Find information on pelvic adhesions diagnosis, including clinical documentation, medical coding, and healthcare resources. Learn about ICD-10 codes for pelvic adhesions, symptoms, causes, and treatment options. This resource provides guidance for healthcare professionals on accurately documenting and coding pelvic inflammatory disease related adhesions, post-surgical adhesions, and other causes of pelvic adhesions in clinical settings. Explore the latest information on diagnosis and management of pelvic adhesions for improved patient care.
Also known as
Female pelvic peritoneal adhesions
Adhesions within the female pelvis.
Postoperative peritoneal adhesions
Adhesions following a surgical procedure.
Peritoneal adhesions with obstruction
Adhesions causing blockage in the peritoneum.
Follow this step-by-step guide to choose the correct ICD-10 code.
Post-infective adhesions?
Yes
Female pelvic organs involved?
No
Postoperative adhesions?
When to use each related code
| Description |
|---|
| Pelvic Adhesions |
| Endometriosis |
| Pelvic Inflammatory Disease |
Coding pelvic adhesions without specifying etiology (post-infectious, post-surgical, endometriosis) leads to inaccurate documentation and DRG assignment.
Coding pelvic adhesions based on symptoms alone without definitive imaging or surgical confirmation lacks clinical validation and impacts coding integrity.
Generalized pelvic adhesion documentation without specifying organ involvement (e.g., bowel, ovary, bladder) hinders accurate coding and quality reporting.
Patient presents with complaints consistent with pelvic adhesions, including chronic pelvic pain, dysmenorrhea, dyspareunia, and infertility. Symptoms range from mild discomfort to severe, debilitating pain, exacerbated by movement, intercourse, or menstruation. The patient reports a history of (mention relevant past medical history contributing to adhesion formation e.g., pelvic inflammatory disease, endometriosis, abdominal or pelvic surgery, appendicitis). Physical examination revealed (mention specific findings e.g., tenderness to palpation in the lower abdomen, pelvic tenderness on bimanual exam, restricted uterine mobility, palpable masses or nodules). Differential diagnoses considered include endometriosis, irritable bowel syndrome, ovarian cysts, and pelvic inflammatory disease. Diagnostic laparoscopy is planned to confirm the diagnosis of pelvic adhesions and assess the extent and severity of the adhesions. Treatment options will be discussed with the patient following laparoscopy and may include adhesiolysis, pain management strategies such as nonsteroidal anti-inflammatory drugs (NSAIDs) or other analgesics, physical therapy, and hormonal therapy. Patient education regarding pelvic adhesion symptoms, causes, treatment options, and potential complications will be provided. The patient understands the risks and benefits of the proposed treatment plan and has consented to proceed. ICD-10 code N99.6 (Intrauterine adhesions) or other relevant ICD-10 code may be used based upon the clinical findings and location of the adhesions confirmed via laparoscopy. CPT codes for diagnostic laparoscopy and any surgical interventions performed will be documented accordingly. Follow-up appointments are scheduled to monitor symptom improvement and address any potential complications.