Maternal care for incarceration of gravid uterus, second tri

This code signifies medical attention provided to a pregnant patient experiencing an incarcerated gravid uterus during the second trimester. An incarcerated uterus occurs when the uterus becomes trapped in the sacral hollow, preventing its normal ascent out of the pelvis as it grows. This condition can lead to urinary retention, pain, and, if uncorrected, uterine rupture or miscarriage.

Apply this code when documentation clearly indicates maternal care for a gravid uterus that is incarcerated and the pregnancy is confirmed to be in the second trimester. This includes initial diagnosis, ongoing management, or interventions related to the incarceration. Supporting documentation would include physician notes detailing the diagnosis, gestational age, and the specific care provided.

• Ensure the documentation explicitly states "incarceration" of the gravid uterus, not just a retroverted or retroflexed uterus without entrapment.
• Verify the gestational age falls within the second trimester (weeks 14 through 27+6 days).
• Sequence this code as the primary diagnosis when the incarceration is the reason for the encounter, followed by codes for any associated complications.