Genital varices in pregnancy, second trimester
ICD-10 O22.12 is a billable code used to indicate a diagnosis of genital varices in pregnancy, second trimester.
Genital varices in pregnancy, particularly during the second trimester, are a condition characterized by the presence of dilated veins in the vulvar and perineal regions. This condition is often associated with increased venous pressure due to the growing uterus, which can compress pelvic veins and lead to venous stasis. Symptoms may include discomfort, swelling, and visible varicosities. The second trimester is a critical period for the development of these varices as hormonal changes and increased blood volume contribute to vascular changes. Management may involve conservative measures such as compression garments and lifestyle modifications, but in severe cases, surgical intervention may be necessary. It is essential for healthcare providers to monitor for potential complications, including thrombosis, which can occur due to venous stasis. Anticoagulation therapy may be considered in cases where thrombosis is suspected or confirmed, but careful assessment of risks versus benefits is crucial, especially in pregnant patients.
Detailed documentation of the patient's symptoms, physical examination findings, and treatment plan is essential for accurate coding.
Patients presenting with swelling and discomfort in the vulvar area during the second trimester.
Consideration of the patient's obstetric history and any previous venous issues.
Comprehensive documentation of high-risk factors, including previous thrombotic events and current anticoagulation therapy.
Management of patients with a history of venous thromboembolism during pregnancy.
Close monitoring for complications and coordination with obstetric care.
When a cesarean delivery is performed due to complications from genital varices.
Documentation of the indication for cesarean delivery related to varices.
Obstetricians should document the rationale for surgical intervention.
Common symptoms include swelling, discomfort, and visible varicosities in the vulvar area. Patients may also experience pain or heaviness, especially with prolonged standing.
