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v1.0.0
ICD-10 Guide
ICD-10 CodesO22.13

O22.13

Billable

Genital varices in pregnancy, third trimester

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/08/2025

Code Description

ICD-10 O22.13 is a billable code used to indicate a diagnosis of genital varices in pregnancy, third trimester.

Key Diagnostic Point:

Genital varices in pregnancy, particularly during the third trimester, are a condition characterized by the abnormal dilation of veins in the vulvar and perineal regions. This condition is often exacerbated by the increased blood volume and hormonal changes that occur during pregnancy, leading to venous stasis and increased venous pressure. The third trimester is particularly critical as the growing uterus exerts pressure on the pelvic veins, contributing to the development of varices. Symptoms may include discomfort, swelling, and visible varicosities. While generally benign, genital varices can lead to complications such as thrombosis, which may necessitate careful monitoring and management. Anticoagulation therapy may be considered in cases of thrombosis, but it requires careful evaluation of risks versus benefits, especially in pregnant patients. Proper diagnosis and management are essential to prevent complications and ensure maternal and fetal well-being.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between varices and other venous conditions.
  • Understanding the implications of anticoagulation therapy during pregnancy.
  • Recognizing the potential for thrombosis and its management.
  • Navigating documentation requirements for high-risk pregnancies.

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings.
  • Failure to document the rationale for anticoagulation therapy.
  • Misclassification of varices as other venous conditions.
  • Lack of follow-up documentation for management plans.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed documentation of symptoms, physical examination findings, and treatment plans is essential.

Common Clinical Scenarios

Patients presenting with swelling and discomfort in the vulvar area during the third trimester.

Billing Considerations

Consideration of the impact of varices on delivery and postpartum recovery.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of maternal and fetal health, including any complications.

Common Clinical Scenarios

Management of high-risk pregnancies with existing venous conditions.

Billing Considerations

Close monitoring of anticoagulation therapy and its effects on both mother and fetus.

Coding Guidelines

Inclusion Criteria

Use O22.13 When
  • Follow the official ICD
  • CM guidelines for obstetric coding, ensuring accurate documentation of the trimester and any associated complications

Exclusion Criteria

Do NOT use O22.13 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits for management of genital varices during pregnancy.

Documentation Requirements

Document the patient's symptoms, examination findings, and treatment plan.

Specialty Considerations

Obstetricians should ensure that the visit is clearly related to the management of pregnancy complications.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like genital varices, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like genital varices, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Coding & Billing References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Frequently Asked Questions

What are the common symptoms of genital varices in pregnancy?

Common symptoms include swelling, discomfort, and visible varicosities in the vulvar area, particularly during the third trimester.