ICD-10: Z90.722

The ICD-10 code Z90.722 refers to the clinical diagnosis of acquired absence of ovaries, bilateral. This code is part of the ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) system, which is used for coding and classifying diagnoses in healthcare settings.

Clinical Description

Definition

The term "acquired absence of ovaries" indicates that both ovaries have been surgically removed or have become non-functional due to disease or injury. This condition can result from various medical interventions or pathological processes, including:

• Surgical Procedures: Oophorectomy (removal of one or both ovaries) is the most common cause. This may be performed as a treatment for conditions such as ovarian cancer, endometriosis, or other gynecological disorders.
• Pathological Conditions: Conditions such as severe trauma, infections, or malignancies can lead to the loss of ovarian function or necessitate surgical removal.

Clinical Implications

The absence of ovaries has significant implications for a patient's health, including:

• Hormonal Changes: The ovaries are responsible for producing hormones such as estrogen and progesterone. Their absence can lead to hormonal imbalances, resulting in symptoms like hot flashes, mood swings, and changes in sexual function.
• Fertility Issues: The removal of both ovaries results in infertility, as the ovaries are essential for ovulation and the production of eggs.
• Increased Risk of Osteoporosis: Estrogen plays a crucial role in bone health; thus, the absence of ovaries can increase the risk of osteoporosis and fractures.

Coding Details

Code Structure

• Z90: This category includes codes for the absence of organs or parts of organs.
• Z90.72: Specifically denotes the acquired absence of ovaries.

Usage

The code Z90.722 is used in various healthcare settings, including hospitals, outpatient clinics, and for insurance billing purposes. It is essential for accurately documenting a patient's medical history and current health status.

Related Codes

• Z90.71: Acquired absence of one ovary.
• Z90.73: Acquired absence of other female genital organs.

Conclusion

The ICD-10 code Z90.722 is crucial for accurately documenting the acquired absence of both ovaries, reflecting the significant clinical implications for affected patients. Proper coding ensures that healthcare providers can deliver appropriate care and that patients receive the necessary follow-up and management for their condition. Understanding this code's implications helps in the comprehensive management of patients who have undergone oophorectomy or experienced ovarian loss due to other medical conditions.

The ICD-10 code Z90.722 refers to the "Acquired absence of ovaries, bilateral." This condition can arise from various medical interventions or pathological processes, and understanding its clinical presentation, signs, symptoms, and patient characteristics is crucial for accurate diagnosis and management.

Clinical Presentation

Definition

The acquired absence of ovaries, bilateral, indicates that both ovaries have been removed or are absent due to surgical procedures (such as oophorectomy) or pathological conditions (such as severe trauma or cancer). This condition can significantly impact a patient's hormonal balance and reproductive health.

Signs and Symptoms

Patients with bilateral acquired absence of ovaries may present with a range of signs and symptoms, which can vary based on the underlying cause and the patient's overall health. Common manifestations include:

• Menopausal Symptoms: Since the ovaries are responsible for producing estrogen and progesterone, their absence can lead to symptoms associated with menopause, such as:
• Hot flashes
• Night sweats
• Vaginal dryness
• Mood swings

• Sleep disturbances

• Infertility: The absence of ovaries directly impacts a woman's ability to conceive, leading to infertility. This is often a primary concern for patients seeking medical advice.

• Changes in Sexual Function: Patients may experience decreased libido or changes in sexual function due to hormonal changes.

• Bone Health Issues: Long-term absence of ovarian hormones can lead to decreased bone density, increasing the risk of osteoporosis and fractures.

• Cardiovascular Health Risks: The lack of estrogen can also elevate the risk of cardiovascular diseases.

Patient Characteristics

Certain patient characteristics may be associated with the diagnosis of Z90.722:

• Age: Most patients are typically post-reproductive age, but younger women may also present with this condition due to surgical interventions or medical treatments for conditions like cancer.

• Medical History: A history of gynecological surgeries, such as hysterectomy with bilateral oophorectomy, or treatments for conditions like endometriosis or ovarian cancer, is common among these patients.

• Family History: A family history of breast or ovarian cancer may also be relevant, particularly if the absence of ovaries is due to prophylactic surgery in high-risk patients.

• Comorbid Conditions: Patients may have other health issues, such as obesity, diabetes, or cardiovascular diseases, which can complicate the management of symptoms related to the absence of ovaries.

Conclusion

The clinical presentation of patients with the ICD-10 code Z90.722 encompasses a variety of symptoms primarily related to hormonal changes following the bilateral absence of ovaries. Understanding these signs and patient characteristics is essential for healthcare providers to offer appropriate management strategies, including hormone replacement therapy, counseling regarding fertility options, and monitoring for long-term health risks associated with the condition.

The ICD-10 code Z90.722 refers specifically to the "Acquired absence of ovaries, bilateral." This code is part of the broader classification system used for medical diagnoses and billing. Below are alternative names and related terms associated with this condition:

Alternative Names

1. Bilateral Oophorectomy: This term refers to the surgical removal of both ovaries, which is a common cause of the acquired absence of ovaries.
2. Ovarian Absence: A general term that can refer to the absence of one or both ovaries, though Z90.722 specifically denotes the bilateral absence.
3. Ovarian Agenesis: While this term typically refers to a congenital condition where the ovaries do not develop, it can sometimes be used in discussions about absence in a broader context.
4. Oophorectomy: This term refers to the surgical removal of an ovary, and when used in the plural form, it can imply the removal of both ovaries.

Related Terms

1. Menopause: While not directly synonymous, the absence of ovaries leads to menopause, as the ovaries are responsible for hormone production.
2. Infertility: The absence of ovaries results in infertility, as the ovaries are essential for ovulation and hormone regulation.
3. Hormonal Replacement Therapy (HRT): Often discussed in the context of women who have undergone oophorectomy, as they may require HRT to manage symptoms related to the loss of ovarian function.
4. Pelvic Surgery: This term encompasses various surgical procedures that may lead to the acquired absence of ovaries, including hysterectomy or other gynecological surgeries.

Clinical Context

Understanding these terms is crucial for healthcare professionals when discussing patient diagnoses, treatment options, and coding for insurance purposes. The acquired absence of ovaries can have significant implications for a patient's hormonal balance, reproductive health, and overall well-being, making it essential to use precise terminology in medical records and communications.

In summary, Z90.722 is associated with various terms that reflect both the condition itself and its implications for health and treatment. These alternative names and related terms help provide a comprehensive understanding of the diagnosis and its context in medical practice.

The ICD-10-CM code Z90.722 refers to the acquired absence of both ovaries, a condition that can arise from various medical interventions or pathological processes. Understanding the criteria for diagnosing this condition is essential for accurate coding and treatment planning. Below, we explore the diagnostic criteria and relevant considerations associated with this code.

Diagnostic Criteria for Z90.722

1. Clinical History

• Surgical History: The most common reason for the acquired absence of ovaries is surgical removal, often due to conditions such as ovarian cancer, endometriosis, or other gynecological disorders. A detailed surgical history should be documented, including the type of surgery performed (e.g., oophorectomy).
• Medical Conditions: Conditions leading to the necessity of oophorectomy, such as severe pelvic inflammatory disease or genetic predispositions (e.g., BRCA mutations), should also be noted.

2. Physical Examination

• Pelvic Examination: A thorough pelvic examination may reveal signs consistent with the absence of ovaries, such as the absence of palpable adnexal structures.
• Symptoms: Patients may present with symptoms related to hormonal changes, such as hot flashes, mood changes, or other menopausal symptoms, which can indicate the loss of ovarian function.

3. Imaging Studies

• Ultrasound: Pelvic ultrasound can be utilized to visualize the ovaries. The absence of ovarian tissue on imaging studies supports the diagnosis of acquired absence.
• MRI or CT Scans: In some cases, more advanced imaging may be necessary to confirm the absence of ovaries, especially if there is a suspicion of residual ovarian tissue or other complications.

4. Laboratory Tests

• Hormonal Assessments: Blood tests measuring hormone levels (e.g., estrogen, progesterone, FSH, LH) can indicate ovarian function. Elevated FSH and LH levels, along with low estrogen, may suggest ovarian failure or absence.
• Genetic Testing: In cases where genetic predisposition is suspected, testing for mutations associated with ovarian cancer may be relevant.

5. Documentation and Coding Guidelines

• Accurate Documentation: It is crucial for healthcare providers to document the reasons for the absence of ovaries clearly, including any surgical procedures performed and the underlying conditions that necessitated the surgery.
• Coding Guidelines: According to the ICD-10-CM guidelines, Z90.722 should be used when there is a confirmed diagnosis of the acquired absence of both ovaries, ensuring that all relevant clinical information is captured for proper coding.

Conclusion

The diagnosis of Z90.722, or acquired absence of ovaries, requires a comprehensive approach that includes a detailed clinical history, physical examination, imaging studies, and laboratory tests. Accurate documentation of the underlying causes and surgical history is essential for proper coding and management of the condition. This thorough understanding aids healthcare providers in delivering appropriate care and ensures accurate billing and coding practices.

The ICD-10 code Z90.722 refers to the acquired absence of both ovaries, a condition that can arise from various medical interventions or conditions, such as surgical removal due to cancer, severe endometriosis, or other gynecological issues. The absence of ovaries has significant implications for a woman's hormonal balance, reproductive health, and overall well-being. Here, we will explore the standard treatment approaches for this condition.

Understanding the Condition

Causes of Acquired Absence of Ovaries

The acquired absence of ovaries can result from:
- Surgical Procedures: Oophorectomy (removal of one or both ovaries) is the most common cause, often performed during hysterectomy or as a standalone procedure for conditions like ovarian cancer or severe endometriosis.
- Medical Conditions: Certain medical conditions may necessitate the removal of ovaries, including tumors or severe pelvic inflammatory disease.

Implications of Ovarian Absence

The absence of ovaries leads to a decrease in the production of key hormones, particularly estrogen and progesterone, which can result in:
- Menopausal symptoms (hot flashes, night sweats)
- Increased risk of osteoporosis
- Changes in mood and cognitive function
- Infertility

Standard Treatment Approaches

Hormone Replacement Therapy (HRT)

One of the primary treatments for women who have undergone bilateral oophorectomy is Hormone Replacement Therapy (HRT). HRT aims to alleviate menopausal symptoms and restore hormonal balance. Key points include:
- Types of HRT: Estrogen therapy can be administered alone or in combination with progesterone, depending on whether the woman has a uterus.
- Benefits: HRT can help manage symptoms such as hot flashes, vaginal dryness, and mood swings, and it may also protect against bone loss and cardiovascular disease[1][2].
- Risks: While HRT can be beneficial, it is not suitable for everyone. Risks may include an increased chance of blood clots, stroke, and certain types of cancer, necessitating a thorough discussion with a healthcare provider[3].

Management of Long-term Health Risks

Women with acquired absence of ovaries should be monitored for long-term health risks associated with low estrogen levels:
- Bone Health: Regular bone density screenings are recommended to assess the risk of osteoporosis. Calcium and vitamin D supplementation, along with weight-bearing exercises, may be advised to strengthen bones[4].
- Cardiovascular Health: Monitoring cardiovascular health is crucial, as estrogen plays a protective role in heart health. Lifestyle modifications, including a heart-healthy diet and regular exercise, are recommended[5].

Psychological Support

The psychological impact of losing ovarian function can be significant. Women may experience feelings of loss, anxiety, or depression. Support options include:
- Counseling: Professional counseling or therapy can help address emotional challenges.
- Support Groups: Joining support groups can provide a sense of community and shared experience, which can be beneficial for emotional well-being[6].

Fertility Considerations

For women who desire to conceive after the loss of their ovaries, options may include:
- Egg Donation: Utilizing donor eggs in conjunction with in vitro fertilization (IVF) is a common approach for women who have lost ovarian function.
- Adoption: Exploring adoption as an alternative pathway to parenthood is also a viable option for many[7].

Conclusion

The acquired absence of ovaries, as indicated by ICD-10 code Z90.722, necessitates a comprehensive treatment approach that addresses both hormonal and psychological needs. Hormone Replacement Therapy is a cornerstone of management, alongside proactive measures to mitigate long-term health risks. Psychological support and fertility options are also critical components of care. Women facing this condition should work closely with their healthcare providers to develop a personalized treatment plan that considers their unique circumstances and health goals.

For further information or specific treatment options, consulting with a healthcare professional specializing in gynecology or endocrinology is recommended.