S37.492D Other injury of ovary, bilateral, subsequent encounter

Name of the Condition

• Other injury of ovary, bilateral, subsequent encounter

Summary

Other injury of ovary, bilateral, subsequent encounter refers to damage to both ovaries that does not fall into more specific categories, such as contusion or laceration, during a follow-up visit for the injury. This condition typically results from trauma and may involve varying degrees of tissue disruption, bleeding, or functional impairment. The "subsequent encounter" designation indicates the patient is receiving active treatment for the injury after the initial phase of care.

Causes

Blunt or penetrating trauma to the abdomen or pelvis, such as from motor vehicle accidents, falls, or assaults. Surgical procedures involving pelvic organs, including gynecologic surgeries. Direct impact to the lower abdomen or pelvic region.

Risk Factors

• Participation in contact sports or activities with a high risk of abdominal or pelvic trauma.
• Pre-existing ovarian conditions, such as cysts or tumors, which may increase vulnerability to injury.
• Advanced age, which may reduce tissue resilience.
• Certain occupations or lifestyles involving physical risk.

Symptoms

• Pelvic or lower abdominal pain, often generalized or bilateral.
• Vaginal bleeding or spotting.
• Nausea or vomiting.
• Tenderness or swelling in the pelvic region.
• Signs of shock in severe cases.

Diagnosis

Physical examination to assess tenderness, swelling, or external trauma. Imaging studies, such as ultrasound, CT scan, or MRI, to evaluate ovarian integrity and rule out complications. Laboratory tests to check for signs of infection, bleeding, or organ dysfunction.

Treatment Options

Conservative management with pain relief, rest, and monitoring for complications. Surgical intervention may be required for severe injuries, such as lacerations or uncontrolled bleeding. Follow-up care to assess healing and ovarian function.

Prognosis and Follow-Up

Prognosis depends on the severity of the injury and response to treatment. Most patients recover with appropriate care, but bilateral injury may increase the risk of long-term reproductive or hormonal issues. Regular follow-up is necessary to monitor healing and address any complications.

Complications

Infection, chronic pain, ovarian dysfunction, or infertility. Severe trauma may lead to hemorrhage or organ damage requiring additional intervention.

Lifestyle & Prevention

Avoid high-risk activities without proper protection. Use seat belts and follow safety protocols during physical work or sports. Seek prompt medical attention for abdominal or pelvic trauma to reduce injury severity.

When to Seek Professional Help

Persistent or worsening pain, heavy vaginal bleeding, signs of infection (fever, chills), or symptoms of shock (dizziness, rapid heartbeat). Immediate care is needed for severe trauma or uncontrolled bleeding.

Tips for Medical Coders

Document the bilateral nature of the injury and the subsequent encounter status clearly. Include details on the type of trauma, treatment provided, and any complications to support accurate coding. Ensure documentation aligns with the clinical findings and encounter type.