ICD-10-CM Code O04.87

Sepsis following (induced) termination of pregnancy

Version 2020 Billable Code Maternity Diagnoses Diagnoses For Females Only

Valid for Submission

O04.87 is a billable code used to specify a medical diagnosis of sepsis following (induced) termination of pregnancy. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code O04.87 might also be used to specify conditions or terms like illegal termination of pregnancy complicated by shock, illegal termination of pregnancy with sepsis, illegal termination of pregnancy with septic shock, induced termination of pregnancy complicated by infectious disease, induced termination of pregnancy complicated by sepsis, induced termination of pregnancy complicated by septic shock, etc

The code O04.87 is applicable to female patients aged 12 through 55 years inclusive. It is clinically and virtually impossible to use this code on a non-female patient outside the stated age range.

ICD-10:O04.87
Short Description:Sepsis following (induced) termination of pregnancy
Long Description:Sepsis following (induced) termination of pregnancy

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code O04.87:

Use Additional Code

Use Additional Code
The “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.
  • code to identify infectious agent B95 B97

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • septic or septicopyemic embolism following induced termination of pregnancy O04.7

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code O04.87 are found in the index:


Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Maternity diagnoses - Maternity. Age range is 12–55 years inclusive (e.g., diabetes in pregnancy, antepartum pulmonary complication).
  • Diagnoses for females only - Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, this code applies to FEMALES only .

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Illegal termination of pregnancy complicated by shock
  • Illegal termination of pregnancy with sepsis
  • Illegal termination of pregnancy with septic shock
  • Induced termination of pregnancy complicated by infectious disease
  • Induced termination of pregnancy complicated by sepsis
  • Induced termination of pregnancy complicated by septic shock
  • Induced termination of pregnancy complicated by shock
  • Induced termination of pregnancy complicated by shock
  • Induced termination of pregnancy complicated by tetanus
  • Legal termination of pregnancy complicated by shock
  • Legal termination of pregnancy with sepsis
  • Legal termination of pregnancy with septic shock
  • Postprocedural septic shock

Convert O04.87 to ICD-9

  • 635.02 - Leg abor w pelv inf-comp (Approximate Flag)

Code Classification

  • Pregnancy, childbirth and the puerperium (O00–O99)
    • Pregnancy with abortive outcome (O00-O08)
      • Complications following termination of pregnancy (O04) (induced)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Abortion

An abortion is a procedure to end a pregnancy. It uses medicine or surgery to remove the embryo or fetus and placenta from the uterus. The procedure is done by a licensed health care professional.

The decision to end a pregnancy is very personal. If you are thinking of having an abortion, most health care providers advise counseling.


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Sepsis

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
  • Adults 65 and older
  • 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 (IV) 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


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