O04.87
Sepsis following (induced) termination of pregnancy
Clinical Classification Guidelines
Use Additional Code
- code to identify infectious agent (B95-B97)
Excludes Type 1
- septic or septicopyemic embolism following (induced) termination of pregnancy (O04.7)
Medical Intelligence & Overview
Sepsis following an induced termination of pregnancy is a serious but rare complication that can occur when the body's response to an infection becomes widespread, leading to systemic illness. Recognized under the ICD-10 code O04.87, this condition requires prompt recognition and treatment to prevent severe health consequences. It typically arises when bacteria enter the bloodstream during or after a pregnancy termination procedure, leading to a cascade of immune responses that can affect multiple organ systems. Understanding the causes, symptoms, diagnosis, and treatment options related to this condition can help in managing risks and ensuring better health outcomes.
Causes & Symptoms
Clinical Causes: Bacterial infection introduced during pregnancy termination procedures (e.g., D&C, medication abortion) Inadequate sterile techniques or contaminated instruments Pre-existing infections that worsen post-procedure Incomplete removal of pregnancy tissue leading to infection Immune system response to bacteria or other pathogens
Key Symptoms: Fever and chills Lower abdominal pain or tenderness Unusual or foul-smelling vaginal discharge General feelings of malaise or fatigue Rapid heartbeat or breathing Confusion or disorientation in severe cases Vomiting or diarrhea Low blood pressure in critically severe instances
Diagnostic & Treatment
Diagnosis Path: Diagnosing sepsis following an induced abortion involves a combination of clinical evaluation and laboratory tests. Healthcare providers typically assess the patient's medical history, including recent pregnancy termination procedures, and perform a physical examination. Blood tests may be ordered to detect signs of infection, such as abnormal white blood cell counts, blood cultures to identify causative bacteria, and markers like elevated C-reactive protein (CRP) or procalcitonin levels. Imaging studies, such as pelvic ultrasounds, might be used to evaluate the presence of retained tissue or abscesses. Prompt diagnosis is vital for initiating appropriate treatment and preventing complications.
Treatment Protocols: Hospitalization and close monitoring of vital signs Intravenous antibiotics to combat bacterial infection Supportive therapies such as IV fluids, oxygen therapy, and medications to stabilize blood pressure Surgical procedures, if necessary, to remove remaining infected tissue or abscess drainage Addressing any underlying causes or complications, such as retained tissue or perforation Post-treatment follow-up to prevent recurrence and monitor recovery
Clinical Advice & FAQs
Billing Guidance
Is O04.87 a billable ICD-10 code?
Yes, O04.87 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report O04.87?
Clinical documentation must specify the nature of Sepsis following (induced) termination of pregnancy and any associated comorbidities for accurate reporting.
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