ICD-10-CM Billable Code

O86.02

Infection of obstetric surgical wound, deep incisional site

Clinical Classification Guidelines

Inclusion Terms

  • Intramuscular abscess following an obstetrical procedure
  • Sub-fascial abscess following an obstetrical procedure

Medical Intelligence & Overview

ICD-10 code O86.02 refers to infections that occur in the deep layers of tissue following obstetric surgery. Specifically, it describes infections like intramuscular or sub-fascial abscesses that develop in the surgical wound area after childbirth procedures. These infections can develop a few days to weeks after surgery, requiring medical attention to prevent further complications and promote healing. Recognizing the causes, symptoms, and treatment options is important for effective management.

Causes & Symptoms

Clinical Causes: Bacterial contamination during or after surgery Inadequate sterilization of surgical equipment Infection due to poor wound care post-surgery Immune system suppression or underlying health conditions Prolonged or complicated surgical procedures Presence of foreign bodies, such as sutures or surgical materials

Key Symptoms: Localized swelling and redness at the surgical site Pain or tenderness over the affected area Fever and chills indicating systemic infection Increased warmth around the wound Pus or drainage from the incision site Feeling of warmth or throbbing in the affected area

Diagnostic & Treatment

Diagnosis Path: Diagnosis of a deep incisional wound infection typically involves a thorough clinical examination, assessment of symptoms, and medical history. Imaging tests like ultrasound or MRI might be used to identify abscess formation. In some cases, a sample of wound drainage may be cultured to identify the specific bacteria involved, guiding targeted therapy. Blood tests may also be performed to check for signs of systemic infection or inflammation.

Treatment Protocols: Management often involves a combination of approaches tailored to the severity of the infection. Common treatments include: - **Antibiotic therapy** to target the bacteria causing the infection - **Drainage of abscesses** through surgical or minimally invasive procedures - **Wound care**, including proper cleaning and dressing changes - **Pain management** for associated discomfort - **Monitoring and follow-up** to ensure complete resolution of the infection In cases where the infection is extensive or resistant to initial treatments, more aggressive surgical interventions may be necessary to remove infected tissue or foreign materials. Preventive measures involve maintaining sterile surgical techniques and proper postoperative wound care to minimize the risk of such infections.

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 O86.02 a billable ICD-10 code?
Yes, O86.02 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report O86.02?
Clinical documentation must specify the nature of Infection of obstetric surgical wound, deep incisional site and any associated comorbidities for accurate reporting.

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Clinical Meta Tags

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