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2025 ICD-10-CM code O90.1

Disruption of perineal obstetric wound. This includes disruption of episiotomy wounds and perineal laceration wounds.

This code should only be used on the maternal record, never on the newborn record.Use additional code(s) to identify any associated infection.

Medical necessity is established by the presence of a disrupted perineal wound causing symptoms such as pain, bleeding, or discharge. Treatment is necessary to prevent further complications like worsening infection or delayed healing.

Obstetricians and other healthcare professionals involved in postpartum care are responsible for diagnosing and managing this condition.This includes assessing the wound, prescribing antibiotics if necessary, and providing pain management.

In simple words: This code describes a situation where the stitches used to repair a tear or cut between the vagina and anus after childbirth have come apart.

Disruption of perineal obstetric wound, encompassing disruptions to wounds from episiotomies and perineal lacerations.This condition occurs in the puerperium, the period following childbirth.

Example 1: A patient presents two weeks postpartum with increased pain and pus-like discharge from her episiotomy wound.Upon examination, a disruption of the wound is noted., A woman who delivered vaginally three days prior reports new bleeding from her perineal area.Examination reveals a separation of the stitches at the site of a second-degree perineal laceration repair., A postpartum patient experiences increased perineal pain and discomfort while sitting. Examination reveals a breakdown of her perineal repair along with signs of local infection.

Documentation should include details about the initial perineal trauma (tear or episiotomy), the method of repair, signs and symptoms of wound disruption (e.g., pain, bleeding, discharge), and evidence of infection, if present. The degree of the disruption should also be noted.

** This condition may lead to complications that affect the patient’s quality of life, such as pain, difficulty with bowel movements and sexual intercourse, and psychological distress. It is important to ensure adequate pain relief, wound care, and emotional support.

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