S37.492
Other injury of ovary, bilateral
Clinical Classification Guidelines
Medical Intelligence & Overview
Bilateral ovarian injuries refer to damage sustained to both ovaries due to various traumatic events or medical conditions. These injuries can involve tissue damage, bleeding, or other structural harm to the ovaries, which are vital reproductive organs located on each side of the female pelvis. Recognized under ICD-10 code S37.492, these injuries require careful medical assessment to determine their severity and appropriate treatment. Although relatively uncommon, bilateral ovarian injuries can have significant implications for reproductive health and overall well-being.
Causes & Symptoms
Clinical Causes: Traumatic injuries from blunt force impacts such as car accidents, falls, or sports injuries Penetrating trauma resulting from stab wounds or gunshot injuries Surgical procedures leading to accidental damage to both ovaries Severe ovarian torsion causing ovarian rupture or tissue damage Complications from medical or diagnostic interventions that inadvertently harm both ovaries
Key Symptoms: Sudden and severe pelvic pain, typically on both sides Swelling or palpable mass in the pelvic region Abdominal tenderness and discomfort Vaginal bleeding or abnormal discharge Signs of shock such as dizziness, weakness, or fainting in severe cases Nausea and vomiting associated with intense pain Possible fever if infection develops
Diagnostic & Treatment
Diagnosis Path: Pelvic ultrasound to detect ovarian swelling, fluid accumulation, or structural damage Magnetic resonance imaging (MRI) for detailed visualization of soft tissues Computed tomography (CT) scans if other pelvic structures are suspected to be involved Blood tests to check for signs of hemorrhage or infection Laparoscopy, a minimally invasive surgical procedure, may be performed to directly visualize the ovaries and confirm injury severity
Treatment Protocols: Close observation and conservative management for minor injuries, including bed rest and analgesics for pain relief Surgical intervention to repair damaged ovarian tissue or remove severely injured ovaries if necessary Blood transfusions in cases of significant bleeding Antibiotic therapy if infection is present or risked Supportive care, including monitoring for complications and ensuring adequate hydration Follow-up care to assess ovarian function and reproductive health post-treatment
Clinical Advice & FAQs
Billing Guidance
Is S37.492 a billable ICD-10 code?
Yes, S37.492 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S37.492?
Clinical documentation must specify the nature of Other injury of ovary, bilateral and any associated comorbidities for accurate reporting.
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