O41.142
Placentitis, second trimester
Clinical Classification Guidelines
Medical Intelligence & Overview
Placentitis during the second trimester is a condition characterized by inflammation of the placenta, a vital organ that supplies oxygen and nutrients to the developing fetus during pregnancy. This condition can potentially impact pregnancy outcomes and requires careful monitoring and management. It predominantly affects women in their second trimester but can occur at any stage of pregnancy. Recognizing the signs and understanding the causes, symptoms, diagnosis, and treatment options are essential for expectant mothers and healthcare providers alike.
Causes & Symptoms
Clinical Causes: Bacterial infections, such as those caused by *Listeria monocytogenes*, *Escherichia coli*, or *Treponema pallidum* Viral infections, including cytomegalovirus (CMV), herpes simplex virus, or parvovirus B19 Fungal infections, though less common Autoimmune conditions, like antiphospholipid syndrome Chorioamnionitis, an infection of the fetal membranes Prolonged rupture of membranes leading to ascending infections Previous history of placental infections or inflammation
Key Symptoms: Lower abdominal pain or discomfort Vaginal bleeding or spotting Unusual vaginal discharge Fever or chills Uterine tenderness Alterations in fetal movement Potential signs of preterm labor, such as regular contractions Elevated maternal white blood cell count which might be detected during blood tests
Diagnostic & Treatment
Diagnosis Path: Diagnosing placentitis involves a combination of clinical evaluation and diagnostic testing. Healthcare providers may perform:
Treatment Protocols: Managing placentitis during the second trimester focuses on controlling infection and preventing complications for both mother and fetus. Treatment options include:
Clinical Advice & FAQs
Billing Guidance
Is O41.142 a billable ICD-10 code?
Yes, O41.142 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report O41.142?
Clinical documentation must specify the nature of Placentitis, second trimester and any associated comorbidities for accurate reporting.
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