Z40.02 Encounter for prophylactic removal of ovary(s)

ICD10CM code

#### Name of the Condition
- Prophylactic Removal of Ovary(s)
- Medical term: Oophorectomy for Prophylaxis

#### Summary
- The prophylactic removal of ovaries is a preventive surgical procedure in which one or both ovaries are removed to reduce the risk of developing ovarian cancer, particularly in individuals with a high genetic risk, such as those with BRCA1 or BRCA2 mutations.

#### Causes
- The procedure is carried out not due to a present condition but as a preventive measure, primarily to mitigate the risk posed by genetic mutations like BRCA1/BRCA2 which are known to significantly increase the likelihood of ovarian cancer.

#### Risk Factors
- Presence of BRCA1 or BRCA2 genetic mutations.
- Family history of ovarian or breast cancer.
- Personal medical history that predisposes to ovarian cancer.

#### Symptoms
- As a preventive measure, the procedure is not associated with symptoms indicative of a disease but aims to preemptively manage cancer risk.

#### Diagnosis
- Diagnosis is not applicable as this is a preventive rather than reactive procedure. Genetic testing might be used to assess risk factors.

#### Treatment Options
- Oophorectomy is the primary treatment option, which involves the surgical removal of one or both ovaries.
- Hormone replacement therapy may be considered post-surgery to manage symptoms associated with early menopause.

#### Prognosis and Follow-Up
- Individuals undergoing prophylactic oophorectomy typically have a significantly reduced risk of developing ovarian cancer.
- Regular follow-ups and hormonal assessments may be necessary to manage menopause-related symptoms and monitor for other potential health impacts.

#### Complications
- Possible surgical complications include bleeding, infection, and adverse reactions to anesthesia.
- Long-term risks include early menopause, cardiovascular risks, and osteoporosis due to reduced hormone levels.

#### Lifestyle & Prevention
- Genetic counseling and regular medical check-ups are encouraged to assess cancer risk accurately.
- No specific lifestyle changes are needed post-procedure, though general health maintenance is advised.

#### When to Seek Professional Help
- Seek immediate medical assistance for signs of surgical complications, such as severe pain, unusual discharge, high fever, or excessive bleeding after the procedure.
- Consultation with a healthcare provider is recommended for management of menopausal symptoms post-surgery.

#### Additional Resources
- **National Ovarian Cancer Coalition**: [www.ovarian.org](http://www.ovarian.org/)
- **American Cancer Society**: [www.cancer.org](http://www.cancer.org/)
- **FORCE: Facing Our Risk of Cancer Empowered**: [www.facingourrisk.org](http://www.facingourrisk.org/)

#### Tips for Medical Coders
- Ensure accurate documentation by confirming the preventive nature of the procedure with references to genetic predispositions.
- Avoid confusing the procedure with therapeutic oophorectomy, which is done in response to existing ovarian conditions.

Medical Policies and Guidelines for Encounter for prophylactic removal of ovary(s)

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