Z90.711 Acquired absence of uterus with remaining cervical stump

ICD10CM code

#### 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.

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