O23.52
Salpingo-oophoritis in pregnancy
Clinical Classification Guidelines
Inclusion Terms
- Oophoritis in pregnancy
- Salpingitis in pregnancy
Medical Intelligence & Overview
Salpingo-oophoritis in pregnancy refers to the inflammation of both the fallopian tubes and ovaries during pregnancy. This condition, associated with infectious processes, requires careful medical attention to prevent complications for both mother and baby. Recognized under ICD-10 code O23.52, it is a specific form of pelvic inflammatory disease that occurs during the gestational period. The inflammation can lead to pain, infection, and potential reproductive issues if untreated. Understanding the causes, symptoms, diagnosis, and treatment options is crucial for managing this condition effectively.
Causes & Symptoms
Clinical Causes: Bacterial infections such as *Chlamydia trachomatis* or *Neisseria gonorrhoeae* Polymicrobial infections involving multiple bacteria Spread of infection from the lower genital tract or other pelvic organs Previous pelvic infections or pelvic surgeries that compromise tissue defenses Inadequate treatment of prior pelvic inflammatory disease
Key Symptoms: Pelvic or lower abdominal pain, often bilateral Lower back pain Unusual vaginal discharge Fever and chills in some cases Malaise and general discomfort Pain during intercourse or urination Nausea or vomiting, particularly if the infection is severe
Diagnostic & Treatment
Diagnosis Path: Pelvic examination to identify tenderness or masses Ultrasound imaging to observe inflammation or fluid accumulation in the adnexa Laboratory tests including cervical swabs for cultures of bacteria Blood tests for markers of infection like elevated white blood cell count or C-reactive protein Laparoscopy may be considered in complex or unclear cases, though not typically during pregnancy
Treatment Protocols: Administration of appropriate antibiotics based on suspected or confirmed pathogens Supportive care such as rest, hydration, and pain management Monitoring for signs of abscess formation or worsening infection In some instances, surgical intervention might be necessary if an abscess develops or if the infection does not respond to antibiotics Close obstetric follow-up to monitor pregnancy progression and fetal well-being
Clinical Advice & FAQs
Billing Guidance
Is O23.52 a billable ICD-10 code?
Yes, O23.52 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report O23.52?
Clinical documentation must specify the nature of Salpingo-oophoritis in pregnancy and any associated comorbidities for accurate reporting.
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