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2025 ICD-10-CM code N88.1

Old laceration of cervix uteri.Includes adhesions of cervix.

Do not use N88.1 if the laceration is a result of current obstetric trauma (O71.3).Also, do not use this code if there is inflammatory disease of the cervix (N72) or a polyp of the cervix (N84.1).

Medical necessity for treatment of an old cervical laceration is established when it causes symptoms such as dyspareunia, abnormal bleeding, or infertility. Treatment may involve surgical repair, lysis of adhesions, or dilation of stenosis.

Diagnosis and management of old cervical lacerations often falls under the purview of gynecologists and obstetricians. They are responsible for evaluating the extent of the laceration, assessing any related complications like adhesions or stenosis, and determining the appropriate course of treatment.

In simple words: An old tear in the cervix that occurred during a previous event and is now healed, possibly with scar tissue or adhesions.

Old laceration of cervix uteri. Includes adhesions of cervix. Excludes1: current obstetric trauma (O71.3)

Example 1: A 45-year-old female presents with dyspareunia (painful intercourse) and is found to have an old laceration of the cervix from a previous childbirth, now healed with adhesions., During a routine pelvic exam, a 60-year-old female is diagnosed with an old laceration of the cervix, which is asymptomatic and requires no intervention., A 30-year-old female experiences secondary infertility and undergoes a hysterosalpingogram, revealing an old cervical laceration with stenosis, potentially impeding sperm passage.

Documentation should include details about the location and extent of the laceration, presence of any adhesions or stenosis, associated symptoms, and any procedures performed related to the condition.

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