Maternal care for cesarean scar defect (isthmocele)
ICD-10 O34.22 is a billable code used to indicate a diagnosis of maternal care for cesarean scar defect (isthmocele).
O34.22 refers to maternal care for a cesarean scar defect, commonly known as isthmocele. This condition arises when a defect occurs at the site of a previous cesarean section, leading to the formation of a pouch or sac in the uterine wall. This defect can result in various complications, including abnormal bleeding, pain, and potential infertility. The clinical management of isthmocele often requires careful monitoring and may involve surgical intervention, particularly if the patient experiences significant symptoms or complications during subsequent pregnancies. It is crucial for healthcare providers to document the patient's obstetric history, including the number of cesarean deliveries and any associated symptoms, to ensure appropriate coding and care planning. The condition may also impact future pregnancies, necessitating a multidisciplinary approach to maternal care, especially in high-risk populations.
Documentation must include the patient's obstetric history, details of previous cesarean deliveries, and any current symptoms related to isthmocele.
Patients presenting with pelvic pain, abnormal uterine bleeding, or infertility following a cesarean delivery.
Consideration of the patient's overall reproductive health and potential need for surgical intervention.
High-risk pregnancy documentation must include detailed assessments of maternal and fetal health, particularly in cases of uterine scarring.
Management of pregnancies complicated by isthmocele, especially in patients with a history of multiple cesarean sections.
Close monitoring of maternal-fetal outcomes and potential interventions during pregnancy.
Used when isthmocele is associated with endometriosis requiring surgical intervention.
Detailed operative notes and pre-operative assessments.
Obstetricians should collaborate with gynecologists for comprehensive care.
Isthmoceles are defects in the uterine wall resulting from previous cesarean sections. They can lead to complications such as abnormal bleeding and pain, which may affect future pregnancies and require careful monitoring and management.
