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2025 ICD-10-CM code O71.5

Other obstetric injury to pelvic organs. This includes injuries to the bladder and urethra during delivery.

Use additional codes to specify any associated complications, such as infection (O86.0) or hemorrhage (O72).

Medical necessity for the treatment of obstetric injury to pelvic organs is established by the presence of signs and symptoms of the injury, such as pain, bleeding, difficulty urinating, or incontinence.Treatment may include surgical repair, medication, or other interventions to address the injury and its complications.

Obstetricians and other healthcare professionals involved in labor and delivery management are responsible for diagnosing and documenting these injuries.

In simple words: This code indicates an injury to the mother's pelvic organs (like the bladder or urethra) that occurred during childbirth.

Other obstetric injury to pelvic organs. Includes: Obstetric injury to bladder and Obstetric injury to urethra. Excludes2: obstetric periurethral trauma (O71.82)

Example 1: During a vaginal delivery, forceps are used to assist with the birth.The mother sustains a bladder injury during the procedure., A woman experiences a prolonged and difficult labor, resulting in a tear to her urethra., Following a cesarean section, a woman develops a fistula (abnormal connection) between her bladder and vagina.

Documentation should clearly describe the nature and extent of the pelvic organ injury. Operative reports, if applicable, should detail the instruments used and any complications encountered.Imaging studies, such as ultrasound or CT scan, may be necessary to confirm the diagnosis and assess the severity of the injury.

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