Mittelschmerz

This code represents recurrent, intermenstrual abdominal pain, specifically occurring around the time of ovulation. It is a benign condition characterized by discomfort in the lower abdomen, typically unilateral, that coincides with the middle of the menstrual cycle.

Use this code when documentation clearly indicates a patient is experiencing mid-cycle pelvic pain attributed to ovulation. This diagnosis is supported by a history of cyclical pain occurring between menstrual periods, often described as sharp or crampy.

• Ensure documentation specifies the pain is related to the menstrual cycle and occurs mid-cycle, differentiating it from other causes of pelvic pain.
• Do not use this code for general pelvic pain or dysmenorrhea (painful menstruation) unless the pain is specifically identified as ovulatory.
• Consider additional codes for any associated symptoms or underlying conditions if documented.