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2025 ICD-10-CM code L08.82

Omphalitis not of the newborn.

Use additional code to identify the infectious agent.Correctly differentiate this from omphalitis of the newborn.

Modifiers may be applicable depending on the circumstances of the encounter and the services provided. Consult your local payer guidelines.

Medical necessity for the diagnosis and treatment of omphalitis would be established by clinical findings of umbilical inflammation, pain, and signs of infection. Documentation should support the need for evaluation, diagnostic testing (cultures), and the chosen treatment (e.g., antibiotics, surgical intervention).The severity of infection and risk of systemic spread may further justify medical necessity.

Diagnosis and management of omphalitis, including assessment of symptoms, identification of the causative agent (if possible), and appropriate treatment (e.g., antibiotics, wound care).

IMPORTANT:This code should not be used for omphalitis in newborns (P38.-). Additional codes (B95-B97) may be used to identify the specific infectious agent involved.

In simple words: Inflammation of the belly button in someone who isn't a newborn baby.It can be caused by infection and might be red, swollen, painful, and have pus.

Omphalitis not of the newborn refers to inflammation of the umbilicus (navel) in individuals who are not newborns.This condition can be caused by various infectious agents and may present with symptoms such as redness, swelling, pain, and discharge from the umbilicus.It's crucial to distinguish this from omphalitis in newborns, which has different coding and management considerations.

Example 1: A 30-year-old patient presents with umbilical pain, redness, and swelling, along with a purulent discharge.Culture identifies Staphylococcus aureus as the causative agent.The physician diagnoses omphalitis and prescribes antibiotics., A 65-year-old patient with a history of diabetes presents with a persistently inflamed and draining umbilicus.The physician performs wound debridement and initiates broad-spectrum antibiotic therapy while awaiting culture results to guide definitive treatment., A 15-year-old patient who recently underwent abdominal surgery develops localized umbilical inflammation and pain.Surgical exploration and debridement are performed, followed by antibiotic treatment for suspected infection.

Complete history and physical examination focusing on the umbilicus. Detailed description of the appearance of the umbilicus (e.g., erythema, edema, purulent discharge). Results of any microbiological cultures performed.Details of the treatment plan, including antibiotics prescribed, wound care procedures performed, and any surgical interventions.Response to treatment.

** Omphalitis can be a serious condition if left untreated, potentially leading to systemic infection.Prompt diagnosis and appropriate treatment are essential.

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