ICD-10: Z90.71

The ICD-10 code Z90.71 refers to the "Acquired absence of cervix and uterus," a condition that can arise from various medical interventions or pathological processes. Understanding the clinical presentation, signs, symptoms, and patient characteristics associated with this condition is crucial for healthcare providers in diagnosing and managing affected individuals.

Clinical Presentation

Definition and Causes

The acquired absence of the cervix and uterus typically results from surgical procedures such as hysterectomy (removal of the uterus) or cervical amputation. It may also occur due to severe trauma, congenital anomalies, or certain medical conditions that necessitate the removal of these structures for health reasons, such as cancer or severe endometriosis[1][2].

Patient Characteristics

Patients who may present with Z90.71 often share certain characteristics:
- Demographics: Most commonly, individuals affected are women, particularly those in their reproductive years or older, who may have undergone surgical interventions related to gynecological health.
- Medical History: A history of gynecological surgeries, such as hysterectomy or cervical conization, is prevalent among these patients. Additionally, those with a history of cervical cancer or other malignancies may also be at risk[3][4].

Signs and Symptoms

Physical Examination Findings

Patients with an acquired absence of the cervix and uterus may not exhibit overt physical signs unless complications arise. However, the following may be noted during a clinical examination:
- Absence of Uterine and Cervical Structures: Upon pelvic examination, the absence of the cervix and uterus can be confirmed.
- Scarring or Changes in Vaginal Anatomy: Surgical scars or changes in the vaginal canal may be observed, particularly in those who have undergone extensive surgical procedures[5].

Common Symptoms

While the absence of these structures may not produce symptoms directly, patients may experience:
- Menstrual Changes: Women who have undergone hysterectomy will no longer experience menstrual cycles, which may lead to psychological or emotional responses related to loss of fertility.
- Hormonal Symptoms: If the ovaries are also removed (oophorectomy), patients may experience symptoms of menopause, such as hot flashes, mood swings, and vaginal dryness[6].
- Psychosocial Impact: The psychological effects of losing reproductive organs can lead to feelings of loss, anxiety, or depression, particularly concerning fertility and femininity[7].

Conclusion

The ICD-10 code Z90.71 encapsulates a significant medical condition characterized by the acquired absence of the cervix and uterus, primarily due to surgical interventions or pathological conditions. Understanding the clinical presentation, signs, symptoms, and patient characteristics is essential for healthcare providers to offer appropriate care and support. Patients may experience a range of physical and emotional challenges following such a diagnosis, necessitating a comprehensive approach to their healthcare needs.

For further management, healthcare providers should consider both the physical and psychological aspects of care, ensuring that patients receive adequate support and counseling as they navigate the implications of their condition.

The ICD-10 code Z90.71 refers specifically to the "Acquired absence of cervix and uterus." This code is part of the International Classification of Diseases, Tenth Revision (ICD-10), which is used for coding and classifying health conditions and diseases. Below are alternative names and related terms associated with this diagnosis.

Alternative Names

1. Surgical Menopause: This term may be used when the absence of the cervix and uterus results from surgical procedures such as a hysterectomy.
2. Hysterectomy: While this term specifically refers to the surgical removal of the uterus, it is often associated with the absence of the cervix if the cervix is also removed during the procedure.
3. Cervical Amputation: This term can describe the surgical removal of the cervix, which contributes to the acquired absence.
4. Uterine Ablation: Although primarily a procedure to treat abnormal bleeding, it can lead to conditions where the uterus is effectively non-functional, leading to the absence of uterine function.

Related Terms

1. Z90.79 - Acquired absence of other genital organ(s): This code is related as it encompasses the absence of other reproductive organs, which may occur alongside the absence of the cervix and uterus.
2. Menopause: While not directly synonymous, menopause is a related condition that may occur following the surgical removal of reproductive organs.
3. Infertility: This term may be relevant as the absence of the cervix and uterus typically results in the inability to conceive.
4. Pelvic Organ Prolapse: This condition can sometimes lead to surgical interventions that result in the acquired absence of reproductive organs.

Clinical Context

The acquired absence of the cervix and uterus can result from various medical conditions or surgical interventions, including cancer treatments, severe endometriosis, or other gynecological issues. Understanding these alternative names and related terms is crucial for healthcare professionals when discussing patient histories, treatment options, and coding for insurance purposes.

In summary, Z90.71 is a specific code that reflects a significant medical condition with various implications, and recognizing its alternative names and related terms can enhance communication in clinical settings.

The ICD-10 code Z90.71 refers to the "Acquired absence of cervix and uterus." This diagnosis is typically used in medical coding to indicate that a patient has undergone surgical procedures or experienced conditions that have resulted in the loss of both the cervix and uterus. Understanding the criteria for diagnosing this condition is essential for accurate coding and reporting in healthcare settings.

Diagnostic Criteria for Z90.71

1. Medical History

• A thorough medical history is crucial. The clinician should document any previous surgeries, such as hysterectomy (removal of the uterus) or cervical amputation, which would lead to the acquired absence of these structures. This history may include reasons for the surgery, such as cancer, fibroids, or severe endometriosis.

2. Physical Examination

• A physical examination may reveal the absence of the cervix and uterus. This can be confirmed through pelvic examination techniques, although imaging studies are often more definitive.

3. Imaging Studies

• Imaging modalities such as ultrasound, MRI, or CT scans can be utilized to confirm the absence of the cervix and uterus. These studies provide visual evidence that supports the diagnosis.

4. Pathological Findings

• In cases where the absence is due to surgical intervention, pathological reports from any biopsies or surgical specimens may provide additional confirmation of the absence of these structures.

5. Documentation of Surgical Procedures

• Documentation of any surgical procedures performed, including dates and types of surgeries, is essential. This includes noting if the procedures were elective or due to medical necessity.

6. Exclusion of Other Conditions

• It is important to rule out other conditions that may mimic the absence of the cervix and uterus, such as congenital anomalies or conditions that may affect the reproductive system.

7. Clinical Guidelines

• Adherence to clinical guidelines for coding and reporting, such as those outlined in the ICD-10-CM Official Guidelines for Coding and Reporting, is necessary to ensure that the diagnosis is appropriately coded and justified in the medical record[6][7].

Conclusion

The diagnosis of Z90.71, or acquired absence of cervix and uterus, requires a comprehensive approach that includes a detailed medical history, physical examination, imaging studies, and proper documentation of surgical procedures. Accurate diagnosis and coding are vital for patient care, treatment planning, and healthcare statistics. Proper adherence to the ICD-10-CM guidelines ensures that healthcare providers can effectively communicate patient conditions and treatment histories.

The ICD-10 code Z90.71 refers to the acquired absence of the cervix and uterus, a condition that can arise from various medical interventions, such as surgical procedures for conditions like cancer, severe endometriosis, or other gynecological issues. Understanding the standard treatment approaches for this condition involves exploring both the medical and psychological aspects of care.

Overview of Z90.71

The acquired absence of the cervix and uterus can significantly impact a patient's physical health, reproductive capabilities, and emotional well-being. Treatment approaches typically focus on managing the consequences of this absence, including hormonal therapy, psychological support, and potential surgical interventions.

Medical Management

Hormonal Therapy

1. Estrogen Replacement Therapy (ERT):
   - Women who have undergone a hysterectomy may experience symptoms of menopause due to the loss of ovarian function. ERT can help alleviate symptoms such as hot flashes, vaginal dryness, and mood swings[1].
   - The therapy can be administered through various forms, including pills, patches, or vaginal rings, depending on the patient's needs and preferences[2].

2. Hormonal Contraceptives:
   - In some cases, hormonal contraceptives may be prescribed to manage menstrual-like symptoms or to provide additional hormonal support, especially if the ovaries are still present[3].

Psychological Support

1. Counseling and Therapy:
   - The psychological impact of losing the cervix and uterus can be profound, affecting body image, sexual function, and emotional health. Counseling can provide a supportive environment for patients to express their feelings and cope with their new reality[4].
   - Support groups may also be beneficial, allowing individuals to connect with others who have experienced similar challenges[5].

2. Sexual Health Education:
   - Education on sexual health and intimacy can help patients navigate changes in their sexual relationships. This may include discussions about the use of lubricants, pelvic floor exercises, and alternative sexual practices[6].

Surgical Options

While the absence of the cervix and uterus is often permanent, some surgical options may be considered for specific cases:

1. Vaginal Reconstruction:
   - In certain situations, patients may opt for vaginal reconstruction to enhance sexual function or improve anatomical appearance. This procedure can help restore vaginal depth and elasticity[7].

2. Ovarian Preservation:
   - If the ovaries are intact, monitoring their function is essential. In some cases, surgical interventions may be necessary to address ovarian cysts or other complications[8].

Conclusion

The management of the acquired absence of the cervix and uterus (ICD-10 code Z90.71) requires a comprehensive approach that addresses both medical and psychological needs. Hormonal therapies can alleviate menopausal symptoms, while psychological support is crucial for emotional well-being. Surgical options may be available for those seeking anatomical restoration or addressing related complications. A multidisciplinary approach involving gynecologists, endocrinologists, and mental health professionals is often the most effective way to support patients in navigating the complexities of this condition.

For individuals facing this diagnosis, it is essential to have open discussions with healthcare providers to tailor a treatment plan that meets their specific needs and preferences.

The ICD-10 code Z90.71 refers to the acquired absence of both the cervix and uterus. This diagnosis is significant in clinical settings, particularly in gynecology and reproductive health, as it pertains to patients who have undergone surgical procedures or experienced conditions leading to the loss of these reproductive organs.

Clinical Description

Definition

The term "acquired absence" indicates that the cervix and uterus were previously present but have been removed or are no longer functional due to various medical reasons. This condition can arise from:

• Surgical Procedures: Commonly, the absence of the cervix and uterus may result from a hysterectomy, which is the surgical removal of the uterus. In some cases, the cervix is also removed during this procedure, leading to the complete absence of both organs.
• Medical Conditions: Certain medical conditions, such as severe trauma, cancer (particularly gynecological cancers), or congenital anomalies that may necessitate surgical intervention, can also lead to the acquired absence of these organs.

Clinical Implications

The absence of the cervix and uterus has several clinical implications:

• Menstrual Cycle: Patients will no longer experience menstrual cycles, which can be a significant change for those who have undergone the procedure.
• Hormonal Changes: Depending on the surgical approach and whether the ovaries are preserved, patients may experience hormonal changes that could lead to menopausal symptoms.
• Fertility: The absence of these organs results in the loss of natural fertility, which may necessitate discussions about alternative reproductive options, such as surrogacy or adoption, for those desiring children.

Coding Details

ICD-10 Code

• Z90.71: This code is specifically used to document the acquired absence of both the cervix and uterus in medical records. It is essential for accurate coding in healthcare settings, particularly for insurance claims and statistical purposes.

Related Codes

• Z90.710: This is a more specific code that may be used in certain contexts to denote the acquired absence of the cervix and uterus, particularly in the 2025 ICD-10-CM updates. It is important for healthcare providers to stay updated on coding changes to ensure proper documentation and billing practices.

Conclusion

Understanding the clinical description and implications of ICD-10 code Z90.71 is crucial for healthcare providers involved in the care of patients who have undergone procedures leading to the absence of the cervix and uterus. Accurate coding not only facilitates appropriate patient management but also ensures compliance with healthcare regulations and standards. As medical practices evolve, staying informed about coding updates and clinical guidelines remains essential for effective patient care and documentation.