O07.32
Renal failure following failed attempted termination of pregnancy
Clinical Classification Guidelines
Inclusion Terms
- Kidney failure (acute) following failed attempted termination of pregnancy
- Oliguria following failed attempted termination of pregnancy
- Renal shutdown following failed attempted termination of pregnancy
- Renal tubular necrosis following failed attempted termination of pregnancy
- Uremia following failed attempted termination of pregnancy
Medical Intelligence & Overview
Renal failure following a failed attempt to terminate a pregnancy is a serious medical condition that involves the sudden loss of kidney function. This complication can occur due to various factors related to the medical or surgical procedure, and requires prompt attention. When the kidneys do not work properly, waste products and excess fluids can build up in the body, leading to potentially life-threatening health issues. This article provides an overview of this condition, including its causes, symptoms, diagnosis, and treatment options.
Causes & Symptoms
Clinical Causes: Severe bleeding during or after attempt to terminate pregnancy, leading to hypoperfusion of the kidneys Use of certain medications or anesthesia that may affect kidney function Infection resulting from invasive procedures or retained products Injury to the urinary tract or kidneys during the procedure Pre-existing kidney disease that is exacerbated by the procedure Hemodynamic instability or shock due to blood loss, impacting kidney perfusion
Key Symptoms: Reduced urine output (oliguria) Swelling or fluid retention Confusion or altered mental state caused by toxin accumulation Nausea and vomiting Shortness of breath due to fluid overload Elevated blood pressure or difficulty controlling blood pressure Fatigue or weakness Uremia, leading to symptoms like metallic taste in the mouth or itching
Diagnostic & Treatment
Diagnosis Path: Medical history review, focusing on recent pregnancy termination procedures Physical examination to assess signs of fluid overload and kidney impairment Blood tests measuring serum creatinine and blood urea nitrogen (BUN) levels Urinalysis to evaluate urine output and detect abnormalities such as protein or casts Imaging studies, such as ultrasound, to examine kidney structure and detect any injury or blockage Assessment of hemodynamic status to evaluate blood flow to the kidneys
Treatment Protocols: Immediate stabilization, including fluid management and blood pressure control Dialysis to remove toxins and excess fluid if kidney function is severely compromised Treating infections promptly with appropriate antibiotics Addressing bleeding or other complications of the pregnancy termination Supportive care with electrolyte management and nutritional support Monitoring renal function regularly to guide ongoing treatment Surgical intervention if there are structural damages or obstructions
Clinical Advice & FAQs
Billing Guidance
Is O07.32 a billable ICD-10 code?
Yes, O07.32 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report O07.32?
Clinical documentation must specify the nature of Renal failure following failed attempted termination of pregnancy and any associated comorbidities for accurate reporting.
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