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2025 ICD-10-CM code O90.8

Other complications of the puerperium, not elsewhere classified.

Code O90.8 should only be used when no other more specific code within the chapter O00-O9A accurately describes the patient's condition.Always try to code to the highest level of specificity. This code is for use in the maternal record only, and should not be used on the newborn record. Providers should document the specific weeks of gestation using a code from category Z3A if known.

Medical necessity should be established by linking the reported complication to the pregnancy or the delivery. The documentation must support the need for the services provided to assess and manage the complication.

The healthcare provider managing the patient's postpartum care is responsible for diagnosing and documenting the specific complication, even if it's ultimately coded as O90.8 due to lack of a more precise code. This may involve obstetricians, gynecologists, family practitioners, or midwives.

IMPORTANT:Use a more specific code if the complication fits a more precise description within the O00-O9A chapter. Excludes1: supervision of normal pregnancy (Z34.-) Excludes2: mental and behavioral disorders associated with the puerperium (F53.-)obstetrical tetanus (A34)postpartum necrosis of pituitary gland (E23.0)puerperal osteomalacia (M83.0)

In simple words: This code signifies other health issues arising after childbirth not covered by more specific codes.

This code describes complications arising during the puerperium (postpartum period) that are not classified under other specific O90 codes. The puerperium is the period after childbirth, typically lasting six to eight weeks.This code is used when the specific complication is not covered by another more precise ICD-10 code within the O00-O9A chapter. Examples might include conditions like placental polyps.

Example 1: A patient develops a placental polyp two weeks postpartum, which is confirmed via ultrasound. As there isn't a more precise code, the condition is documented and coded as O90.8., A woman experiences persistent pelvic pain during the puerperium, and after extensive examination, no specific cause can be identified.Other puerperal complications are ruled out, so O90.8 is assigned., A patient has developed an infection of the episiotomy wound after delivery. The provider treats the infection. The correct code for this scenario is O90.1 Disruption of perineal obstetric wound.

Documentation should clearly specify the nature of the complication, the diagnostic methods used, and the treatment provided. Any relationship to the pregnancy or delivery should be noted, as well as the time elapsed since delivery when the complication arose. If other potential diagnoses were considered and ruled out, this should also be documented.

** This code is specifically for use in documenting maternal conditions and should not be applied to newborn records.

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