a dominant follicle in the ovaries reaches 20-25 mm diameter at maturity. Methods A retrospective study was conducted at a tertiary center. When a hydrosalpinx. (en-do-mee. Despite the high prevalence of adnexal masses, less than 20% of newly discovered pelvic masses will be malignant ( 1 – 3 ). Adnexa have been described in relation to: cutaneous/skin adnexa. An attempt should be made to entrap the adnexa between the abdominal and vaginal hand. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Adnexal torsion may involve the fallopian tubes, ovaries or both. Adnexa of the eye consist of the lids, lacrimal system and orbit. Both the ovary and the fallopian tube typically are involved; hence, the preferred term adnexal torsion rather than ovarian torsion . They usually form in the ovaries, which make eggs and hormones, or the fallopian tubes, which connect. fimbrial ectopic: ~11% of tubal ectopics and ~10% of all ectopics. Moderate to severe burns of the eye and the ocular adnexa cause serious morbidity and may result. Dermoid cysts are cysts that contain skin elements including squamous epithelium and dermal appendages (adnexa), such as sebaceous and sweat glands and hair. Cyst of the uterine adnexa; Cyst of uterine adnexa; Fallopian tube cyst; Left broad ligament cyst; Left fallopian tube cyst; Right broad ligament cyst; Right fallopian tube cyst; ICD-10-CM N83. The ovary (arrowheads) appears as a structure of moderate echogenicity, containing several small functional cysts (*’s). Foetal adnexa and fluid could be considered as discarded material; therefore, sampling is non-invasive, inexpensive and free from ethical considerations. A patient has ovarian cancer of both ovaries. There is also extensive. Several general guidelines are repeated in this Chapter. 3 - other international versions of ICD-10 N80. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Endometriosis is a common, chronic gynecological condition defined as the presence of functional endometrial glands and stroma-like lesions outside the uterus. 1. 313 Postprocedural hemorrhage and hematoma of eye and adnexaN85. Polycystic mass of uterine adnexa; Uterine mass; ICD-10-CM N85. 722 - other international versions of ICD-10 Z90. The 2024 edition of ICD-10-CM R19. may show multiple dilated veins in the adnexa with reversed venous flow on color Doppler, especially after Valsalva maneuver. Skin appendages (or adnexa of skin) are anatomical skin-associated structures that serve a particular function including sensation, contractility, lubrication and heat loss in animals. [10] Andexanet alfa differs from native FXa due to the removal of a 34 residue fragment that contains the Gla domain. 742 Uterine and adnexa procedures for non-malignancy with cc/mcc; 743 Uterine and adnexa procedures for non-malignancy without cc/mcc; 760 Menstrual and other female reproductive system disorders with cc/mcc; 761 Menstrual and other female reproductive system disorders without cc/mcc; 795 Normal newborn; Convert N89. Adnexal masses represent a spectrum of conditions from gynecologic and nongynecologic sources. The nodules are classically described as yellow-white, mobile and firm. The 2024 edition of ICD-10-CM N80. PTEN gene mutation occurs in 30-80% of. In conclusion, this report provides a comprehensive review of the eye and ocular adnexa abnormalities that are currently known to be associated with the ODDD phenotype. Furthermore, MSCs derived from foetal adnexa and fluid preserve some of the characteristics of the primitive embryonic layers from which they originate and seem to present immune. 89 may differ. Stage I: Patient was admitted with a cervical exam of 3/c/-1. passing gas ( flatulence) abdominal distention (swollen belly) If your. recent ct abdomen says lesions in right and left adnexa, enlarged nodes. 8 to ICD-9-CM. Infundibulopelvic Ligament and Adnexa. 1 Simple Ovarian Cysts Description and Clinical Features The normal ovary in premenopausal women typically contains small cysts, less than 3 cm in diameter, representing follicles or functional cysts. This unique instrument permits three-dimensional visualization and measurement of the fine anatomy of the adnexa and anterior segment of the eye. E00-E89 Endocrine, nutritional and metabolic diseases. Diffusion weighted imaging is a vital tool in the radiologist armamentarium for improving the diagnostic accuracy of adnexal lesions other than routine spine echo sequences. H59-H59 Intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classified. 029 may differ. CONCLUSION. This is the American ICD-10-CM version of Z90. This is the American ICD-10-CM version of R10. What is adnexal mass? An adnexal mass is a lump of tissue in or near the female reproductive system, usually in an ovary or uterine tube. Best answers. increased urination. 19. 0):. H53-H54 Visual disturbances and blindness. Disorder of eye, unspecified. 79 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. You may not realize your tubes are blocked until your provider investigates what’s making it difficult for you to become pregnant. Conclusions. Figure 10. 4%. 54 - other international versions of. Pelvic congestion syndrome (PCS) involves chronic pelvic pain unrelated to menstruation or pregnancy. They are called "adnexal" because of their association with the adnexa of the uterus, which are appendages related to the uterus. N80. 1 - other international versions of ICD-10 D27. Hematogeneous spread of microorganisms may be due to bacterial invasion into the portal system via colonic mucosal defects . By using a systematic approach to the evaluation of a complex pelvic mass, including incorporating the clinical and surgical history, and by using multiparametric MRI to identify the anatomic origin, morphologic features, and tissue composition. However, these terms are generally used interchangeably in clinical. uterus displaced to the involved side. The most common pathogen that invades a preexisting. It is a common cause of chronic pelvic pain in women of reproductive age. A. An appendix is considered an _____, or accessory organ. The ovaries appear almond shaped, typically lateral to the uterus and anterior to the internal iliac vasculature. Tumours of the cutaneous adnexa are lesions that arise from, or differentiate towards, structures in normal skin such as regions of hair follicles, sweat ducts/glands, sebaceous glands, or a combination of these elements. The tip of the middle finger should be well lubricated and placed against the anal orifice. Adnexa: The adnexa is all the parts attached to the uterus, but not the uterus itself. add. , systemic chemotherapy, X-ray therapy more extensive than to the area of the eye, or surgery more extensive than. 2024 ICD-10-CM Codes. Generally speaking, surgery isn’t recommended for ovarian cysts unless they’re larger than 50 to 60 millimeters (mm) (about 2 to 2. This is the American ICD-10-CM version of N80. Ovarian cysts can vary significantly by size, depending on the type. 89 may differ. spinal dermoid cyst. Laparoscopic detorsion was performed in 11/15 (73. They usually form in the ovaries, which make eggs and hormones, or the fallopian tubes, which connect. 742 Uterine and adnexa procedures for non-malignancy with cc/mcc; 743 Uterine and adnexa procedures for non-malignancy without cc/mcc; 760 Menstrual and other female. 9 became effective on October 1, 2023. The operator should palpate the posterior leaf of broad ligament using his fingers, and confirm. The principles of correct coding discussed in Chapter I apply to the Current Procedural Terminology (CPT) codes in the range 60000-69999. Terminology is extremely important in the Eye and Ocular Adnexa (65091-68899) subsection. VISION. 8 - other international versions of ICD-10 H57. USG has been a trusted modality for imaging the adnexa and associated pathologies such as torsion. H26. The fallopian tubes consist of four parts. C. Citation, DOI, disclosures and article data. The liver is the most common remote site of abscess formation . Uterus and adnexa: Ovarian masses 2: Deep: Lateralized pain with intercourse: Pain with adnexal palpation: Transvaginal ultrasonography: Observation or laparoscopy as indicated: Uterine. The 2024 edition of ICD-10-CM H00. OBJECTIVE. Subepidermal calcified nodule (SCN) of the ocular adnexa is a rare, benign subtype of calcinosis cutis. . 33 %) of non-pregnant women and adnexectomy done in four women 26. Vaginal discharge that’s discolored and/or sticky. Lymph nodes in the pelvic and peri-aortic areas were also biopsied. H59-H59 Intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classified. Elimination half-life is 5 to 7 hours. The adnexa are made up of the fallopian tubes and ovaries. by turning the. Adnexal torsion: Excessive rotation of the infundibulo-pelvic ligament around its axis with impairment of flow through the ovarian artery and vein that supply the ovary and fallopian tube ( Figure 24-1 ). 8 is grouped within Diagnostic Related Group(s) (MS-DRG v 41. Clinical history is vital in the diagnosis of an adnexal mass (). Since your description did not specify that, we can not give this code because there are other cysts like gartners cyst, para ovarian/ para tubal cysts. This is the American ICD-10-CM version of N80. Those SCL users with uncorrected distant vision of worse than 20/100 must carry an extra set ofEctopic pregnancy is the implantation of a pregnancy in a site other than the endometrial lining of the uterine cavity—ie, in the fallopian tube, uterine cornua, cervix, ovary, or abdominal or pelvic cavity. Physiologic FDG avidity in the adnexa may be unilateral or bilateral. Video Clips on DVD 2-1 Anterior Abdominal Wall 2-2 Anatomy of the Uterus and Adnexa 2-3 Vasculature 2-4 Lower Urinary Tract 2-5 Avascular Planes of the Pelvis The removal of the uterus may be performed through a variety of approaches: abdominal, laparoscopic, and vaginal. depression. Abstract. INDICATIONS: Her cervix was found to be ulcerated, erythematous and hypertrophic. Dermoid cysts are cysts that contain skin elements including squamous epithelium and dermal appendages (adnexa), such as sebaceous and sweat glands and hair. The round ligament is identified within the RFUO complex and transected using a monopolar instrument. Adnexal tumors are growths of cells that form on the organs and connective tissues around the uterus. Adnexal masses are lumps that occur in the adnexa of the uterus, which includes the uterus, ovaries, and fallopian tubes. 0):. 9 - other international versions of ICD-10 N93. Ultrasound (US) is the key modality for the evaluation of contents of the female pelvis. Upon searching the CPT codes and consulting with the physician, the coder is unable to find a code for the procedure. The 2024 edition of ICD-10-CM R10. Learn the meaning, synonyms, and related terms of adnexa from various medical sources and references. Sections. This activity will highlight the mechanism of. H57. " The adnexa of the uterus include the ovaries, fallopian tubes, and structures of the broad ligament. Because of the intimate aspect of an OB/GYN examination, it is important to establish trust and a private and relaxing setting for the patient. Pelvic congestion syndrome is a medical condition that causes chronic pelvic pain. 2. The adnexa (tubes and ovaries) are neither tender nor enlarged. 2024 ICD-10-CM Range H00-H59. 742 Uterine and adnexa procedures for non-malignancy with cc/mcc; 743 Uterine and adnexa procedures for non-malignancy without cc/mcc; 760 Menstrual and other female reproductive system disorders with cc/mcc; 761 Menstrual and other female reproductive system disorders without cc/mcc; Convert N94. 89 may differ. The 2024 edition of ICD-10-CM H26. The uterus and adnexa should be palpated for unusual masses. Adnexa have been described in relation to: cutaneous/skin adnexa. In this 5-year retrospective single-institution study, we characterized orbital and ocular adnexal lymphomas in terms of the clinical presentation, histopathologic findings, management, and outcomes. They can appear at any age, and most of them go away on their own within a few months. The differential diagnosis of persistent adnexal masses is also discussed in Chap. Lesion is predominantly of fat-attenuation, with soft tissue attenuation solid areas within. the venous calibers may increase on real time during Valsalva. . Define Adnexa. 379 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. At the time of surgery most children are suspected of having acute. Other ovarian cysts. Methods This was a single oncology centre, retrospective diagnostic accuracy. Additionally, a serine to alanine (S419A) mutation in the. doi: 10. uterus displaced to the involved side. 292 - other international versions of ICD-10 N83. 0):. The epidermis consists of stratified squamous epithelium. One ligament it is suspended by is the infundibulopelvic ligament, also called the suspensory ligament of the ovary, which connects. These factors include the offending agent, length of exposure, the surface area affected, and which ocular tissues are involved. Adnexa definition: . A wide range of benign and malignant processes can affect one or both fallopian tubes. INTRODUCTION. You should individualize your exam for the specific patient. ICD-10-CM N83. Here we will provide a overview of ocular embryology, covering the key stages and events involved in the. Signs and symptoms are often nonspecific. Cysts are fluid-filled structures that can develop in the adnexa. A general care pathway for adnexal masses discovered in a family medicine setting. an adnexal mass that is separate from the ovary is the most common finding and may be seen on in up to 89-100% of cases 1. C56. Adnexal cysts are a common incidental finding at US, CT, and MRI but have historically caused a diagnostic dilemma for determining when to follow up and how to manage them. A lower incidence in females is most likely due to the interposition of the uterus and adnexa between the bladder and the colon. 292 is grouped within Diagnostic Related Group(s) (MS-DRG v 41. The ocular adnexa. Classically, a TOA manifests with an adnexal mass, fever, elevated white blood cell count, lower abdominal-pelvic pain, and/or vaginal discharge; however, presentations of this disease can be highly variable. MR images of 45 consecutive patients aged 28–87 years (mean ± SD, 53. Learn about their functions, such. An ectopic pregnancy is when an embryo implants somewhere other than in the uterine cavity —most frequently in the fallopian tube. 9 became effective on October 1, 2023. 742 Uterine and adnexa procedures for non-malignancy with cc/mcc; 743 Uterine and adnexa procedures for non-malignancy without cc/mcc; 760 Menstrual. Download citation file: Ris (Zotero) Reference Manager; EasyBib; Bookends; Mendeley22:28. Functional ovarian cysts are very common during these peripubertal years and may be a predisposing cause of adnexal twisting. Complete procidentia with cystocele and rectocele. Many tumors may be classified by using the IOTA Simple Rules model. Andexanet alfa is a biologic agent, a recombinant modified version of human activated factor X (FXa). 6 ± 16. Learn how we can help. Adnexal masses are identified in pregnant patients at a rate of 2 to 20 in 1000, approximately 2 to 20 times more frequently than in the age-matched general population. The appendages or accessory structures of an organ. After completion of the hysterectomy and ligation of the RFUO complex, a long and moist vaginal pack (I prefer the 4" x 36" cotton vaginal pack by Dukal) is used to push the bowels back and expose the adnexae. Adnexal tumors most often aren't cancerous, but they can be cancerous. Although amyloidosis may be suspected clinically,. A lack of contrast enhancement may be seen. It is a significant clinical finding that can change the differential diagnosis for a patient and is assessable in female patients of various ages. Adnexal masses may be found in females of all ages and have many etiologies ( table 1 ). Treatment and prognosis. N70. 0 years) with adnexal masses diagnosed at clinical examination or on sonography were reviewed retrospectively. 8 may differ. The ICD-10 code range for Diseases of the eye and adnexa H00-H59 is medical classification list by the World Health Organization (WHO). Normal ovarian tissue ( arrowheads) is seen around a portion of the cyst. At the time of the study, nonspecific echogenicity in the right adnexa was interpreted as bowel loops. 3 ). Abnormal physical examination findings may be suggestive of more advanced disease. Medical Definition of Adnexa. Andexanet alfa is a modified recombinant human factor Xa (FXa) decoy protein that binds and sequesters apixaban or rivaroxaban; it also binds and inhibits tissue factor pathway inhibitor. 82 - other international versions of ICD-10 C79. Rapidly reduces free plasma concentration of the factor Xa (FXa) inhibitors rivaroxaban and apixaban, which neutralizes their anticoagulant. 03 became effective on October 1, 2023. A Cystectomy is coded to 58662 ". On the basis of a descriptive preliminary analysis, an initial bolus and subsequent 2-hour infusion of andexanet substantially reduced anti–factor Xa activity in patients with acute. ICD-10-CM Official Guidelines for Coding and Reporting FY 2023 -- UPDATED April 1, 2023 (October 1, 2022 - September 30, 2023) Narrative changes appear in bold textThe tumor belongs to the same histopathologic spectrum as an ovarian thecoma / ovarian fibrothecoma. 09 may differ. Occasionally, special examinations or tests may be required to identify specific ocular disorders or to establish the presence of associated systemic disease. The 2024 edition of ICD-10-CM C54. Organisms that infect preexisting epithelial defects belong to the normal microflora of the conjunctiva and adnexa. The 2024 edition of ICD-10-CM N83. Studies have found that hydrosalpinx blockages are present in 10% to 30% of tubal infertility cases. Previous Code: H57. The results of this determine the action required by the physician. If conservative surgery is felt to be appropriate in women. Drug class: Anticoagulant reversal agents. varicose veins around the vulva, buttocks, and legs. net dictionary. Detailed information regarding follow-up of ocular adnexal lymphoma and of the frequency of large cell transformation of low-grade ocular adnexal lymphoma is limited. She had SROM at 0330. MRI plays an important role as a secondary test or problem-solving modality in the evaluation of adnexal lesions depicted at US. e. 13 The Adnexa M. Merriam-Webster unabridged. Adnexal torsion: Excessive rotation of the infundibulo-pelvic. Meaning of adnexa. Female pelvic masses have a broad differential diagnosis, including benign and malignant neoplasms and nonneoplastic entities. " These areas bounce back many sound waves. Package insert / product label. Looser ligaments that connect the adnexa to the pelvic wall and uterus can cause adnexal torsion. Adnexa Smooth muscle Nerves Vessels: small arteries, arterioles and lymphatics Small arteries, arterioles, venules, lymphatics and nerves conform a network of 2 connected plexuses parallel to the surface Superficial plexus: located in the upper reticular dermis, supplies the papillary dermis with a capillary loop system. It is a general assumption that CT is not an apt modality for diagnosis of torsion. Learn more about its history, etymology and terminology. More appropriate is 620. Gently move the cervix from side to side to check for cervical tenderness (important sign with ectopic pregnancy or pelvic inflammatory disease). 1 A reliable diagnostic test is needed, especially. Oct 7, 2010. Hyperechoic. 7 u/ml, cea 72. This is the American ICD-10-CM version of H11. irritable. Treating Adnexal. It is composed of spindle cells forming variable amounts of collagen. In clinical trials, andexanet alfa decreased anti-FXa activity by 94% and 92% in patients on apixaban and rivaroxaban. Several general guidelines are repeated inAdnexa appear to be particularly prone to torsion in the early pubertal years. 6 may differ. 2010 Oct;32 (10):980-3. 9 - other international versions of ICD-10 H26. [2] Uterine appendages. 19. ovarian dermoid cyst. 0): 742 Uterine and adnexa procedures for non-malignancy with cc/mccAndexanet alfa (andexanet) is a specific reversal agent that is designed to neutralize the anticoagulant effects of both direct and indirect factor Xa inhibitors. Video Clips on DVD 2-1 Anterior Abdominal Wall 2-2 Anatomy of the Uterus and Adnexa 2-3 Vasculature 2-4 Lower Urinary Tract 2-5 Avascular Planes of the Pelvis The removal of the uterus may be performed through a variety of approaches: abdominal, laparoscopic, and vaginal. the ovaries also vary in size with the menstrual cycle. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. adnexa . 2 - other international versions of ICD-10 R10. CONCLUSION. 9 may differ. Most ovarian cysts require no treatment. This is the American ICD-10-CM version of R19. 8 is grouped within Diagnostic Related Group(s) (MS-DRG v 41. It allows ready (and portable) imaging of the uterus, ovaries, and other structures at a reasonable cost and without ionizing radiation. Hyperechoic. Evaluation of the eye and its adnexa requires a good history, assessment of visual function, and physical examination of the eyes. O-RADS 0 is an incomplete evaluation due to technical factors such as bowel gas, large size of the lesion, location of the adnexa, or inability to tolerate endovaginal imaging (Figs 2,3) O-RADS 1, the physiologic category that is relevant only in premenopausal patients, includes the follicle and corpus luteum as defined in Figure 1. 742 Uterine and adnexa procedures for non-malignancy with cc/mcc; 743 Uterine and adnexa procedures for non-malignancy without cc/mcc; 760 Menstrual and other female reproductive system disorders with cc/mcc; 761 Menstrual and other female reproductive system disorders without cc/mcc; Convert N83. H55-H57 Other disorders of eye and adnexa. This article provides an overview of the possible content of the H&P of the OB. The patient came back 3 days later with recurrent right lower quadrant pain. A hydrosalpinx is a specific type of fallopian tube blockage. Benign or malignant; simple or complex. parous: maximum volume of 15 mL. ICD-9-CM 379. 209 is grouped within Diagnostic Related Group(s) (MS-DRG v 41. All neoplasms are classified in this chapter, whether they are functionally active or not. N93. A 72-year-old female asked: Hysterectomy & bilateral ovaries removed 17 yrs ago. For claims submitted to the Part B MAC: Claims for external ocular photography services are payable under Medicare Part B in the following places of service. 66%. Type I (80%) arises in the setting of unopposed hyperestrogenism and endometrial hyperplasia. cervical ectopic : cervical pregnancy; rare <1%. Characteristic imaging features of simple adnexal cysts include a simple fluid collection with smooth walls and no solid or vascular components. Terminology They can be defined in slightly different ways: Some sources define the adnexa as the fallopian tubes and ovaries. hair follicles, sweat glands, nails adnexa mastoidea. Define Bartholin Glands. Adnexal torsion may involve the fallopian tubes, ovaries or both. 9 became effective on October 1, 2023. (All of these problems are addressed in the body of the note below. 9 - other international versions of ICD-10 D27. Retroverted: Uterus is tilted posteriorly toward the spine. During the bimanual exam, you may use one finger or two fingers inside the vagina. 9 became effective on October 1, 2023. ICD-10-CM Coding Rules. The 2024 edition of ICD-10-CM Z90. HU >50 on non-contrast CT suggests hemorrhagic necrosis 2. 89 to ICD-9-CM. H11. 743 Uterine and adnexa procedures for non-malignancy without cc/mcc. twisted pedicle in the adnexa. An adnexal mass is an abnormal growth that develops near the uterus, usually in the ovaries, fallopian tubes, or surrounding connective tissues. The reported incidence of adnexal masses in pregnancy ranges from 1 in 81 to 1 in 8000 pregnancies. The. Simple means that there are no " echogenic foci" within it which could represent blood or pus. As per American College of Radiology (ACR) guidelines, the required elements for 76801 are “appropriate for gestation” and “visible. 614. The overall incidence of ovarian cancer is relatively low, accounting for just over 1% of all cancer diagnosis in 2021. 8 is applicable to female patients. Parent Code: H57. doi: 10. Iud (intrauterine device) malposition; Malposition of intrauterine contraceptive device; ICD-10-CM T83. Adnexa is a term for the appendages of an organ, such as the eye, skin or uterus. 子宫附件的定义有不同种类： 一些资料定义为输卵管和卵巢 。 而一些资料还包括“输卵管、卵巢及支持性组织” 。 Adnexal masses represent a spectrum of conditions from gynecologic and nongynecologic sources. 991. Small amount of free fluid in the pelvis on ultrasound is therefore most commonly a normal finding in a reproductive aged women. A transvaginal ultrasound offers an invaluable avenue for imaging the female pelvic anatomy. Pain that is intermittent or constant lasting for 3-6 months, present in the pelvic or abdominal region, occurring throughout the menstrual cycle, and without any. In premenopausal women, physiologic follicular cysts and corpus luteum cysts are the most common adnexal masses, but. 2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. a dominant follicle in the ovaries reaches 20-25 mm diameter at maturity. swelling of the vagina or vulva. A: Coronal (COR RO) and ( B) sagittal (SAG RO) images of the right ovary demonstrating a simple ovarian cyst ( arrows ). Examination of the maternal uterus and adnexa. Women who present with colovesical fistulae are usually older or have a history of hysterectomy. Women of childbearing age who have had more than one pregnancy may have the highest risk of pelvic congestion syndrome. Examination of the maternal uterus and adnexa. Andexanet alfa is a biologic agent, a recombinant modified version of human activated factor X (FXa). 3 became effective on October 1, 2023. 82 became effective on October 1, 2023. Should. fat stranding in the adnexa . During the bimanual exam, you may use one finger or two fingers inside the vagina. C, D. 6014 Malignant neoplasms of the eye, orbit, and adnexa (excluding skin): Malignant neoplasms of the eye, orbit, and adnexa (excluding skin) that require therapy that is comparable to those used for systemic malignancies, i. The characteristic US features used to classify adnexal masses as benign, malignant, or indeterminate are reviewed, and guidelines for reporting and managing these lesions are provided. Codes are divided anatomically into the following subheadings: Eyeball Anterior Segment Posterior Segment Ocular Adnexa Conjunctiva Note that coding throughout the Eye and Ocular Adnexa subsection accounts for reoperations. 8. Figure 28. 1 is applicable to female patients. A mass can increase the risk of torsion. Adnexa definition: Accessory parts or appendages of an organ. 1. This latter cul-de-sac is also known as the pouch of Douglas, named for the Scottish physician James Douglas. The appearance of a twisted ovarian pedicle on CT is pathognomonic for ovarian torsion 11. opercular series +. This is the American ICD-10-CM version of D27. H57. 9 - other international versions of ICD-10 H02. 32XA is grouped within Diagnostic Related Group(s) (MS-DRG v 41.