Hematometra

This code represents the accumulation of menstrual blood within the uterus, leading to distension. This condition typically results from an obstruction in the outflow tract, preventing normal menstruation.

Use this code when documentation clearly indicates the presence of blood retained within the uterine cavity. This often occurs in cases of cervical stenosis, imperforate hymen, or other congenital or acquired anomalies obstructing the cervix or vagina.

• Ensure documentation specifies the uterus as the site of blood accumulation, distinguishing it from other reproductive organs.
• Review for any underlying cause of the obstruction, which may require additional coding.
• Remember the Excludes1 note: do not code this when hematometra is documented with hematocolpos (blood in the vagina).