2025 ICD-10-CM code O74.0
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Obstetric Complications - Complications of anesthesia during labor and delivery Pregnancy, childbirth and the puerperium (O00-O9A) Feed
Aspiration pneumonitis resulting from anesthesia during labor and delivery.
Medical necessity is established by the presence of aspiration pneumonitis requiring medical intervention. The presence of clinical symptoms indicative of lung injury coupled with the history of general anesthesia during labor and delivery justifies the use of this code.
Obstetrician, anesthesiologist, and potentially other healthcare professionals involved in the mother's care during and after labor and delivery are responsible for the clinical management of aspiration pneumonitis.
- Pregnancy, childbirth and the puerperium (O00-O9A)
- O74 (Complications of anesthesia during labor and delivery)
In simple words: Lung inflammation caused by inhaling stomach contents during anesthesia for childbirth. This can happen when a mother receives anesthesia during labor or delivery.
Aspiration pneumonitis due to anesthesia during labor and delivery. This code encompasses maternal complications stemming from the inhalation of gastric contents or secretions during the administration of general, regional, or local anesthetic, analgesic, or other sedation used during labor and delivery.Mendelson's syndrome is included under this code.Use additional codes to specify other complications if applicable.
Example 1: A 35-year-old pregnant woman undergoing an emergency Cesarean section due to fetal distress experiences aspiration pneumonitis after receiving general anesthesia.This is a high-risk scenario that necessitates immediate intensive care., A 28-year-old patient undergoing elective Cesarean section develops mild aspiration pneumonitis after receiving general anesthesia, exhibiting symptoms such as cough and dyspnea.This case requires close monitoring and supportive care., A 40-year-old pregnant patient with a history of gastroesophageal reflux disease (GERD) undergoes a planned Cesarean section under general anesthesia.Prophylactic measures (e.g., antacids) are used to minimize the risk of aspiration, but despite this, the patient develops aspiration pneumonitis requiring treatment.
Complete medical history including details about pregnancy, anesthesia type and administration, symptoms (e.g., cough, dyspnea, fever, hypoxemia), chest x-ray findings, laboratory results (e.g., arterial blood gas analysis, complete blood count), treatment received (e.g., oxygen therapy, mechanical ventilation), and the patient's response to treatment.Operative notes documenting the anesthesia administration process are critical in these cases.
** The risk factors for aspiration pneumonitis during labor and delivery include the presence of GERD, obesity, and emergency Cesarean sections.Understanding these risk factors assists with appropriate prophylactic measures and post-operative monitoring.
- Payment Status: Active
- Specialties:Obstetrics, Anesthesiology, Pulmonology, Critical Care Medicine
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center