2025 ICD-10-CM code O90
Complications of the puerperium, not elsewhere classified.
Medical necessity for using O90 is established when a complication arises during the puerperium that doesn't fit any other specific diagnostic category.The documentation must clearly support the presence of a complication impacting the patient's health and requiring medical attention.
The healthcare provider managing the postpartum care of the mother is responsible for diagnosing and documenting any complications during the puerperium.This may include obstetricians, gynecologists, family physicians, midwives, or other healthcare professionals involved in postpartum care.
- 15 Pregnancy, childbirth and the puerperium
- Complications predominantly related to the puerperium (O85-O92)
In simple words: This code signifies complications arising after childbirth that don't fit into other specific categories. It is used when the specific complication is not yet known or doesn't have its own code.
This code encompasses various complications arising during the puerperium (postpartum period) that are not classified under other specific O00-O9A codes.The puerperium is the period after childbirth, typically lasting six to eight weeks.This code is used when the complication is not specifically identified or when further investigation is needed.
Example 1: A woman experiences persistent fever and lower abdominal pain one week postpartum, but the cause is not immediately identifiable.After ruling out other possible diagnoses, the physician assigns O90 until a definitive diagnosis can be established., A patient develops unusual fatigue and shortness of breath during the puerperium.Initial investigations are inconclusive, and the condition is documented as O90 until further tests reveal a postpartum cardiomyopathy., A woman experiences excessive blood loss after childbirth, exceeding the typical postpartum bleeding.While awaiting test results to determine if it meets the criteria for postpartum hemorrhage (O72.1), O90 is temporarily assigned to capture the complication.
Detailed clinical documentation of the symptoms, physical findings, and any diagnostic tests performed is crucial.Any associated conditions, such as infection or trauma, should also be documented.The provider should specify the nature of the complication and justify the use of O90 when a more specific code is not applicable.
** Excludes1: supervision of normal pregnancy (Z34.-)Excludes2: mental and behavioral disorders associated with the puerperium (F53.-)obstetrical tetanus (A34)postpartum necrosis of pituitary gland (E23.0)puerperal osteomalacia (M83.0)Use additional code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
- Payment Status: Active
- Specialties:Obstetrics and Gynecology, Family Medicine, Midwifery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office, Home