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Maternal care for benign tumor of corpus uteri, second trimester

ICD10CM code

Name of the Condition

  • Maternal Care for Benign Tumor of Corpus Uteri, Second Trimester (ICD-10 code O34.12)
  • Also known as benign uterine tumors during pregnancy.

Summary

  • This condition involves a pregnant woman in her second trimester receiving medical attention for a benign tumor located in the corpus (body) of the uterus. These tumors are non-cancerous growths that can affect pregnancy management and outcomes.

Causes

  • The exact cause of benign uterine tumors, such as fibroids, is not entirely known. However, genetic factors and hormonal influences, particularly estrogen and progesterone, are believed to play a role.

Risk Factors

  • Factors increasing the risk of developing benign uterine tumors include being over the age of 30, having a family history of fibroids, obesity, and being of African-American descent.

Symptoms

  • While some women may not experience symptoms, others might have abdominal pain or pressure, bloating, frequent urination, or complications related to pregnancy such as preterm labor.

Diagnosis

  • Diagnosis typically involves a combination of pelvic examination, ultrasound imaging, or MRI to assess the size and location of the tumor.

Treatment Options

  • Treatment options depend on the severity of symptoms and the size of the tumor. They may include monitoring, medication to manage symptoms, or in rare cases, surgery such as myomectomy. These treatments help manage pain and prevent complications during pregnancy.

Prognosis and Follow-Up

  • Many women have a successful pregnancy course with appropriate management. Regular prenatal visits and monitoring are crucial to observe the growth of the tumor and assess any impact on pregnancy.

Complications

  • Potential complications include increased risk of miscarriage, preterm birth, or complications during labor. Untreated tumors can lead to discomfort and further maternal complications.

Lifestyle & Prevention

  • Maintaining a healthy weight, regular exercise, and a balanced diet may help manage symptoms. While prevention of benign tumors isn't always possible, adopting a healthy lifestyle may reduce risks.

When to Seek Professional Help

  • Seek medical attention if there is severe abdominal pain, heavy bleeding, or any sign of preterm labor. Regular follow-ups are key if a benign tumor is diagnosed.

Additional Resources

  • The American College of Obstetricians and Gynecologists (ACOG)
  • The Fibroid Foundation
  • National Uterine Fibroids Foundation

Tips for Medical Coders

  • Ensure to capture the trimester when coding conditions related to pregnancy, as it can significantly affect the specificity needed for accurate coding.
  • Be wary of coding errors relating to the specifications of the tumor's nature (benign versus malignant) and its implications during pregnancy.

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