Find comprehensive information on Hemorrhagic Cyst of Ovary including clinical documentation, medical coding, ICD-10 codes, SNOMED CT codes, diagnosis, treatment, differential diagnosis, and healthcare management. This resource provides detailed guidance for healthcare professionals on accurately documenting and coding hemorrhagic ovarian cysts in medical records for optimal reimbursement and patient care. Learn about the symptoms, causes, and management of hemorrhagic ovarian cysts for improved clinical practice.
Also known as
Diseases of ovary, fallopian tube & broad lig
Covers various ovarian conditions, including hemorrhagic cysts.
Noninflammatory disorders of ovary & fallop
Includes non-inflammatory ovarian cysts like hemorrhagic cysts.
Noninflammatory disorders of female genital
Encompasses non-inflammatory disorders affecting female reproductive organs.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the ovarian cyst actively bleeding?
Yes
Rupture confirmed?
No
Evidence of prior hemorrhage?
When to use each related code
| Description |
|---|
| Ovarian hemorrhagic cyst |
| Corpus luteum cyst |
| Follicular cyst |
Missing or incorrect laterality (right, left, unspecified) for the hemorrhagic ovarian cyst can lead to inaccurate coding and claims.
Distinguishing between ruptured and non-ruptured hemorrhagic ovarian cysts is crucial for accurate code assignment and impacts severity.
Using unspecified codes when a more specific diagnosis (e.g., corpus luteum cyst, follicular cyst) is documented can lead to undercoding.
Q: How can I differentiate a hemorrhagic ovarian cyst from other adnexal masses using ultrasound in a premenopausal patient?
A: Differentiating a hemorrhagic ovarian cyst from other adnexal masses like endometriomas, dermoid cysts, or even ovarian malignancies requires careful ultrasound evaluation. In premenopausal patients, hemorrhagic cysts often present with a complex appearance on ultrasound due to the presence of blood and clot within the cyst. Look for features such as internal echoes, retracting clot (which can mimic a solid component), and fluid-fluid levels. Color Doppler can be helpful in demonstrating the avascular nature of the cyst contents, distinguishing it from solid masses. However, it is important to note that the ultrasound appearance can evolve over time as the blood degrades. Serial ultrasounds are often useful for monitoring changes and resolution. If the diagnosis remains uncertain or concerning features are present, such as thick septations, solid components, or increased vascularity, consider further imaging with MRI or consultation with a gynecologic oncologist. Explore how our advanced imaging protocols can aid in accurate diagnosis of complex adnexal masses.
Q: What is the recommended management strategy for a large, symptomatic hemorrhagic ovarian cyst in a young woman trying to conceive?
A: Managing a large, symptomatic hemorrhagic ovarian cyst in a young woman desiring future fertility requires a nuanced approach balancing symptom relief and preservation of ovarian reserve. Conservative management with pain control and observation is often the first line, as many hemorrhagic cysts resolve spontaneously. However, if the cyst is causing significant pain, persistent symptoms, or is larger than 5cm and not showing signs of resolution after several weeks, surgical intervention may be necessary. Laparoscopic cystectomy, which aims to remove the cyst while preserving healthy ovarian tissue, is the preferred surgical approach in these cases. Minimally invasive techniques are employed to minimize the impact on fertility. Consider implementing a shared decision-making model with the patient, discussing the risks and benefits of both conservative management and surgical intervention in the context of her fertility goals. Learn more about our minimally invasive gynecologic surgery options.
Patient presents with complaints consistent with hemorrhagic ovarian cyst. Symptoms include acute onset of pelvic pain, possibly unilateral, ranging from dull ache to sharp stabbing pain. Patient may also report abdominal bloating, pressure, or a feeling of fullness. Associated symptoms such as nausea, vomiting, or irregular bleeding may be present. Physical examination may reveal abdominal tenderness or a palpable adnexal mass. Differential diagnosis includes ruptured ovarian cyst, ectopic pregnancy, pelvic inflammatory disease, and endometriosis. Pelvic ultrasound was performed, revealing a complex ovarian cyst with internal echoes suggestive of hemorrhage, confirming the diagnosis of hemorrhagic ovarian cyst. The cyst measures [insert size] cm. No free fluid in the pelvis was noted. CA-125 levels may be obtained to assess for malignancy risk, although hemorrhagic cysts are typically benign. Management plan includes conservative treatment with pain management utilizing NSAIDs or other analgesics as indicated. Patient education provided regarding symptoms to monitor for, including worsening pain, fever, or signs of infection. Close follow-up ultrasound is scheduled in [timeframe] to monitor cyst resolution. Surgical intervention may be considered if the cyst fails to resolve, increases in size, or if symptoms worsen. ICD-10 code N83.0 and relevant CPT codes for ultrasound and other procedures will be documented. Patient understands the plan and instructions provided.