O41.123
Chorioamnionitis, third trimester
Clinical Classification Guidelines
Medical Intelligence & Overview
Chorioamnionitis, also known as intra-amniotic infection, is an infection of the membranes surrounding the fetus during pregnancy. When this infection occurs during the third trimester, it can pose significant risks for both the mother and the baby. Recognized under the ICD-10 code O41.123, this condition requires careful monitoring and management to prevent complications. This article provides a comprehensive look at chorioamnionitis in the third trimester, including its causes, symptoms, diagnosis, and treatment options.
Causes & Symptoms
Clinical Causes: Bacterial infection from organisms such as Group B Streptococcus, E. coli, or other bacteria present in the genital tract Premature rupture of membranes, which can allow bacteria to enter the amniotic cavity Prolonged labor, increasing the risk of bacterial invasion Multiple vaginal examinations during labor, which may introduce bacteria Infections elsewhere in the reproductive tract that spread to the amniotic fluid Preterm labor associated with infection Presence of devices like intrauterine devices (IUDs) or other invasive procedures during pregnancy
Key Symptoms: Fever during labor or pregnancy Foul-smelling vaginal discharge Increased fetal heart rate (tachycardia) Uterine tenderness or swelling Maternal chills or shivering Abdominal pain or discomfort Elevated maternal white blood cell count Signs of preterm labor such as regular contractions
Diagnostic & Treatment
Diagnosis Path: Diagnosis of chorioamnionitis involves a combination of clinical assessment and laboratory tests. Healthcare providers may use the following methods:
Treatment Protocols: Managing chorioamnionitis in the third trimester aims to treat the infection promptly and minimize risks to mother and baby. Treatment strategies typically include:
Clinical Advice & FAQs
Billing Guidance
Is O41.123 a billable ICD-10 code?
Yes, O41.123 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report O41.123?
Clinical documentation must specify the nature of Chorioamnionitis, third trimester and any associated comorbidities for accurate reporting.
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