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2025 ICD-10-CM code O22

Venous complications and hemorrhoids during pregnancy.

Code assignment should reflect the specific venous complications or hemorrhoids present. Additional codes should be used to specify the location (e.g., lower extremity, genital) if known.

Medical necessity is established when the venous complications or hemorrhoids cause significant pain, discomfort, or functional impairment affecting the patient's daily activities and overall well-being during pregnancy.

Obstetrician-Gynecologist

IMPORTANT:O22.0 (Varicose veins of lower extremity in pregnancy), O22.1 (Genital varices in pregnancy)

In simple words: This code is used for pregnant women who experience problems with their veins, such as varicose veins in their legs or swollen veins in the genital area.These problems are caused by the pregnancy.

This code encompasses venous complications and hemorrhoids that arise during pregnancy.It includes conditions such as varicose veins in the lower extremities and genital varices.This code is exclusively for maternal records and should not be used for newborn records.Excludes venous complications related to abortion, ectopic or molar pregnancy, or those occurring during childbirth or the puerperium.

Example 1: A 32-year-old pregnant woman at 36 weeks gestation presents with complaints of significantly swollen legs and ankles (edema), accompanied by noticeable varicose veins, particularly prominent in her left leg. She reports increased discomfort while standing or walking.She has no history of previous venous issues., A 28-year-old pregnant woman at 20 weeks gestation reports experiencing increasing pain and discomfort in her vulva and perineal area.Upon examination, significant vulvar varices are noted.She expresses concern about the potential complications during delivery., A 40-year-old pregnant woman, gravida 3 para 2, at 30 weeks gestation presents with painful hemorrhoids, causing bleeding and significant discomfort during bowel movements. She reports this started within the last 4 weeks and is worsening.

Complete history of present illness detailing symptom onset, duration, severity, and any exacerbating or relieving factors. Physical examination findings documenting the location, size, and appearance of varicose veins or hemorrhoids.Relevant investigations including Doppler ultrasound if clinically indicated.

** This code should only be used when the venous condition is directly related to or aggravated by the pregnancy.If the condition pre-dates the pregnancy or is unrelated, a different code should be used.Always consider using additional codes to further specify the location and severity of the condition.

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