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2025 ICD-10-CM code O87.3

Cerebral venous thrombosis in the puerperium.

This code should only be used on the maternal record, never on the newborn record.Use additional code Z3A.- (Weeks of gestation) if applicable.

Medical necessity is established by the presence of cerebral venous thrombosis during the puerperium, impacting the patient's neurological function.Treatment is required to prevent serious complications like stroke, intracranial hemorrhage, and permanent neurological damage.

Obstetricians and other healthcare professionals involved in postpartum care are responsible for diagnosing and managing this condition.Neurologists may be consulted for specialized management.

In simple words: This code refers to a blood clot in the brain's veins occurring after childbirth.

This code describes a condition where a blood clot forms in the cerebral veins of the brain during the puerperium (postpartum period, typically six weeks after childbirth).

Example 1: A 30-year-old woman presents three weeks postpartum with severe headaches, blurred vision, and seizures. Imaging reveals cerebral venous thrombosis., A 25-year-old woman experiences a sudden onset of weakness on one side of her body two weeks after giving birth.An MRI scan confirms cerebral venous thrombosis., A 35-year-old woman develops focal neurological deficits and altered mental status during the puerperium.Diagnostic testing reveals cerebral venous thrombosis.

Documentation should include imaging findings (CT, MRI, MRV) confirming the presence of the thrombosis, details of the onset and nature of symptoms, and any associated risk factors or complications.

** Conditions that may mimic CVT include pre-eclampsia/eclampsia, postpartum headache, migraine, and stroke. It is crucial to differentiate CVT from these conditions due to different management strategies.

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