Sepsis following (induced) termination of pregnancy
ICD-10 O04.87 is a billable code used to indicate a diagnosis of sepsis following (induced) termination of pregnancy.
Sepsis following an induced termination of pregnancy is a serious condition that can arise when an infection occurs after a medical or surgical abortion. This condition is characterized by systemic inflammatory response syndrome (SIRS) due to infection, which can lead to organ dysfunction and potentially life-threatening complications. The risk of sepsis can be heightened by factors such as the method of termination (medical vs. surgical), the gestational age at the time of the procedure, and the presence of any underlying health conditions in the patient. Post-abortion care is crucial, as it involves monitoring for signs of infection, such as fever, chills, and abdominal pain. Proper clinical management includes timely diagnosis, initiation of broad-spectrum antibiotics, and supportive care. Coders must ensure accurate documentation of the termination method, any complications, and the patient's clinical status to appropriately assign this code.
Documentation must include the method of termination, any complications, and follow-up care provided.
Patients presenting with fever and abdominal pain post-abortion, requiring evaluation for sepsis.
Coders should be aware of the legal and ethical implications surrounding abortion procedures.
Detailed documentation of maternal health status and any high-risk factors that may contribute to complications.
High-risk patients undergoing termination who may have pre-existing conditions affecting their recovery.
Consideration of the patient's overall health and potential for complications is critical in coding.
Used when a patient undergoes a medical abortion and later presents with complications.
Documentation of the procedure, patient consent, and any complications encountered.
Obstetricians should ensure thorough documentation of the medical abortion process.
Documentation must include the method of termination, any signs of infection, clinical findings, and treatment provided. Clear notes on the patient's condition and follow-up care are essential.