2025 ICD-10-CM code S37.492
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Injury - Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals Injury, poisoning and certain other consequences of external causes (S00-T88) Feed
Other injury of both ovaries.
Modifiers may be applicable depending on the circumstances of the injury and the services rendered. Consult official coding guidelines for appropriate modifier use.
Medical necessity is established by the presence of bilateral ovarian injury documented through appropriate clinical findings and imaging.Treatment is medically necessary to manage complications like bleeding, infection, and pain. The extent of the injury justifies the level of intervention.
Diagnosis is based on patient history, physical exam focusing on the injured area and type of injury, and imaging (X-rays, CT, MRI) to assess damage. Treatment may include wound repair, tetanus prophylaxis, bleeding control, partial ovary resection (if needed), analgesics for pain, antibiotics for infection, and NSAIDs for swelling.
- Injury, poisoning and certain other consequences of external causes (S00-T88)
- S37 (Injuries to the pelvis)
In simple words: This code describes damage to both ovaries from an injury like a sharp object, a hit to the lower belly, sexual assault, problems during childbirth, or ovary surgery. The doctor specifies a type of injury not covered by other codes.
Other injury of bilateral (both) ovaries refers to damage to both ovaries due to trauma such as puncture, blunt trauma to the lower abdomen, sexual violence, childbirth injury, or surgery.The provider specifies a type of ovarian injury not otherwise categorized.
Example 1: A patient presents after a motor vehicle accident with lower abdominal pain and internal bleeding. Imaging reveals bilateral ovarian hematomas. Code S37.492 is used to reflect the injury., A patient undergoes a laparoscopic procedure for an ovarian cyst and sustains unintended damage to both ovaries during the surgery. Code S37.492 is assigned to reflect the iatrogenic injury., A female patient is a victim of assault, resulting in significant trauma to the lower abdomen. Examination reveals bilateral ovarian lacerations. Code S37.492 is used in conjunction with codes from Chapter 20 to specify the external cause (assault).
Patient history detailing the mechanism of injury, physical examination findings (including pelvic exam), and imaging reports (CT scan, MRI, or ultrasound) demonstrating the extent of the bilateral ovarian injury. Operative reports if surgery was performed.
** This code captures other injuries to both ovaries not specifically defined elsewhere.Precise documentation is crucial for accurate coding.Always refer to the most current ICD-10-CM guidelines.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Gynecology, Emergency Medicine, Obstetrics
- Place of Service:Inpatient Hospital, Outpatient Hospital, Emergency Room - Hospital, Ambulatory Surgical Center