Venous complication in pregnancy, unspecified, unspecified trimester
ICD-10 O22.90 is a billable code used to indicate a diagnosis of venous complication in pregnancy, unspecified, unspecified trimester.
Venous complications during pregnancy can manifest as a variety of conditions, including deep vein thrombosis (DVT) and superficial venous thrombosis. These complications arise due to physiological changes in the body during pregnancy, such as increased blood volume, hormonal changes, and pressure from the growing uterus on pelvic veins. The risk of venous thromboembolism (VTE) is significantly heightened in pregnant women, particularly in the third trimester and postpartum period. Symptoms may include swelling, pain, and tenderness in the affected limb, and in severe cases, can lead to pulmonary embolism, which is a life-threatening condition. Management often involves the use of anticoagulants, such as low molecular weight heparin (LMWH), especially in women with a history of thrombosis or other risk factors. Accurate coding of venous complications is crucial for appropriate management and reimbursement, as these conditions require careful monitoring and intervention throughout pregnancy and the postpartum period.
Detailed documentation of symptoms, treatment plans, and follow-up care is essential. Coders should ensure that all relevant clinical information is captured, including any anticoagulation therapy initiated.
A pregnant patient presents with unilateral leg swelling and pain, leading to a diagnosis of DVT. Another scenario may involve a postpartum patient experiencing leg pain and swelling due to superficial thrombophlebitis.
Coders must be aware of the patient's history of venous complications and any anticoagulation therapy prescribed, as this can influence coding and reimbursement.
High-risk pregnancy documentation must include comprehensive details about the patient's medical history, current medications, and any complications that arise during pregnancy.
A high-risk patient with a history of thrombosis is monitored closely for signs of venous complications throughout her pregnancy.
Special attention should be given to the management of anticoagulation therapy and its implications for both maternal and fetal health.
Used to evaluate suspected DVT in a pregnant patient.
Document the indication for the ultrasound and findings.
Ensure that the ultrasound is performed by a qualified provider and that results are communicated to the obstetric care team.
To support the use of O22.90, document the patient's symptoms, any diagnostic tests performed, treatment plans, and follow-up care. Ensure that the trimester of pregnancy is noted, and include any relevant patient history that may impact the diagnosis.
