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2025 ICD-10-CM code O04.87

Sepsis following induced termination of pregnancy.

This code should only be used on the maternal record and not the newborn record.Use additional codes to identify the specific organism (B95-B97) and the severity of sepsis (R65.2-).

Medical necessity for this code is established when a patient presents with clinical symptoms and signs of sepsis (fever, chills, tachycardia, hypotension, etc.) following an induced termination of pregnancy.Diagnosis is typically confirmed with laboratory findings (positive blood cultures) and may require imaging studies to assess the uterus. Treatment is aimed at combating the infection and stabilizing the patient's hemodynamic status.

The clinical responsibility includes diagnosing the sepsis, identifying the causative organism (if possible), administering appropriate antibiotics, and providing supportive care to manage the patient's vital signs and organ function. Close monitoring for progression to septic shock is critical.

IMPORTANT:Consider additional codes from categories B95-B97 (Infectious agents) to identify the specific organism and R65.2- (Severe sepsis) if applicable.Also consider O04.7 (Septic or septicopyemic embolism following (induced) termination of pregnancy) if embolism is present.

In simple words: This code describes a serious infection that happens after a medically induced abortion.The infection can spread throughout the body and needs immediate medical attention.

This code is used to classify sepsis (a life-threatening condition caused by the body's overwhelming response to an infection) that occurs after a medically induced termination of pregnancy.It is crucial to note that this code should only be applied to maternal records, not those of the newborn.Additional codes may be necessary to specify the infectious agent (B95-B97) and the severity of the sepsis (R65.2- for severe sepsis).This code excludes septic or septicopyemic embolism following induced termination of pregnancy (O04.7).

Example 1: A 28-year-old woman undergoes an induced abortion at 10 weeks gestation.Two days later, she presents with fever, chills, and lower abdominal pain.Blood cultures reveal *Escherichia coli*, and she is diagnosed with septic abortion (O04.87).Appropriate antibiotics are initiated, and she is monitored closely., A 35-year-old woman has a complicated induced abortion at 16 weeks, resulting in retained products of conception. She later develops a high fever, tachycardia, and hypotension. She is diagnosed with septic abortion (O04.87), septic shock, and is immediately admitted for intravenous antibiotics and surgical removal of retained tissue., A 22-year-old woman experiences an incomplete spontaneous abortion and develops signs of sepsis.After a DC procedure, she is diagnosed with sepsis following an incomplete abortion (O04.87) and treated with broad-spectrum antibiotics. She requires ongoing monitoring of her vital signs and lab work.

Complete history and physical examination, including vital signs;Results of laboratory tests, including complete blood count (CBC), blood cultures, and inflammatory markers (e.g., CRP, procalcitonin);Details of the induced abortion procedure;Findings from imaging studies (e.g., ultrasound) if indicated;Documentation of antibiotic treatment and response;Progress notes reflecting the patient's clinical course and response to treatment.

** Septic abortion is a medical emergency requiring prompt treatment.Delay in diagnosis and treatment can lead to severe complications, including septic shock and death.

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