ICD-10-CM Billable Code

O86.21

Infection of kidney following delivery

Clinical Classification Guidelines

Medical Intelligence & Overview

An infection of the kidney after childbirth, known medically as postpartum pyelonephritis, is a serious condition that can develop following delivery. It involves inflammation and infection of the renal pelvis and kidney tissue. Recognizing and understanding this condition is vital for timely medical intervention and recovery. This guide provides an overview of what this infection entails, its causes, symptoms, diagnosis, and treatment options.

Causes & Symptoms

Clinical Causes: Bacterial infection, primarily caused by bacteria such as Escherichia coli, which can ascend from the urinary tract into the kidneys. Urinary retention or incomplete emptying of the bladder during or after delivery, which can promote bacterial growth. Use of catheters during labor or postpartum periods that may introduce bacteria into the urinary system. Hormonal changes and physical stress of childbirth that can weaken the immune system temporarily, increasing infection risk. Pre-existing urinary tract infections (UTIs) that worsen or spread to the kidneys after delivery. Dehydration or inadequate fluid intake, leading to concentrated urine and increased susceptibility to infections.

Key Symptoms: High fever, often accompanied by chills Pain in the back, sides, or groin area Pain or burning sensation during urination Feeling of urgency or frequent urination Nausea and vomiting General feeling of weakness or fatigue Cloudy, foul-smelling urine Possible blood in the urine

Diagnostic & Treatment

Diagnosis Path: Urinalysis to detect bacteria, white blood cells, or blood in the urine Urine culture to identify the specific bacteria causing the infection Blood tests to check for signs of infection or inflammation, such as increased white blood cell count Imaging studies like ultrasound or CT scan to visualize the kidneys and rule out other complications Assessment of vital signs and physical examination focusing on abdominal and back areas

Treatment Protocols: Antibiotics: Prescribed to eliminate the bacterial infection, often given intravenously initially, then oral medications as recovery progresses Pain management: Use of analgesics to alleviate discomfort Hydration: Increased fluid intake to help flush out bacteria from the urinary tract Rest and recovery: Adequate rest to support immune functioning Monitoring: Regular follow-up to ensure infection resolution and prevent complications Addressing any underlying issues: Such as urinary retention or other factors increasing infection risks

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 O86.21 a billable ICD-10 code?
Yes, O86.21 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report O86.21?
Clinical documentation must specify the nature of Infection of kidney following delivery and any associated comorbidities for accurate reporting.

Cite this Clinical Reference

Clinical Meta Tags

delivery kidney infection