Chronic parametritis and pelvic cellulitis

This code represents a persistent inflammatory condition affecting the connective tissue surrounding the uterus (parametrium) and/or the pelvic cellular tissue. It signifies a long-standing infection or inflammation within the pelvic cavity, often a sequela of acute pelvic inflammatory disease or surgical procedures.

Use this code when documentation clearly indicates a chronic, non-tuberculous inflammation of the parametrium or pelvic cellular tissue. This diagnosis is typically supported by a history of recurrent pelvic pain, abnormal vaginal discharge, or findings on pelvic examination and imaging consistent with chronic inflammation.

• Ensure the documentation specifies "chronic" to differentiate from acute parametritis or pelvic cellulitis.
• Carefully review the patient's history to rule out a tuberculous etiology, as this would require a different code.
• This code is often used in conjunction with codes for underlying causes if identified, such as chronic pelvic inflammatory disease.