O87.1
Deep phlebothrombosis in the puerperium
Clinical Classification Guidelines
Use Additional Code
- code to identify the deep vein thrombosis (I82.4-, I82.5-, I82.62-, I82.72-)
Inclusion Terms
- Deep vein thrombosis, postpartum
- Pelvic thrombophlebitis, postpartum
Medical Intelligence & Overview
Deep phlebothrombosis during the puerperium refers to the development of a blood clot within a deep vein, typically in the pelvic or leg region, shortly after childbirth. This condition is a serious concern due to the risk of the clot dislodging and leading to a pulmonary embolism. Recognized under the ICD-10 code O87.1, postpartum deep vein thrombosis (DVT) requires prompt recognition and management to prevent complications. It is closely related to pelvic thrombophlebitis, which involves inflammation of the pelvic veins along with clot formation, often occurring after delivery.
Causes & Symptoms
Clinical Causes: Changes in blood clotting factors during pregnancy, which increase the tendency for clot formation. Reduced mobility after childbirth due to fatigue, pain, or bed rest. Increased pressure in the pelvic veins from the enlarging uterus or from labor activities. Pre-existing conditions such as inherited clotting disorders or prior history of thrombosis. Infections or inflammation in the pelvic region that can promote clot formation. Cesarean section delivery, which carries a higher risk compared to vaginal delivery. Obesity, which can impede circulation and increase venous pressure.
Key Symptoms: Swelling in one or both legs or in the pelvic area. Pain or tenderness, often described as a deep ache, in the affected limb or pelvis. Warmth and redness in the skin over the affected area. Skin discoloration or bluish tint in severe cases. A feeling of heaviness or fatigue in the leg or pelvis. Fever and general malaise, particularly if pelvic thrombophlebitis is involved.
Diagnostic & Treatment
Diagnosis Path: Diagnosing deep phlebothrombosis in the puerperium involves a combination of clinical assessment and imaging tests. Healthcare providers will review symptoms, medical history, and perform physical examinations focusing on swelling, tenderness, and skin changes. Confirmatory tests include:
Treatment Protocols: Effective management of deep phlebothrombosis in the puerperium aims to prevent clot extension, reduce the risk of embolism, and address underlying causes. Typical treatment strategies include:
Clinical Advice & FAQs
Billing Guidance
Is O87.1 a billable ICD-10 code?
Yes, O87.1 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report O87.1?
Clinical documentation must specify the nature of Deep phlebothrombosis in the puerperium and any associated comorbidities for accurate reporting.
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