Health Information Management

Asherman's syndrome

JustCoding News: Outpatient, June 30, 2010

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Asherman’s syndrome, also known as uterine synechiae or intrauterine adhesions, is a condition characterized by the presence of adhesions in the uterine cavity due to scars that develop after uterine surgery.

This is a rare condition, occurring mostly in women who have undergone several dilatation and curettage (D&C) procedures.

Types/stages

There are no additional types/stages of Asherman’s syndrome.

Signs and symptoms

Women with Asherman’s syndrome may experience the following symptoms:

  • Amenorrhea (i.e., lack of menstrual periods)
  • Repeated miscarriages
  • Infertility

These signs and symptoms can indicate several different conditions. However, when they occur suddenly after a D&C or other uterine surgery, there is a greater probability they are related to Asherman’s syndrome.

Treatment

To treat Asherman’s syndrome, a physician may perform surgery to cut and remove the adhesions or scar tissue by hysteroscopy. To prevent the adhesions from returning, the uterine cavity must remain open while it heals.

Documentation and coding

ICD-9-CM coding

  • Intrauterine synechiae: Report code 621.5

ICD-10 coding

  • Intrauterine synechiae: Report code N85.6



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