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2025 ICD-10-CM code O86.81

Puerperal septic thrombophlebitis is a postpartum infection of the veins.

Code O86.81 should only be used for puerperal septic thrombophlebitis.Additional codes should be used to specify the infectious agent and any related complications.

Modifiers may be applicable based on the circumstances of the treatment and the specific services provided. Consult current coding guidelines for specific modifier rules.

Medical necessity for the treatment of puerperal septic thrombophlebitis is established by the presence of a clinically significant infection in the veins postpartum. Treatment is necessary to prevent serious complications such as sepsis, pulmonary embolism, and potential death. The necessity is supported by clinical findings and laboratory data indicating infection and thrombosis.

Obstetricians and gynecologists are primarily responsible for diagnosing and managing puerperal septic thrombophlebitis.Treatment often involves antibiotics, anticoagulants, and supportive care. In severe cases, hospitalization and intensive care may be necessary.

IMPORTANT:Use additional code (B95-B97) to identify infectious agent. Excludes infection during labor (O75.3) and obstetrical tetanus (A34).

In simple words: Puerperal septic thrombophlebitis is a serious infection of the blood vessels that occurs after childbirth. It involves blood clots and inflammation in the veins, usually in the legs or pelvis. This can lead to severe illness if left untreated.

Puerperal septic thrombophlebitis is a serious postpartum complication characterized by infection and inflammation of the veins, typically in the legs or pelvis.It arises from infection spreading to the veins during or after childbirth, causing blood clots and potentially life-threatening complications such as sepsis or pulmonary embolism. The condition is often associated with other puerperal infections.

Example 1: A 30-year-old woman, three days postpartum, presents with fever, leg pain, and swelling. Physical examination reveals tenderness along the femoral vein.Doppler ultrasound confirms a deep vein thrombosis with signs of infection.The diagnosis of puerperal septic thrombophlebitis is made., A 25-year-old woman, one week postpartum, develops a high fever, chills, and localized pain and redness in her right lower extremity.Laboratory tests show leukocytosis and positive blood cultures for Staphylococcus aureus.Further investigation reveals septic thrombophlebitis of the right iliac vein., A 35-year-old woman, two weeks postpartum, experiences recurrent episodes of fever, night sweats, and fatigue.A CT scan of the pelvis demonstrates pelvic vein thrombosis with evidence of infection.Despite antibiotic therapy, the patient deteriorates, requiring hospitalization and intravenous antibiotics for treatment of severe puerperal septic thrombophlebitis.

Detailed medical history, including pregnancy and delivery details.Physical examination findings, including vital signs, examination of the affected limb, and palpation of affected veins. Laboratory results, including complete blood count, blood cultures, and coagulation studies.Imaging studies such as ultrasound, CT scan, or MRI to confirm the diagnosis and assess the extent of the thrombus and infection.Documentation of antibiotic treatment and response.

** This code should be used in conjunction with other codes as needed to fully capture the clinical picture.It is crucial to accurately document the clinical findings and treatment details to support medical necessity and proper reimbursement.

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