O23.522
Salpingo-oophoritis in pregnancy, second trimester
Clinical Classification Guidelines
Medical Intelligence & Overview
Salpingo-oophoritis is an infection involving the fallopian tubes and ovaries. When it occurs during pregnancy, especially in the second trimester, it requires careful attention. This condition can affect both maternal and fetal health, making early recognition and management critically important. ICD-10 code O23.522 specifically identifies salpingo-oophoritis diagnosed during the second trimester of pregnancy.
Causes & Symptoms
Clinical Causes: Bacterial infections, including common pathogens like *Chlamydia trachomatis* and *Neisseria gonorrhoeae* Spread from other pelvic infections or sources Previous pelvic inflammatory disease (PID) Infections related to pregnancy, such as urinary tract infections ascending to the reproductive organs Procedures or surgeries involving the pelvis that may introduce bacteria
Key Symptoms: Lower abdominal or pelvic pain, which may be severe Unusual vaginal discharge that may be foul or abnormal in appearance Fever and chills indicating systemic infection Pain during intercourse or urination General malaise or feeling unwell Rowing or pressure sensations in the pelvis Possible nausea or vomiting
Diagnostic & Treatment
Diagnosis Path: Pelvic examination to assess tenderness, swelling, or abnormal discharge Laboratory tests, such as complete blood count (CBC) showing elevated white blood cells Vaginal swabs for bacterial cultures and nucleic acid amplification tests (NAATs) to identify specific pathogens Ultrasound imaging to visualize the reproductive organs, identify swelling, and rule out other conditions Additional imaging or tests if necessary to confirm the diagnosis and assess severity
Treatment Protocols: Hospitalization in severe cases for close monitoring and intravenous antibiotics Administration of broad-spectrum antibiotics effective against likely pathogens, tailored based on culture results Supportive care, including rest, hydration, and pain management Monitoring fetal wellbeing through ultrasound and fetal heart rate assessments Addressing underlying or contributing factors, such as treating sexually transmitted infections Surgical intervention is rarely necessary but may be considered if abscesses form or there is an imminent risk to maternal or fetal health
Clinical Advice & FAQs
Billing Guidance
Is O23.522 a billable ICD-10 code?
Yes, O23.522 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report O23.522?
Clinical documentation must specify the nature of Salpingo-oophoritis in pregnancy, second trimester and any associated comorbidities for accurate reporting.
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