Injury to uterus, without mention of open wound into cavity

This code signifies a traumatic injury to the uterus where there is no penetration into the uterine cavity. This typically involves contusions, lacerations, or other blunt force trauma to the uterine wall, without a direct communication between the injury site and the inside of the uterus.

Apply this code when documentation specifies uterine injury from external forces (e.g., blunt abdominal trauma, motor vehicle accident) and explicitly states or implies that the uterine cavity remains intact. This would be appropriate for cases like a uterine contusion or a superficial tear not extending through the endometrium.

• Differentiate from codes indicating uterine rupture or perforation, which involve an open wound into the cavity.
• Always review operative reports or imaging findings to confirm the absence of cavity involvement.
• Sequence as a primary diagnosis when the uterine injury is the principal reason for the encounter, or as a secondary diagnosis when it's a co-existing condition.