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2025 ICD-10-CM code O72.1

Hemorrhage following delivery of placenta.

Code O72.1 should be used only on the maternal record and never on the newborn record. An additional code from category Z3A (Weeks of gestation) should be used to identify the specific week of pregnancy if known.

Medical necessity is established by the presence of significant postpartum hemorrhage not attributable to uterine atony or other specific causes. The medical record should document the severity of the hemorrhage, the associated clinical findings, and the interventions used to control the bleeding.

Obstetricians and other healthcare professionals managing postpartum care are responsible for diagnosing and treating this condition.

In simple words: This code indicates heavy bleeding after childbirth, specifically after the placenta has been delivered. It's different from bleeding caused by a weakened uterus.

Other immediate postpartum hemorrhage. This refers to excessive bleeding from the birth canal after the delivery of the placenta.It excludes uterine atony NOS (O62.2), uterine atony without hemorrhage (O62.2), and postpartum atony of uterus without hemorrhage (O75.89).

Example 1: A woman delivers vaginally and the placenta is delivered spontaneously. However, she begins to bleed heavily after the placental delivery.Upon examination, no uterine atony or retained placental fragments are found, and other causes of postpartum hemorrhage are ruled out.O72.1 is used., Following a cesarean delivery, a patient experiences significant blood loss after removal of the placenta. Uterine massage and medication are administered, but bleeding continues.Examination reveals no uterine atony or retained products of conception.O72.1 is used to describe the hemorrhage., A woman delivers twins vaginally. After the delivery of both placentas, excessive bleeding occurs.Despite uterotonic medications, the bleeding persists.No retained placental fragments or other specific causes for the hemorrhage are identified. O72.1 is used.

Documentation should include estimated blood loss, the time of onset and duration of the hemorrhage, any associated symptoms (such as hypotension or tachycardia), treatments administered, and the response to treatments. It should also clearly state that uterine atony and other specific causes of postpartum hemorrhage have been ruled out.

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