Acute parametritis and pelvic cellulitis

This code describes an acute inflammatory condition affecting the connective tissue surrounding the uterus (parametrium) and/or the broader pelvic cellular tissue. It signifies a severe infection within the pelvic cavity, often a complication of gynecological procedures, childbirth, or ascending infections.

Use this code when documentation clearly indicates an acute infection of the parametrial or pelvic connective tissues. This typically presents with fever, pelvic pain, and signs of systemic infection, often following surgery, abortion, or delivery. Supporting documentation should specify "acute" and identify the location as parametrial or pelvic cellulitis.

• Differentiate from chronic parametritis (614.4) or other pelvic inflammatory diseases (PID) not specified as acute parametritis or pelvic cellulitis.
• Always look for documentation specifying "acute" to ensure accurate code assignment.
• Consider sequencing with an underlying cause, such as an obstetric complication or post-procedural infection, if applicable.