Chronic or unspecified parametritis and pelvic cellulitis

This code signifies inflammation of the parametrium (connective tissue adjacent to the uterus) or diffuse inflammation of the pelvic cellular tissue. It describes a persistent or undifferentiated inflammatory process within the pelvic structures, often as a complication of infection or surgery.

Apply this code when documentation specifies chronic parametritis or pelvic cellulitis, or when the acuity of the condition is not specified. It is appropriate for cases where the inflammation is ongoing or the physician does not explicitly state it as acute.

• Differentiate from acute pelvic inflammatory disease (PID) (614.0-614.2) if the documentation specifies an acute presentation.
• Ensure the documentation clearly indicates "chronic" or lacks specificity regarding acuity to support this code.
• Consider an additional code for the underlying cause of the inflammation, if known and documented.