ICD-10-CM Billable Code

O86.1

Other infection of genital tract following delivery

Clinical Classification Guidelines

Medical Intelligence & Overview

This condition refers to infections that occur in the female genital tract after childbirth, excluding well-known types such as endometritis. These infections can involve various parts of the reproductive system and may develop shortly after delivery. Recognizing these infections promptly is vital for appropriate management and recovery.

Causes & Symptoms

Clinical Causes: Bacterial contamination during or after childbirth Inadequate postpartum hygiene Prolonged labor or difficult delivery Cesarean section procedures Compromised immune system due to other health conditions Presence of retained placental tissue or membranes Use of invasive procedures during delivery

Key Symptoms: Fever and chills Lower abdominal pain or discomfort Unusual vaginal discharge that may be foul-smelling Swelling or tenderness in the genital area Pain during urination or sexual intercourse General feelings of malaise or fatigue Possible bleeding or abnormal vaginal bleeding

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a thorough medical history review, physical examination, and possibly laboratory tests. These tests may include vaginal or cervical swabs to identify infectious organisms, blood tests to check for signs of infection, and imaging studies if abscesses or other complications are suspected. Healthcare providers also consider the timing of post-delivery symptoms and any risk factors present.

Treatment Protocols: Management of these infections generally includes antibiotic therapy tailored to the identified or suspected pathogens. Supportive care, such as pain relief and hydration, may also be recommended. In cases where abscesses or other complications develop, surgical intervention might be necessary. Close monitoring ensures the infection responds to treatment and resolves effectively.

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 O86.1 a billable ICD-10 code?
Yes, O86.1 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report O86.1?
Clinical documentation must specify the nature of Other infection of genital tract following delivery and any associated comorbidities for accurate reporting.

Cite this Clinical Reference

Clinical Meta Tags

delivery genital infection tract