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2025 ICD-10-CM code O75.1

Shock during or following labor and delivery.

This code should only be used on maternal records and not on newborn records.Additional codes should be used to specify the cause of the shock and the week of gestation.

Medical necessity is established by the presence of signs and symptoms consistent with shock (hypotension, tachycardia, altered mental status), requiring immediate intervention to prevent life-threatening complications. Documentation of the cause of the shock and the severity of the patient's condition is crucial for demonstrating medical necessity.

Obstetricians and other healthcare professionals involved in the care of the mother during labor and delivery are responsible for diagnosing and managing postpartum shock.This may involve resuscitation, fluid administration, medication, and consultation with specialists.

IMPORTANT:Consider additional codes from other chapters to specify the cause of the shock (e.g., for septic shock, codes from chapter 11, infectious and parasitic diseases),and use code Z3A to specify the week of gestation.

In simple words: This code describes a serious drop in blood pressure (shock) that happens during or after childbirth.It's a general code, and the doctor will use other codes to explain the exact reason for the shock.

This code is used to classify cases of shock that occur during or after labor and delivery.It encompasses various etiologies of shock in the postpartum period, including but not limited to hypovolemic, septic, cardiogenic, or anaphylactic shock.The specific cause of the shock should be documented separately using additional codes as needed.

Example 1: A 30-year-old woman experiences postpartum hemorrhage after vaginal delivery, leading to hypovolemic shock requiring immediate resuscitation and blood transfusion., A 25-year-old woman develops septic shock following a cesarean section due to a postpartum infection.She presents with fever, hypotension, and organ dysfunction., A 35-year-old woman with pre-existing cardiovascular disease experiences cardiogenic shock during labor due to cardiac decompensation. This necessitates immediate intervention by a cardiologist.

Detailed documentation is crucial.This includes the timing of the shock (during or after labor), vital signs (blood pressure, heart rate, respiratory rate), symptoms, laboratory results (complete blood count, electrolytes, coagulation studies, blood cultures), treatment administered (fluid resuscitation, vasopressors, antibiotics), and the response to treatment.The underlying cause of the shock should be thoroughly documented.

** This code should be used cautiously, ensuring comprehensive documentation of the etiology and management of the shock to avoid ambiguity and support appropriate reimbursement.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

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