O71.81
Laceration of uterus, not elsewhere classified
Clinical Classification Guidelines
Medical Intelligence & Overview
A laceration of the uterus refers to a tear or cut that occurs in the muscle of the uterine wall. This type of injury usually happens during childbirth, particularly during delivery or as a result of surgical procedures involving the uterus. It is categorized as a specific condition under the ICD-10 code O71.81, indicating a laceration that does not fall into other detailed classifications. Such injuries may require medical attention to prevent complications, and understanding their causes, symptoms, and treatment options is important for women who experience this condition.
Causes & Symptoms
Clinical Causes: Traumatic delivery, such as with forceps or vacuum extraction Cesarean section surgery complications Previous uterine surgery, including dilation and curettage (D&C) Rupture due to uterine weakness or scar tissue Instrumental delivery with a large fetal size Obstetric trauma from obstetric procedures
Key Symptoms: Severe pelvic or abdominal pain Heavy vaginal bleeding Signs of shock, such as dizziness or fainting in severe cases Pelvic tenderness or swelling Persistent pain after delivery Possible abnormal uterine contractions or uterine tenderness
Diagnostic & Treatment
Diagnosis Path: Diagnosing a uterine laceration involves a combination of clinical examination and imaging techniques. Healthcare providers may perform:
Treatment Protocols: Management of a uterine laceration depends on its severity and location. Treatment options generally include:
Clinical Advice & FAQs
Billing Guidance
Is O71.81 a billable ICD-10 code?
Yes, O71.81 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report O71.81?
Clinical documentation must specify the nature of Laceration of uterus, not elsewhere classified and any associated comorbidities for accurate reporting.
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