ICD-10-CM Billable Code

O04.5

Genital tract and pelvic infection following (induced) termination of pregnancy

Clinical Classification Guidelines

Inclusion Terms

  • Endometritis following (induced) termination of pregnancy
  • Oophoritis following (induced) termination of pregnancy
  • Parametritis following (induced) termination of pregnancy
  • Pelvic peritonitis following (induced) termination of pregnancy
  • Salpingitis following (induced) termination of pregnancy
  • Salpingo-oophoritis following (induced) termination of pregnancy

Excludes Type 1

  • sepsis following (induced) termination of pregnancy (O04.87)
  • urinary tract infection following (induced) termination of pregnancy (O04.88)

Medical Intelligence & Overview

ICD-10 code O04.5 pertains to infections that can develop in the genital tract and pelvis following the induced termination of pregnancy. These infections involve various structures within the reproductive system and may require medical attention to prevent complications. Recognizing the signs and understanding the causes can help ensure prompt treatment and recovery.

Causes & Symptoms

Clinical Causes: Introduction of bacteria during surgical or medical termination procedures Incomplete removal of pregnancy tissue leading to infection Pre-existing infections in the reproductive tract that may flare up post-procedure Poor sterilization practices during procedures Delayed or inadequate post-procedure care or follow-up Compromised immune system, which reduces the body's ability to fight infections

Key Symptoms: Pelvic pain or tenderness Fever and chills Unusual vaginal discharge with an odor Pain during urination or bowel movements Abdominal discomfort or bloating General malaise or feeling unwell Vaginal bleeding or spotting beyond the expected post-termination period

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a combination of medical history review, physical examination, and laboratory tests. Healthcare providers may perform:

Treatment Protocols: Treatment depends on the severity and specific type of infection but generally includes:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is O04.5 a billable ICD-10 code?
Yes, O04.5 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report O04.5?
Clinical documentation must specify the nature of Genital tract and pelvic infection following (induced) termination of pregnancy and any associated comorbidities for accurate reporting.

Cite this Clinical Reference

Clinical Meta Tags

pelvic tract infection termination pregnancy genital