N85.7
Hematometra
Clinical Classification Guidelines
Inclusion Terms
- Hematosalpinx with hematometra
Excludes Type 1
- hematometra with hematocolpos (N89.7)
Medical Intelligence & Overview
Hematometra is a condition characterized by the accumulation of blood within the uterine cavity. It often results from an obstruction that prevents menstrual blood from exiting the uterus normally. This condition can cause significant discomfort and requires medical evaluation to determine the underlying cause. Hematometra is classified under ICD-10 code N85.7 and can sometimes be associated with hematosalpinx, which refers to blood accumulation in the fallopian tubes. Recognizing the signs and understanding the potential causes are essential steps toward effective management.
Causes & Symptoms
Clinical Causes: Congenital abnormalities such as septate, subseptate, or blind-ending uterine horns Acquired obstructions due to fibroids or polyps blocking the cervical canal Cervical stenosis resulting from previous surgeries, radiation therapy, or infections Endometrial atrophy or scarring from procedures like dilation and curettage (D&C) Infections leading to scarring or inflammation that narrows the cervical canal Obstruction caused by tumors or malignancies in the reproductive tract Postpartum or post-surgical adhesions blocking blood flow from the uterus
Key Symptoms: Lower abdominal or pelvic pain or cramping Abdominal distension or a feeling of fullness Irregular or absent menstrual periods Vaginal bleeding or spotting, particularly if bleeding persists after a missed period Fever or signs of infection if an underlying infectious process exists Pelvic mass or sensation of pressure in severe cases
Diagnostic & Treatment
Diagnosis Path: Diagnosing hematometra involves a combination of clinical evaluation and imaging studies. A healthcare provider may perform a pelvic examination to assess for any abnormalities. Imaging modalities include:
Treatment Protocols: Treatment aims to relieve the blood accumulation and address the underlying cause. Approaches include:
Clinical Advice & FAQs
Billing Guidance
Is N85.7 a billable ICD-10 code?
Yes, N85.7 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report N85.7?
Clinical documentation must specify the nature of Hematometra and any associated comorbidities for accurate reporting.
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