ICD-10: Z90.711

The ICD-10 code Z90.711 refers to the "Acquired absence of uterus with remaining cervical stump." This condition typically arises from surgical interventions, such as hysterectomy, or may result from trauma or disease processes that necessitate the removal of the uterus while leaving a portion of the cervix intact. Understanding the clinical presentation, signs, symptoms, and patient characteristics associated with this condition is crucial for healthcare providers.

Clinical Presentation

Definition and Context

Z90.711 is classified under the ICD-10 coding system, which is used for documenting health conditions and diseases. The acquired absence of the uterus with a remaining cervical stump indicates that the uterus has been surgically removed or is absent due to other medical reasons, but a part of the cervix remains. This condition can have significant implications for a patient's reproductive health, hormonal balance, and overall well-being.

Common Causes

• Hysterectomy: The most common cause of this condition is a hysterectomy, which may be performed for various reasons, including:
• Uterine fibroids
• Endometriosis
• Uterine prolapse
• Cancer (e.g., cervical or uterine cancer)
• Trauma: Physical trauma to the pelvic region can also lead to the loss of the uterus.
• Congenital Anomalies: Rarely, congenital conditions may result in the absence of the uterus.

Signs and Symptoms

Physical Signs

• Cervical Stump: Upon examination, a healthcare provider may note the presence of a cervical stump during a pelvic examination.
• Pelvic Pain: Some patients may experience chronic pelvic pain, which can be associated with the remaining cervical tissue or other pelvic structures.

Symptoms

• Menstrual Changes: Patients may report changes in menstrual patterns, particularly if they have not undergone menopause.
• Hormonal Symptoms: Depending on the patient's age and hormonal status, symptoms of hormonal imbalance may occur, such as hot flashes or mood swings.
• Sexual Dysfunction: Some women may experience changes in sexual function or discomfort during intercourse due to the anatomical changes following the absence of the uterus.

Patient Characteristics

Demographics

• Age: The majority of patients with this condition are typically middle-aged women, often between the ages of 30 and 60, as hysterectomies are most commonly performed in this demographic.
• Medical History: A history of conditions leading to hysterectomy, such as fibroids or endometriosis, is common among these patients.

Psychological Impact

• Emotional Well-being: The loss of the uterus can have psychological implications, including feelings of loss, anxiety, or depression, particularly in women who desire future pregnancies.
• Support Needs: Patients may benefit from counseling or support groups to address the emotional aspects of their condition.

Conclusion

The ICD-10 code Z90.711 signifies a specific medical condition characterized by the acquired absence of the uterus while retaining a cervical stump. This condition is primarily associated with surgical interventions like hysterectomy and can present with various signs and symptoms, including pelvic pain and hormonal changes. Understanding the patient characteristics and potential psychological impacts is essential for providing comprehensive care. Healthcare providers should approach these patients with sensitivity, considering both their physical and emotional health needs.

The ICD-10 code Z90.711 refers to the acquired absence of the uterus with a remaining cervical stump. This condition can arise from various medical situations, including surgical procedures such as hysterectomy, trauma, or congenital anomalies. The management and treatment approaches for patients with this diagnosis are multifaceted and depend on the underlying cause, the patient's overall health, and their reproductive goals.

Understanding Z90.711

Definition and Implications

Z90.711 indicates that a patient has undergone a hysterectomy or has lost their uterus due to other medical reasons, but retains a portion of the cervix. This condition can have significant implications for a patient's reproductive health, hormonal balance, and overall well-being.

Common Causes

• Hysterectomy: Often performed for conditions like fibroids, endometriosis, or cancer.
• Trauma: Severe injuries that necessitate surgical removal of the uterus.
• Congenital Conditions: Rarely, some individuals may be born with uterine anomalies leading to the absence of the uterus.

Standard Treatment Approaches

1. Hormonal Management

For individuals who have had a hysterectomy, especially if the ovaries are also removed, hormone replacement therapy (HRT) may be recommended. This helps manage symptoms of menopause, such as hot flashes, mood swings, and vaginal dryness. HRT can be administered through various methods, including:
- Oral medications
- Transdermal patches
- Vaginal rings or creams

2. Psychological Support

The emotional impact of losing the uterus can be profound. Patients may experience grief, anxiety, or depression. Psychological support through counseling or support groups can be beneficial. Mental health professionals can help patients navigate their feelings and adjust to their new reality.

3. Fertility Considerations

For women who wish to conceive despite the absence of a uterus, options such as surrogacy or adoption may be explored. Uterus transplantation is an emerging field that offers hope for some women with absolute uterine factor infertility, although it is still considered experimental and comes with significant medical and ethical considerations.

4. Regular Medical Follow-Up

Patients with Z90.711 should have regular follow-ups with their healthcare provider to monitor for any complications related to the absence of the uterus, such as:
- Cervical health: Regular Pap smears may still be necessary to monitor the cervical stump for any abnormalities.
- Bone health: Long-term HRT may be necessary to prevent osteoporosis, especially in younger women.

5. Management of Associated Conditions

Patients may have other health issues related to their original diagnosis (e.g., endometriosis, fibroids). Treatment for these conditions may include:
- Medications: Such as pain management or hormonal treatments.
- Surgical interventions: If complications arise from the cervical stump or other related issues.

Conclusion

The management of patients with the ICD-10 code Z90.711—acquired absence of the uterus with a remaining cervical stump—requires a comprehensive approach that addresses both physical and emotional health. Hormonal therapy, psychological support, and regular medical follow-ups are essential components of care. As reproductive technologies evolve, options like surrogacy and uterus transplantation may provide additional avenues for those wishing to conceive. Each treatment plan should be tailored to the individual’s needs, preferences, and medical history, ensuring a holistic approach to their health and well-being.

The ICD-10 code Z90.711 refers specifically to the "Acquired absence of uterus with remaining cervical stump." This diagnosis is part of a broader classification system used for coding various health conditions. Below are alternative names and related terms associated with this code:

Alternative Names

1. Uterine Agenesis: While this term typically refers to a congenital absence of the uterus, it can sometimes be used in discussions about acquired conditions.
2. Hysterectomy with Cervical Preservation: This term describes a surgical procedure where the uterus is removed but the cervix is left intact.
3. Cervical Stump Post-Hysterectomy: This phrase emphasizes the remaining cervical tissue after a hysterectomy.

Related Terms

1. Z90.710: This code represents the "Acquired absence of uterus without remaining cervical stump," which is closely related but indicates that the cervix has also been removed.
2. Z90.71: This broader category includes all codes related to the acquired absence of the cervix and uterus.
3. Hysterectomy: A surgical procedure that involves the removal of the uterus, which can lead to the condition described by Z90.711.
4. Cervical Stump: Refers to the remaining portion of the cervix after a hysterectomy, relevant in the context of Z90.711.

Clinical Context

Understanding these terms is crucial for healthcare professionals involved in coding, billing, and treatment planning. The distinction between the presence or absence of the cervical stump can significantly impact patient management and follow-up care.

In summary, Z90.711 is associated with specific surgical outcomes and conditions related to the uterus and cervix, and recognizing these alternative names and related terms can enhance communication among healthcare providers and improve patient care.

The ICD-10 code Z90.711 refers to the "Acquired absence of uterus with remaining cervical stump." This diagnosis is typically associated with specific clinical criteria and considerations that healthcare providers use to determine its applicability. Below, we explore the criteria and relevant aspects involved in diagnosing this condition.

Clinical Criteria for Diagnosis

1. Medical History

• Surgical History: The primary criterion for diagnosing Z90.711 is a documented surgical history indicating a hysterectomy or other surgical procedures that have resulted in the removal of the uterus while leaving a portion of the cervix intact. This may include procedures for conditions such as fibroids, endometriosis, or cancer.
• Trauma or Injury: In some cases, trauma or injury leading to the loss of the uterus may also be considered, provided there is evidence of a remaining cervical stump.

2. Physical Examination

• Pelvic Examination: A thorough pelvic examination may reveal the absence of the uterus while confirming the presence of the cervical stump. This examination is crucial for assessing the anatomical status of the reproductive organs.

3. Imaging Studies

• Ultrasound or CT Scans: Imaging studies such as pelvic ultrasound or computed tomography (CT) scans can help visualize the absence of the uterus and confirm the presence of a cervical stump. These imaging modalities provide critical information regarding the anatomical structures involved.

4. Documentation of Symptoms

• Menstrual History: Patients may report a history of amenorrhea (absence of menstruation) following the surgical procedure, which supports the diagnosis of acquired absence of the uterus.
• Other Symptoms: Any associated symptoms, such as pelvic pain or abnormal discharge, should be documented, as they may provide additional context for the diagnosis.

Differential Diagnosis

It is essential to differentiate Z90.711 from other conditions that may present with similar symptoms or anatomical findings. Conditions to consider include:
- Congenital Absence of the Uterus: This is a different diagnosis and would not be coded as Z90.711.
- Acquired Absence of Uterus without Cervical Stump: This would require a different ICD-10 code, such as Z90.710, which indicates the complete absence of both the uterus and cervix.

Coding Guidelines

When coding for Z90.711, it is important to ensure that:
- The diagnosis is supported by appropriate clinical documentation.
- The coding reflects the specific condition accurately, as incorrect coding can lead to issues with billing and insurance claims.

Conclusion

The diagnosis of Z90.711, "Acquired absence of uterus with remaining cervical stump," relies on a combination of surgical history, physical examination findings, imaging studies, and symptom documentation. Accurate diagnosis and coding are crucial for effective patient management and appropriate healthcare reimbursement. If further clarification or additional information is needed regarding specific cases or coding practices, consulting with a medical coding specialist or healthcare provider is advisable.

The ICD-10 code Z90.711 refers to the clinical condition known as "Acquired absence of uterus with remaining cervical stump." This diagnosis is part of the broader category of codes that address conditions related to the absence of reproductive organs, specifically focusing on the uterus and cervix.

Clinical Description

Definition

The term "acquired absence of uterus" indicates that the uterus has been surgically removed or has become absent due to other medical conditions, such as trauma or disease. The presence of a "remaining cervical stump" suggests that while the uterus has been removed, a portion of the cervix remains intact. This condition can arise from various surgical procedures, most commonly a hysterectomy, where the uterus is excised but the cervix is preserved.

Causes

The primary causes for the acquired absence of the uterus may include:
- Hysterectomy: This is the most common surgical procedure leading to this condition, often performed due to conditions such as fibroids, endometriosis, or cancer.
- Trauma: Severe injuries to the pelvic region can result in the loss of the uterus.
- Congenital anomalies: In rare cases, individuals may have congenital conditions that lead to the absence of the uterus.

Clinical Implications

Patients with an acquired absence of the uterus may experience various physical and psychological effects, including:
- Hormonal changes: If the ovaries are also removed during the procedure, patients may enter menopause.
- Psychological impact: The loss of reproductive organs can lead to feelings of loss or depression, particularly in individuals desiring to conceive.
- Sexual function: The presence of a cervical stump may influence sexual function and satisfaction, depending on individual circumstances.

Coding and Documentation

ICD-10-CM Code

• Z90.711: This code specifically denotes the acquired absence of the uterus while retaining a cervical stump. It is essential for accurate medical documentation and billing, ensuring that healthcare providers can communicate the patient's condition effectively.

Related Codes

• Z90.710: This code refers to the acquired absence of both the cervix and uterus, which is distinct from Z90.711 as it indicates complete removal.
• Z90.712: This code may be used for cases where there is an acquired absence of the uterus without a cervical stump.

Conclusion

The ICD-10 code Z90.711 is crucial for accurately documenting the clinical status of patients who have undergone procedures resulting in the absence of the uterus while retaining a cervical stump. Understanding this condition's implications is vital for healthcare providers to offer appropriate care and support to affected individuals. Proper coding not only aids in clinical management but also ensures that patients receive the necessary follow-up and psychological support as they navigate the implications of their condition.