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ICD-10 Guide
ICD-10 CodesO23.522

O23.522

Billable

Salpingo-oophoritis in pregnancy, second trimester

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

Code Description

ICD-10 O23.522 is a billable code used to indicate a diagnosis of salpingo-oophoritis in pregnancy, second trimester.

Key Diagnostic Point:

Salpingo-oophoritis is an inflammatory condition affecting the fallopian tubes and ovaries, which can occur during pregnancy. In the second trimester, the risk of developing this condition may be influenced by hormonal changes, increased blood flow to the pelvic region, and the anatomical changes that occur as the uterus expands. Symptoms may include pelvic pain, fever, and abnormal vaginal discharge. Diagnosis typically involves a combination of clinical evaluation, imaging studies such as ultrasound, and laboratory tests to identify any infectious agents. Treatment often includes antibiotics that are safe for use during pregnancy, as well as supportive care. It is crucial to monitor the condition closely to prevent complications such as ectopic pregnancy or preterm labor. Proper coding of this condition is essential for accurate medical records and appropriate reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between acute and chronic salpingo-oophoritis
  • Identifying the trimester of pregnancy accurately
  • Understanding the implications of co-existing conditions
  • Navigating antibiotic safety in pregnancy

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify the trimester of pregnancy
  • Incorrect coding of co-existing conditions
  • Misunderstanding of antibiotic safety classifications

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed documentation of symptoms, clinical findings, and treatment plans is essential. Include any imaging studies and laboratory results.

Common Clinical Scenarios

A pregnant patient presents with pelvic pain and fever, leading to a diagnosis of salpingo-oophoritis.

Billing Considerations

Consider the safety of prescribed antibiotics and document any patient allergies or contraindications.

Maternal-Fetal Medicine

Documentation Requirements

High-risk pregnancy documentation must include maternal and fetal assessments, as well as any interventions taken.

Common Clinical Scenarios

A patient with a history of pelvic inflammatory disease presents with symptoms suggestive of salpingo-oophoritis.

Billing Considerations

Monitor for potential complications that may affect both maternal and fetal health.

Coding Guidelines

Inclusion Criteria

Use O23.522 When
  • Follow the official ICD
  • CM guidelines for coding obstetric conditions, ensuring that the trimester is accurately documented and that any co
  • existing conditions are appropriately coded

Exclusion Criteria

Do NOT use O23.522 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 after diagnosis of salpingo-oophoritis.

Documentation Requirements

Document the patient's symptoms, treatment response, and any changes in condition.

Specialty Considerations

Ensure that the visit is linked to the ongoing management of the obstetric condition.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, improving the accuracy of diagnoses and treatment tracking for conditions like salpingo-oophoritis.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, improving the accuracy of diagnoses and treatment tracking for conditions like salpingo-oophoritis.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, improving the accuracy of diagnoses and treatment tracking for conditions like salpingo-oophoritis.

Resources

Clinical References

  • •
    CDC Guidelines for Antibiotic Use in Pregnancy

Coding & Billing References

  • •
    CDC Guidelines for Antibiotic Use in Pregnancy

Frequently Asked Questions

What are the common symptoms of salpingo-oophoritis during pregnancy?

Common symptoms include pelvic pain, fever, abnormal vaginal discharge, and sometimes nausea or vomiting. It is important for pregnant patients to report these symptoms promptly to their healthcare provider.