Classical hydatidiform mole
ICD-10 O01.0 is a billable code used to indicate a diagnosis of classical hydatidiform mole.
Classical hydatidiform mole, also known as a complete mole, is a type of gestational trophoblastic disease characterized by abnormal proliferation of trophoblastic tissue. This condition arises when an egg with no genetic material is fertilized by a sperm, leading to the formation of a mass of cysts instead of a viable pregnancy. Patients may present with symptoms such as vaginal bleeding, uterine enlargement, and elevated levels of human chorionic gonadotropin (HCG). The diagnosis is typically confirmed through ultrasound, which reveals a characteristic 'snowstorm' appearance of the uterus. Monitoring HCG levels is crucial, as persistently elevated levels can indicate the risk of developing choriocarcinoma, a malignant form of gestational trophoblastic neoplasia. Management often involves surgical intervention, such as dilation and curettage (D&C), followed by close HCG monitoring to ensure complete resolution of the molar tissue and to detect any potential malignant transformation early.
Detailed documentation of symptoms, ultrasound findings, and HCG levels is essential for accurate coding.
Patients presenting with vaginal bleeding and elevated HCG levels requiring ultrasound evaluation.
Coders must ensure that all relevant clinical details are documented to support the diagnosis and any associated procedures.
Comprehensive documentation of maternal and fetal health, including any complications arising from the mole.
Management of high-risk pregnancies due to molar gestation and monitoring for potential malignancy.
High-risk scenarios require meticulous documentation of all interventions and follow-up care.
Performed for evacuation of a classical hydatidiform mole.
Document indication for D&C, findings, and any complications.
Obstetricians must ensure that all surgical details are accurately recorded.
Patients with a classical hydatidiform mole are at risk for developing choriocarcinoma, a malignant form of gestational trophoblastic disease. Regular monitoring of HCG levels is essential to detect any malignant transformation early.
