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ICD-10 Guide
ICD-10 CodesChapter 15: Pregnancy, childbirth and the puerperiumO87

O87

Non-billable

Venous complications and hemorrhoids in the puerperium

Chapter 15:Pregnancy, childbirth and the puerperium

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 O87 is a used to indicate a diagnosis of venous complications and hemorrhoids in the puerperium.

Key Diagnostic Point:

ICD-10 Category O87 encompasses venous complications and hemorrhoids that occur during the puerperium, which is the period following childbirth. This category includes conditions such as postpartum venous thrombosis, varicose veins, and hemorrhoids that may arise or exacerbate due to the physiological changes that occur during and after pregnancy. These complications can significantly affect a woman's recovery and overall health, necessitating appropriate diagnosis and management to prevent further complications such as deep vein thrombosis (DVT) or chronic venous insufficiency.

  • The clinical significance of accurately coding O87 lies in its impact on patient care and outcomes. Proper identification of these conditions allows healthcare providers to implement timely interventions, monitor for potential complications, and provide appropriate referrals to specialists if necessary. Furthermore, accurate coding is essential for healthcare facilities to ensure appropriate reimbursement and to maintain compliance with regulatory requirements. Healthcare providers should be aware of the nuances involved in coding these conditions to ensure that they reflect the patient's clinical status accurately.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation of venous complications
  • Differentiation between types of hemorrhoids
  • Need for thorough clinical documentation

Audit Risk Factors

  • Incomplete documentation of symptoms
  • Failure to specify type of hemorrhoids
  • Misclassification of venous complications

Specialty Focus

Medical Specialties

Obstetrics

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Gynecology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical impact of the O87 code category is significant as it directly relates to the health and recovery of postpartum women. Accurate coding can lead to improved patient outcomes through timely interventions and appropriate management of complications. Additionally, the identification of these conditions can contribute to quality measures that assess the standard of care provided to new mothers, ultimately influencing healthcare trends and policies aimed at improving maternal health.
From an administrative perspective, the proper use of O87 codes can enhance data collection efforts related to maternal health, allowing for better tracking of complications and outcomes. This data can inform public health initiatives and resource allocation to address the needs of postpartum women. Furthermore, as healthcare systems increasingly focus on population health management, understanding the implications of venous complications and hemorrhoids in the puerperium will be crucial for developing targeted interventions and improving overall maternal care.

ICD-9 vs ICD-10

The clinical impact of the O87 code category is significant as it directly relates to the health and recovery of postpartum women. Accurate coding can lead to improved patient outcomes through timely interventions and appropriate management of complications. Additionally, the identification of these conditions can contribute to quality measures that assess the standard of care provided to new mothers, ultimately influencing healthcare trends and policies aimed at improving maternal health. From an administrative perspective, the proper use of O87 codes can enhance data collection efforts related to maternal health, allowing for better tracking of complications and outcomes. This data can inform public health initiatives and resource allocation to address the needs of postpartum women. Furthermore, as healthcare systems increasingly focus on population health management, understanding the implications of venous complications and hemorrhoids in the puerperium will be crucial for developing targeted interventions and improving overall maternal care.

Reimbursement & Billing Impact

reimbursement for postpartum complications, as these can vary significantly. Additionally, it is advisable to use modifiers when applicable to indicate the relationship between the services provided and the diagnosis of venous complications or hemorrhoids.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for O87

Coding & Billing References

  • •
    Official ICD-10 Guidelines for O87

Frequently Asked Questions

What conditions are included in O87?

O87 includes venous complications such as postpartum venous thrombosis, varicose veins, and hemorrhoids that occur during the puerperium period following childbirth.

When should I use O87 codes?

O87 codes should be used when documenting venous complications or hemorrhoids that arise during the puerperium, particularly when these conditions are directly related to the recent childbirth.

What documentation is required for O87?

Documentation should include a clear description of the patient's symptoms, the clinical assessment findings, and any relevant treatment provided. Specific details about the type and severity of the venous complications or hemorrhoids should be included.