N83.511 Torsion of right ovary and ovarian pedicle

Name of the Condition

• Torsion of right ovary and ovarian pedicle

Summary

Torsion of the right ovary and ovarian pedicle occurs when the ovary twists around its supporting ligaments, potentially reducing or cutting off its blood supply. This is a painful and serious condition that requires prompt medical attention to prevent tissue damage.

Causes

The condition can be caused by an ovarian cyst or mass that adds weight to the ovary, making it prone to twisting, or by anatomical variations that increase the mobility of the ovary.

Risk Factors

• Women of reproductive age, particularly those undergoing fertility treatments, pregnant women, or those with a history of ovarian cysts or prior torsion.

Symptoms

• Sudden, severe pelvic pain, nausea, vomiting, and sometimes fever. Pain is usually localized to one side, in this case, the right side.

Diagnosis

Diagnosis typically involves a pelvic examination, ultrasound imaging, and sometimes Doppler ultrasound to assess blood flow to the ovary.

Treatment Options

• Treatment usually requires surgery to untwist the ovary and, if necessary, remove any cyst or mass responsible. In severe cases, if the ovary is not viable, it may need to be removed (oophorectomy).

Prognosis and Follow-Up

If treated quickly, the prognosis is generally good with preservation of the ovary. Regular follow-up may be needed to monitor for recurrence or complications.

Complications

• Delayed treatment can lead to loss of ovarian function, infection, or infertility. In rare cases, it may result in sepsis or other systemic complications.

Lifestyle & Prevention

• While torsion is often unpredictable, maintaining regular gynecological check-ups can help identify and manage conditions like ovarian cysts that may increase risk.

When to Seek Professional Help

• Seek immediate medical attention for sudden, severe pelvic pain, especially if accompanied by nausea, vomiting, or fever.

Tips for Medical Coders

• Use code N83.511 for documented torsion of the right ovary and ovarian pedicle. Ensure clinical documentation specifies the right side and includes details about the ovary and pedicle involvement to support accurate coding.