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2025 ICD-10-CM code O90.0

Disruption of a cesarean delivery wound (dehiscence).

Use additional codes to specify the presence of infection (e.g., O85-O87), the type of wound dehiscence (partial vs. complete), and the need for surgical repair. This code is only to be applied to the maternal record, not the newborn's record.

Modifiers may apply to reflect the extent and complexity of the procedure involved in managing the wound disruption.

Medical necessity is established by the presence of wound dehiscence following a cesarean section requiring clinical intervention. This may involve wound care, antibiotics for infection, or surgical repair depending on the severity of the condition.

Obstetrician/Gynecologist, surgeon

IMPORTANT:Consider additional codes to specify the extent of the wound disruption and any associated infections or complications.Codes from categories O71 (Rupture of uterus) and O85-O87 (Puerperal infections) may be relevant depending on the clinical situation.

In simple words: This code describes a problem with the wound from a C-section, where the stitches have come undone, either partially or completely. This usually happens after the baby is born.

This code classifies the disruption or dehiscence of a wound resulting from a cesarean delivery.It encompasses the partial or complete separation of the layers of the surgical incision following a cesarean section.This can range from superficial skin separation to deeper disruption involving fascial layers or visceral organs. The condition typically arises in the postpartum period.

Example 1: A 30-year-old woman, three days postpartum following a cesarean section, presents with serosanguineous drainage and partial separation of the superficial wound edges.The patient reports mild discomfort., A 25-year-old woman, ten days postpartum following a cesarean section, reports increased abdominal pain, fever, and purulent discharge from the incision site. Examination reveals a deep wound dehiscence with signs of infection., A 35-year-old woman, two weeks postpartum following a cesarean section, experiences a complete disruption of the abdominal wound with evisceration (protrusion of abdominal organs). Immediate surgical intervention is required.

Operative report detailing the cesarean section. Postpartum progress notes documenting the wound disruption, including clinical findings (e.g., serosanguineous drainage, erythema, purulence, dehiscence extent), vital signs, and any associated symptoms (e.g., pain, fever).Photographs of the wound may be helpful.Any additional procedures performed to manage the wound disruption (e.g., debridement, surgical repair).Results of any laboratory tests (e.g., complete blood count, blood cultures).

** This code is not used for spontaneous rupture of the uterus before or during labor (O71.-).It is also not used for conditions such as puerperal osteomalacia (M83.0) or obstetrical tetanus (A34).

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