ICD-9 Diagnosis Code 670.20

Puerperal sepsis-unsp

Diagnosis Code 670.20

ICD-9: 670.20
Short Description: Puerperal sepsis-unsp
Long Description: Puerperal sepsis, unspecified as to episode of care or not applicable
This is the 2014 version of the ICD-9-CM diagnosis code 670.20

Code Classification
  • Complications of pregnancy, childbirth, and the puerperium
    • Complications of the puerperium (670-677)
      • 670 Major puerperal infection

Information for Patients

Postpartum Care

Also called: Post-pregnancy health

Taking home a new baby is one of the happiest times in a woman's life. But it also presents both physical and emotional challenges.

  • Get as much rest as possible. You may find that all you can do is eat, sleep, and care for your baby. And that is perfectly okay. You will have spotting or bleeding, like a menstrual period, off and on for up to six weeks.
  • You might also have swelling in your legs and feet, feel constipated, have menstrual-like cramping. Even if you are not breastfeeding, you can have milk leaking from your nipples, and your breasts might feel full, tender, or uncomfortable.
  • Follow your doctor's instructions on how much activity, like climbing stairs or walking, you can do for the next few weeks.
  • Doctors usually recommend that you abstain from sexual intercourse for four to six weeks after birth.

In addition to physical changes, you may feel sad or have the "baby blues." If you are extremely sad or are unable to care for yourself or your baby, you might have a serious condition called postpartum depression.

Dept. of Health and Human Services Office on Women's Health

  • After vaginal delivery - in the hospital
  • Losing weight after pregnancy
  • Vaginal delivery - discharge

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Sepsis is a serious illness. It happens when your body has an overwhelming immune response to a bacterial infection. The chemicals released into the blood to fight the infection trigger widespread inflammation. This leads to blood clots and leaky blood vessels. They cause poor blood flow, which deprives your body's organs of nutrients and oxygen. In severe cases, one or more organs fail. In the worst cases, blood pressure drops and the heart weakens, leading to septic shock.

Anyone can get sepsis, but the risk is higher in

  • People with weakened immune systems
  • Infants and children
  • The elderly
  • People with chronic illnesses, such as diabetes, AIDS, cancer, and kidney or liver disease
  • People suffering from a severe burn or physical trauma

Common symptoms of sepsis are fever, chills, rapid breathing and heart rate, rash, confusion, and disorientation. Doctors diagnose sepsis using a blood test to see if the number of white blood cells is abnormal. They also do lab tests that check for signs of infection.

People with sepsis are usually treated in hospital intensive care units. Doctors try to treat the infection, sustain the vital organs, and prevent a drop in blood pressure. Many patients receive oxygen and intravenous fluids. Other types of treatment, such as respirators or kidney dialysis, may be necessary. Sometimes, surgery is needed to clear up an infection.

NIH: National Institute of General Medical Sciences

  • Blood culture
  • Group B streptococcal septicemia of the newborn
  • Neonatal sepsis
  • Sepsis
  • Septic shock
  • Septicemia
  • Toxic shock syndrome

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