O86.81
Puerperal septic thrombophlebitis
Clinical Classification Guidelines
Medical Intelligence & Overview
Puerperal septic thrombophlebitis is a rare but serious infection that occurs in the veins of a woman after childbirth. It's characterized by inflammation and infection of the veins, typically in the pelvic or lower limb area, accompanied by the formation of blood clots. The condition can lead to complications if not diagnosed and treated promptly, including the spread of infection or the development of blood clots in vital arteries.
Causes & Symptoms
Clinical Causes: Bacterial infections entering the bloodstream through the uterus or vaginal area after childbirth. Infections caused by bacteria such as Staphylococcus aureus or streptococcal species. Delayed or inadequate treatment of postpartum infections. Presence of a vein injury or trauma during delivery or postpartum procedures. Weakening of the immune system due to factors such as anemia or prolonged hospital stays.
Key Symptoms: Fever and chills that persist or worsen. Pain, swelling, or tenderness in the pelvic or lower limb veins. Redness and warmth over the affected veins. Unusual fatigue or general feelings of illness. Possible drainage of pus from the area if abscesses form.
Diagnostic & Treatment
Diagnosis Path: Physical examination to check for signs of swelling, tenderness, or redness. Blood tests to identify signs of infection and inflammation, such as elevated white blood cell counts. Doppler ultrasound to visualize blood flow and locate clots in the veins. Imaging studies like venography or MRI if necessary to assess the extent of the thrombosis.
Treatment Protocols: Antibiotic therapy to fight the bacterial infection. Anticoagulant medications (blood thinners) to prevent or treat blood clots. Pain management to alleviate discomfort. Rest and elevation of affected limbs to reduce swelling. In severe cases, surgical intervention to remove infected tissue or drain abscesses. Monitoring for signs of further complications, such as embolism or spread of infection.
Clinical Advice & FAQs
Billing Guidance
Is O86.81 a billable ICD-10 code?
Yes, O86.81 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report O86.81?
Clinical documentation must specify the nature of Puerperal septic thrombophlebitis and any associated comorbidities for accurate reporting.
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