Subluxation of symphysis (pubis) in pregnancy, childbirth and the puerperium
ICD-10 O26.7 is a billable code used to indicate a diagnosis of subluxation of symphysis (pubis) in pregnancy, childbirth and the puerperium.
Subluxation of the symphysis pubis is a condition that can occur during pregnancy, childbirth, or the puerperium, characterized by a partial dislocation of the pubic symphysis joint. This condition can lead to significant pelvic pain and discomfort, affecting a woman's mobility and quality of life. The increased relaxin hormone levels during pregnancy cause ligaments to loosen, which can contribute to instability in the pelvic region. Women may experience pain during weight-bearing activities, walking, or even while lying down. The condition can be exacerbated by factors such as previous pelvic injuries, multiple pregnancies, or excessive physical activity. Management typically involves physical therapy, pain management strategies, and in some cases, the use of pelvic support belts. It is crucial for healthcare providers to document the severity of symptoms and any functional limitations experienced by the patient to ensure appropriate care and coding.
Detailed documentation of the patient's symptoms, functional limitations, and treatment plans is essential. Providers should note the onset of symptoms, any exacerbating factors, and the impact on daily activities.
A pregnant woman presents with severe pelvic pain that worsens with ambulation. The provider assesses the pain and recommends physical therapy and pelvic support.
Consideration of the patient's obstetric history, including previous pregnancies and any history of pelvic trauma, is important for accurate coding.
High-risk pregnancies require comprehensive documentation of maternal and fetal health, including any complications arising from subluxation.
A patient with a history of multiple pregnancies presents with severe pelvic pain and is evaluated for potential complications.
High-risk factors such as obesity or previous pelvic surgeries should be documented to provide context for the condition.
Used for physical therapy sessions to manage pelvic pain associated with subluxation.
Document the specific exercises prescribed and the patient's response to therapy.
Physical therapists should coordinate with obstetricians to ensure comprehensive care.
Common symptoms include pelvic pain, difficulty walking, and discomfort during weight-bearing activities. Patients may also report pain during certain movements, such as turning in bed or getting in and out of a car.
