Find comprehensive information on oophorectomy including unilateral oophorectomy, bilateral oophorectomy, laparoscopic oophorectomy, oophorectomy surgery, oophorectomy recovery, oophorectomy procedure, and oophorectomy medical coding. Learn about oophorectomy ICD-10 codes, CPT codes for oophorectomy, postoperative care, potential complications, and clinical documentation requirements for oophorectomy. This resource offers valuable insights for healthcare professionals, medical coders, and patients seeking information about oophorectomy diagnosis and treatment.
Also known as
Removal of ovaries
Covers procedures for removing one or both ovaries.
Acquired absence of organs
May be used if oophorectomy resulted in absent ovaries.
Disorders of breast
Relevant if oophorectomy is for breast cancer treatment.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the oophorectomy partial or total?
Partial
Right or left ovary?
Total
Right or left ovary?
When to use each related code
| Description |
|---|
| Oophorectomy |
| Salpingo-oophorectomy |
| Ovarian cystectomy |
Incomplete documentation of laterality (right, left, bilateral) can lead to inaccurate coding and claims rejection.
Distinguishing partial vs. total oophorectomy impacts code selection. Unclear documentation creates coding and billing errors.
Missing documentation of the surgical approach (laparoscopic, open, etc.) can lead to undercoding and lost revenue.
Q: What are the key considerations for minimizing postoperative complications following a laparoscopic oophorectomy in premenopausal patients?
A: Minimizing postoperative complications after a laparoscopic oophorectomy in premenopausal patients requires careful attention to several key factors. Thorough preoperative assessment, including evaluation of comorbidities and patient education regarding potential complications like bleeding, infection, and hormonal changes, is crucial. Intraoperatively, meticulous surgical technique minimizing tissue trauma, effective hemostasis, and appropriate prophylactic antibiotics are essential. Postoperatively, pain management strategies, early ambulation, and close monitoring for signs of infection or thromboembolism are important. Furthermore, addressing the potential impact of surgical menopause on bone health and cardiovascular risk should be part of the postoperative care plan. Consider implementing a multidisciplinary approach involving gynecologic oncologists, anesthesiologists, and pain management specialists to optimize patient outcomes. Explore how enhanced recovery after surgery (ERAS) protocols can further contribute to reducing complications and improving patient experience.
Q: How can I differentiate between benign and malignant ovarian masses during the diagnostic workup for a potential oophorectomy?
A: Differentiating between benign and malignant ovarian masses often requires a combination of diagnostic modalities. Patient history, including age, menopausal status, and symptoms, can provide initial clues. Pelvic examination findings, such as size, mobility, and consistency of the mass, contribute to the assessment. Transvaginal ultrasound, including Doppler assessment of blood flow, is often the first-line imaging modality. Serum CA-125 levels, while not always specific, can be helpful, especially in postmenopausal women. MRI or CT scans may be used for further characterization if ultrasound findings are inconclusive. Ultimately, definitive diagnosis often relies on histopathologic examination of tissue obtained via biopsy or oophorectomy. Learn more about the role of risk stratification models like the RMI (Risk of Malignancy Index) in guiding clinical decision-making. For complex cases, consider referral to a gynecologic oncologist for expert evaluation and management.
Patient presents for postoperative follow-up after oophorectomy. Surgical indication included (benign ovarian cyst, ovarian torsion, endometriosis, ovarian cancer, prophylactic oophorectomy, other specify). Preoperative diagnosis was confirmed. Patient reports (no symptoms, mild pain, moderate pain, severe pain, other specify) at the surgical site. Incision site is well-healing with (no signs of infection, minimal erythema, moderate erythema, purulent drainage, dehiscence, other specify). Patient tolerated the procedure well and is currently managing pain with (medication name and dosage). Reviewed postoperative care instructions including wound care, activity restrictions, and pain management. Patient verbalizes understanding. Discussed potential complications such as infection, bleeding, and pain. Addressed patient concerns regarding hormone replacement therapy if applicable. Patient is scheduled for follow-up in (duration) to assess healing progress and address any further concerns. Current medications reviewed and reconciled. Plan includes continued monitoring of symptoms, pain management, and assessment for surgical complications. ICD-10 code (specify code based on indication and laterality e.g., Z90.71, N83.201, N83.202) and CPT code (specify code based on surgical approach e.g., 58661, 58670, 58940, 58943) assigned.