2025 ICD-10-CM code O90.2
(Active) Effective Date: N/A Pregnancy, childbirth and the puerperium - Complications predominantly related to the puerperium 15 Feed
Hematoma of obstetric wound.This code describes a localized collection of blood outside of blood vessels, occurring at the site of an obstetric wound during the puerperium (postpartum period).
Medical necessity for treatment is based on the size of the hematoma, the severity of symptoms, and potential complications (e.g., infection, pain, impaired wound healing).Intervention is generally warranted for large, symptomatic hematomas.
Obstetricians and other healthcare providers managing postpartum care are responsible for diagnosing and treating obstetric wound hematomas.Treatment may involve observation, pain management, or surgical intervention if necessary to evacuate the hematoma.
In simple words: A blood clot has formed at the site of a surgical cut or tear related to childbirth.
Hematoma of obstetric wound.This condition involves a blood clot that forms within tissues at the site of an obstetrical wound following delivery, including cesarean section incisions or perineal lacerations/episiotomies.
Example 1: A patient who delivered vaginally with an episiotomy presents two days postpartum with increasing perineal pain and a palpable, fluctuant mass at the episiotomy site.This is diagnosed as a hematoma of the obstetric wound., A patient who underwent a cesarean delivery complains of pain and swelling at the incision site one week postpartum.Ultrasound reveals a hematoma at the surgical site., A woman presents to the emergency department six days after giving birth at home.She reports increasing pain and a lump near her vaginal opening. On examination, a hematoma is discovered at the site of a perineal tear.
Documentation should include the location and size of the hematoma, associated symptoms like pain or swelling, any interventions performed (e.g., incision and drainage, pain management), and follow-up care.
- Specialties:Obstetrics and Gynecology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office, Home