Pelvic congestion syndrome

This code identifies a chronic pelvic pain condition in women, often characterized by dilated and tortuous pelvic veins. It results from venous insufficiency and blood pooling in the pelvic region, leading to persistent discomfort.

Apply this code when documentation clearly indicates a diagnosis of pelvic congestion syndrome, typically supported by imaging studies (e.g., pelvic venography, ultrasound, MRI) showing dilated pelvic veins and correlating with chronic pelvic pain. Use for patients experiencing persistent, dull, aching pelvic pain, often worse with standing or during menstruation.

• Ensure physician documentation explicitly states "pelvic congestion syndrome" or a similar definitive diagnosis.
• Do not confuse with other causes of chronic pelvic pain; differentiate based on venous insufficiency.
• Consider sequencing this code as a primary diagnosis when it is the main reason for the encounter and treatment.