.
Used in cases of diagnosed cervical incompetence to prevent preterm birth.
Operative report detailing the procedure and indication.
Obstetricians must document the rationale for cerclage placement.
Cervical incompetence can be caused by a variety of factors, including previous cervical surgeries, congenital abnormalities, and hormonal imbalances. It is essential to evaluate each patient individually to determine the underlying cause.
