Salpingo-oophoritis in pregnancy, unspecified trimester
ICD-10 O23.529 is a billable code used to indicate a diagnosis of salpingo-oophoritis in pregnancy, unspecified trimester.
Salpingo-oophoritis is an inflammatory condition affecting the fallopian tubes and ovaries, often due to infection. In pregnant patients, this condition can pose significant risks, including ectopic pregnancy, preterm labor, and adverse maternal outcomes. The diagnosis of salpingo-oophoritis during pregnancy is particularly challenging due to overlapping symptoms with normal pregnancy changes and other conditions. Symptoms may include abdominal pain, fever, and abnormal vaginal discharge. Diagnosis typically involves a combination of clinical evaluation, imaging studies such as ultrasound, and laboratory tests. Treatment often includes antibiotics, which must be chosen carefully to ensure safety for both the mother and fetus. The unspecified trimester designation indicates that the exact timing of the condition during the pregnancy is not documented, which can complicate management and coding. Proper documentation is crucial to ensure accurate coding and appropriate treatment planning.
Detailed clinical notes including symptoms, physical examination findings, and treatment plans.
A pregnant patient presenting with pelvic pain and fever, requiring evaluation for salpingo-oophoritis.
Awareness of the potential impact of infections on pregnancy outcomes and the need for safe antibiotic use.
Comprehensive documentation of maternal and fetal health, including any high-risk factors.
Management of a pregnant patient with a history of pelvic inflammatory disease presenting with acute abdominal pain.
Focus on the implications of maternal infections on fetal health and the need for multidisciplinary care.
Used for follow-up visits for a pregnant patient diagnosed with salpingo-oophoritis.
Documentation of symptoms, treatment plan, and follow-up care.
Obstetricians should ensure that all relevant pregnancy details are included.
Performed to evaluate suspected salpingo-oophoritis in a pregnant patient.
Indication for ultrasound and findings must be clearly documented.
Ensure that the ultrasound report includes details relevant to the obstetric condition.
Common symptoms include abdominal pain, fever, and abnormal vaginal discharge. However, these symptoms can overlap with normal pregnancy changes, making diagnosis challenging.
Safe antibiotics include penicillins and cephalosporins. Tetracyclines and fluoroquinolones should be avoided due to potential risks to the fetus.
Coders should ensure thorough documentation of clinical findings, specify the trimester, and differentiate between salpingo-oophoritis and other related conditions.
Untreated salpingo-oophoritis can lead to ectopic pregnancy, preterm labor, and other serious maternal and fetal complications.
