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2025 ICD-10-CM code O00.2

Ovarian pregnancy; a pregnancy that develops outside the uterus, specifically in the ovary.

The use of additional codes from category O08 to specify any associated complications such as hemorrhage or infection is recommended.

Medical necessity is established by the presence of an ovarian pregnancy, a life-threatening condition requiring immediate intervention to prevent hemorrhage, organ damage, or maternal death.

Obstetrician-gynecologist

IMPORTANT:Other codes within the O00- series may be applicable depending on the specific location of the ectopic pregnancy. For example, O00.1 is used for tubal pregnancy, and O00.8 for other specified ectopic pregnancies.

In simple words: This code means the pregnancy is located in the ovary instead of the uterus (womb). This is an unusual and dangerous situation, as the pregnancy cannot continue and can cause serious complications. It usually requires immediate medical care, often involving surgery or medication to end the pregnancy safely.

Ovarian pregnancy refers to an ectopic pregnancy where the fertilized ovum implants and develops within the ovarian tissue. This is a rare but potentially life-threatening condition requiring immediate medical attention.The pregnancy is not viable and will not progress to term.It's crucial to distinguish this from other forms of ectopic pregnancies, such as tubal pregnancies (occurring in the fallopian tubes) or abdominal pregnancies (occurring in the abdominal cavity).Diagnosis typically involves ultrasound and other imaging techniques. Treatment usually involves surgical removal of the pregnancy or medical management with medications to terminate the pregnancy and prevent complications.

Example 1: A 30-year-old woman presents with severe lower abdominal pain and vaginal bleeding.Ultrasound reveals an ovarian pregnancy. The patient undergoes laparoscopic surgery to remove the ectopic pregnancy., A 25-year-old woman with a history of infertility is diagnosed with an ovarian pregnancy via transvaginal ultrasound during a routine prenatal visit. Medical management with methotrexate is chosen due to the small size of the gestation sac., A 35-year-old woman experiences sudden onset of severe abdominal pain, hypotension, and tachycardia. She is rushed to the emergency room, where a ruptured ovarian pregnancy is diagnosed.Emergency laparotomy is performed to control hemorrhage and remove the ectopic pregnancy.

Detailed patient history including symptoms, menstrual cycle information, and relevant medical history.Imaging reports confirming the diagnosis, such as ultrasound or MRI.Documentation of the treatment plan, whether surgical or medical management, and the procedure notes if a surgical intervention occurred.Follow-up care notes.

** Ovarian pregnancies are relatively rare compared to tubal pregnancies.Accurate diagnosis is crucial for timely intervention.The specific treatment approach (surgical vs. medical) depends on several factors, including gestational age, patient's overall health, and the presence of complications.

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