Z90.711 Acquired absence of uterus with remaining cervical stump

Name of the Condition

• Acquired absence of uterus with remaining cervical stump
• Post-hysterectomy status with cervical remnant

Summary

Acquired absence of the uterus with a remaining cervical stump typically occurs following a surgical procedure known as a subtotal hysterectomy, where the uterus is removed but the cervix is left intact.

Causes

This condition is primarily caused by elective or medically necessary surgical intervention, often performed to treat conditions such as uterine fibroids, endometriosis, or cancer.

Risk Factors

• Medical conditions necessitating hysterectomy (e.g., fibroids, endometriosis, uterine prolapse).
• Preference for maintaining cervical structure for sexual function or pelvic support.
• Presence of medical contraindications for a total hysterectomy.

Symptoms

• Generally, there are no symptoms directly associated with the absence of the uterus, though some might experience changes related to the underlying condition warranting the surgery.

Diagnosis

• A history of surgical procedures often confirms diagnosis.
• Imaging studies such as ultrasound or MRI may show absence of the uterus while retaining the cervical stump.

Treatment Options

• No specific treatments are required for the absence itself.
• Continued monitoring for health conditions affecting the cervical stump, such as cervical cancer, is crucial.
• Regular Pap smears if the cervix remains.

Prognosis and Follow-Up

• The long-term outlook is generally excellent if the underlying condition has been effectively treated.
• Regular gynecological follow-up is important to monitor for any issues related to the remaining cervical stump.

Complications

• Rarely, issues such as cervical or vaginal prolapse, or cervical cancer.
• Scar tissue formation (adhesions) might lead to pelvic pain or bowel issues.

Lifestyle & Prevention

• Lifestyle modifications such as a healthy diet and regular exercise can support overall pelvic health.
• Regular gynecological exams to monitor cervical health.

When to Seek Professional Help

• Unusual symptoms such as post-operative bleeding, pain, or signs of infection should prompt a visit to a healthcare professional.

Additional Resources

• American College of Obstetricians and Gynecologists (ACOG)
• Hysterectomy Association
• National Women's Health Network

Tips for Medical Coders

• Ensure accurate documentation of the type of hysterectomy performed.
• Double-check if additional codes are needed for any complications or underlying conditions.
• Avoid confusing with total hysterectomy codes as the cervical stump remains.