2025 ICD-10-CM code O87.9
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Complications predominantly related to the puerperium - Venous complications and hemorrhoids in the puerperium Chapter 15: Pregnancy, childbirth and the puerperium Feed
Unspecified venous complication in the puerperium.
Modifiers are not applicable to ICD-10 codes.
Medical necessity is established by the presence of symptoms and signs indicative of a venous complication in the puerperium.The diagnostic workup and treatment should be consistent with clinical guidelines and best practices for the management of venous thromboembolic disease.
The clinical responsibility lies with the obstetrician or other healthcare professional managing the postpartum patient's care.This includes assessing symptoms, ordering diagnostic tests (e.g., ultrasound, D-dimer), and initiating appropriate treatment (e.g., anticoagulation).
- Chapter 15: Pregnancy, childbirth and the puerperium
- O87 - Venous complications and hemorrhoids in the puerperium
In simple words: This code is used when a woman experiences a blood clot or other vein problem after giving birth, but the exact type of problem isn't known.
This code signifies a venous complication that occurred during the puerperium (the period after childbirth) without further specification of the type of venous complication.It encompasses various venous issues arising postpartum, excluding those explicitly listed under other, more specific ICD-10 codes.Accurate documentation is crucial to select the most precise code if more details are available.
Example 1: A 30-year-old postpartum woman presents with leg swelling and pain three days after delivery.A deep vein thrombosis (DVT) is suspected, but further investigation is needed to confirm the diagnosis. O87.9 is used pending diagnostic results. , A 25-year-old woman experiences a pulmonary embolism (PE) one week postpartum.While the PE is a serious complication,O87.9 might be used as a placeholder until the complete clinical picture is clarified by the physician who can specify the appropriate ICD-10 code., A 35-year-old woman has generalized leg edema and pain after vaginal delivery.Following ultrasound and blood testing, superficial thrombophlebitis is confirmed. In this case, O87.0 is used instead of O87.9.
Comprehensive documentation is essential.This includes detailed patient history (including any history of venous thromboembolism), physical examination findings (including location, size, and tenderness of any swelling), and results of any diagnostic testing (e.g., Doppler ultrasound, D-dimer, complete blood count).The physician's assessment and treatment plan should also be well documented.
** This code should be used cautiously and only when a more specific diagnosis cannot be established.Further investigation is often needed to determine the precise nature of the venous complication.
- Revenue Code: Revenue codes will vary based on the specific services provided and the payer.
- RVU: RVUs are not applicable to ICD-10 codes.
- Global Days : Not applicable to this ICD-10 code.
- Payment Status: Active
- Modifier TC rule: Not applicable to this ICD-10 code.
- Fee Schedule : Not applicable to this ICD-10 code.
- Specialties:Obstetrics, Gynecology, Hematology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Physician's Office