Chronic pelvic pain has a synonym as " Pelvic Congestion Syndrome".
Hysterectomy is reserved for patients with chronic pelvic pain unresponsive to medical or conservative.
Pain symptoms may take weeks to months to improve- so it is chronic.
Conservative treatments mean : Like hormonal suppression testing , non-steroidal anti- inflammatory drugs, alternate therapies like hypnosis, physical therapy, nerve block, Even treating for undiagnosed gyn. disorders, urological diseases, gastrointestinal ailments, musculocutaneous problems, psychosomatic problems could have been thought of, and initiated treatment for the same; even varicosity of the ovarian, pelvic veins, which are found to be one of the major causes, get treated with EMBOLIZATION therapy.. . ALL THE ABOVE/SOME OF THEM FAILED, MEANS –“ IRRESPONSIVE TO CONSERVATIVE TREATMENT.”
WHEN THE SCENARIO GIVES SUCH a STATUS OR CONDITION, Hysterectomy is reserved for patients with chronic pelvic pain, unresponsive to medical or conservative surgical therapy.
Why I brought this analysis is the chronic pelvic pain has the synonym as PELVIC CONGESTION SYNDROME ( WHICH IS PRONE FOR THIS IRRESPONSE TO CONSERVATIVE MANAGEMENTS, AND GETS RESERVED FOR HYSTERECTOMY).
So I would like to assign codes- 625.5 Pelvic Congestion Syndrome, and , V15.81- for noncompliance (irresponsive to medical management), if psychosomatic factor is not displayed there.