Genital tract and pelvic infection following (induced) termination of pregnancy
ICD-10 O04.5 is a billable code used to indicate a diagnosis of genital tract and pelvic infection following (induced) termination of pregnancy.
Genital tract and pelvic infections can occur following an induced termination of pregnancy, whether medical or surgical. These infections may arise due to retained products of conception, improper sterilization of instruments, or the introduction of bacteria during the procedure. Symptoms may include fever, abdominal pain, abnormal vaginal discharge, and malaise. Clinicians must be vigilant in monitoring patients post-abortion for signs of infection, as prompt treatment is crucial to prevent complications such as sepsis or infertility. Management typically involves antibiotic therapy, and in some cases, surgical intervention may be necessary to remove retained tissue. Proper follow-up care is essential to ensure complete recovery and to address any psychological impacts of the termination process.
Detailed documentation of the procedure performed, patient history, and any complications encountered.
Patients presenting with fever and abdominal pain following a medical abortion.
Ensure clear documentation of the timeline of events and any treatments administered.
Comprehensive documentation of maternal health, fetal status, and any complications related to high-risk pregnancies.
High-risk patients undergoing termination due to medical indications presenting with infection.
Consider the implications of maternal-fetal health when coding for complications.
Used when a patient requires surgical intervention for infection post-abortion.
Document the indication for surgery and findings during the procedure.
Ensure that the surgical necessity is clearly linked to the infection diagnosis.
Common symptoms include fever, abdominal pain, abnormal vaginal discharge, and malaise. Patients should be monitored closely for these signs post-abortion.
