Mittelschmerz

This code represents recurrent, non-inflammatory abdominal pain occurring around the time of ovulation. It is typically unilateral, lasting from a few hours to a couple of days, and is considered a physiological event rather than a pathological condition. The pain is often described as sharp, crampy, or aching.

Use this code when documentation clearly indicates a patient is experiencing mid-cycle abdominal pain attributed to ovulation, without evidence of other gynecological or abdominal pathology. Supporting documentation should specify the timing of the pain in relation to the menstrual cycle and rule out other causes.

• Ensure documentation explicitly links the pain to ovulation and excludes other diagnoses like ovarian cysts or appendicitis.
• Do not use this code for general pelvic pain or dysmenorrhea; those have separate codes.
• Consider sequencing this code as a primary diagnosis when it is the sole reason for the encounter.