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ICD-10 Guide
ICD-10 CodesO23.523

O23.523

Billable

Salpingo-oophoritis in pregnancy, third trimester

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

Code Description

ICD-10 O23.523 is a billable code used to indicate a diagnosis of salpingo-oophoritis in pregnancy, third trimester.

Key Diagnostic Point:

Salpingo-oophoritis is an inflammatory condition affecting the fallopian tubes and ovaries, which can occur during pregnancy, particularly in the third trimester. This condition is often associated with infections of the genitourinary tract, which can be exacerbated by the physiological changes that occur during pregnancy, such as increased blood flow and hormonal changes. In the third trimester, the risk of complications from salpingo-oophoritis increases due to the growing uterus, which can compress surrounding structures and lead to further complications. Symptoms may include abdominal pain, fever, and abnormal vaginal discharge. Diagnosis typically involves a combination of clinical evaluation, imaging studies, and laboratory tests. Treatment often requires antibiotics that are safe for use during pregnancy, as well as monitoring for potential complications such as preterm labor or rupture of the ovarian cysts. It is crucial for healthcare providers to be aware of the implications of this condition on both maternal and fetal health.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between acute and chronic salpingo-oophoritis
  • Understanding the implications of third-trimester pregnancy on treatment options
  • Navigating antibiotic safety in pregnancy
  • Documenting associated symptoms and complications accurately

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify the trimester of pregnancy
  • Incorrect coding of associated infections
  • Lack of clarity on antibiotic treatment plans

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed documentation of symptoms, treatment plans, and follow-up care is essential. Providers should document the patient's obstetric history and any relevant gynecological issues.

Common Clinical Scenarios

A pregnant patient presents with abdominal pain and fever, leading to a diagnosis of salpingo-oophoritis. Another scenario may involve a patient with a history of pelvic inflammatory disease who becomes pregnant.

Billing Considerations

Coders must ensure that all relevant clinical details are captured to support the diagnosis and treatment plan, particularly in the context of pregnancy.

Maternal-Fetal Medicine

Documentation Requirements

Documentation should include details about the maternal-fetal status, any interventions performed, and the monitoring of both maternal and fetal health.

Common Clinical Scenarios

Management of a high-risk pregnancy complicated by salpingo-oophoritis, requiring close monitoring and potential surgical intervention.

Billing Considerations

High-risk pregnancies may require additional documentation to justify the complexity of care provided.

Coding Guidelines

Inclusion Criteria

Use O23.523 When
  • According to ICD
  • 10 coding guidelines, it is essential to specify the trimester of pregnancy when coding for conditions like salpingo
  • oophoritis
  • Additionally, coders should ensure that the diagnosis is supported by clinical documentation and that any associated conditions are also coded appropriately

Exclusion Criteria

Do NOT use O23.523 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58661CPT Code

Laparoscopy, surgical, with salpingectomy

Clinical Scenario

Used in cases where surgical intervention is necessary due to complications from salpingo-oophoritis.

Documentation Requirements

Documentation must include indications for surgery, pre-operative assessments, and post-operative care plans.

Specialty Considerations

Obstetricians must ensure that surgical risks are clearly communicated to the patient, especially in the context of pregnancy.

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, including salpingo-oophoritis. This specificity helps in better tracking of maternal health outcomes and improves the quality of care provided.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including salpingo-oophoritis. This specificity helps in better tracking of maternal health outcomes and improves the quality of care provided.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including salpingo-oophoritis. This specificity helps in better tracking of maternal health outcomes and improves the quality of care provided.

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 in pregnancy?

Common symptoms include abdominal pain, fever, and abnormal vaginal discharge. It is important for pregnant patients to report any unusual symptoms to their healthcare provider promptly.