AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2020 Issue 2; Correction Notice
Puerperal Sepsis due to Obstetrical Wound Infection
In the Fourth Quarter 2018 issue of Coding Clinic, page 23, and Second Quarter 2019 issue, page 39, it was advised to report code O85, Puerperal sepsis, in addition to codes O86.02, Infection of obstetrical surgical wound, deep incisional site, and O86.04, Sepsis following an obstetrical procedure, to capture sepsis due to deep incisional infection of cesarean wound. Is code O85 appropriate for sepsis that occurs in the postpartum period regardless of cause, including surgical wound infections? Are all three codes needed to capture sepsis that occurred due to the obstetrical surgical wound infection? ...
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Article Overview
This article reviews a coding guidance question about postpartum sepsis in the setting of an obstetrical wound infection. It is aimed at medical coders, CDI specialists, and others working with obstetric inpatient diagnosis coding, and it focuses on how the issue is discussed in Coding Clinic references and related ICD-10-CM obstetric infection categories.
Why This Topic Matters
Postpartum sepsis cases involving obstetrical surgical wound infection can affect diagnosis coding accuracy, record abstraction, and reporting consistency. The article is relevant to anyone comparing related Coding Clinic advice and ICD-10-CM obstetric infection categories.
What You Will Learn
- How the article frames postpartum sepsis coding questions in obstetric wound infection cases.
- Which Coding Clinic references are discussed in relation to the scenario.
- What broad ICD-10-CM obstetric infection topics are implicated by the question.
- intended_audiences":["Medical coders","Coding auditors","Clinical documentation integrity specialists","Health information management professionals"],"topics":["Postpartum sepsis","Obstetrical wound infection","Cesarean wound infection","Coding Clinic guidance","ICD-10-CM obstetric diagnoses"],"medical_specialties":["Obstetrics and gynecology","Infectious disease"],"code_sets":["ICD-10-CM"],"codes":[{"code_set":"ICD-10-CM","code":"O85"},{"code_set":"ICD-10-CM","code":"O86.02"},{"code_set":"ICD-10-CM","code":"O86.04"}],"code_ranges":[],"modifiers":[],"content_type":"Coding guidance article","effective_dates":["Fourth Quarter 2018","Second Quarter 2019"],"organizations_mentioned":["Coding Clinic"],"keywords":["puerperal sepsis","obstetrical surgical wound","postpartum period","cesarean wound","deep incisional infection"],"questions_answered":["How does the article discuss postpartum sepsis coding in the presence of an obstetrical wound infection?","Which prior Coding Clinic references are relevant to the issue?","What ICD-10-CM obstetric diagnosis categories are involved in the discussion?"],"access_description":"Premium Find-A-Code article covering a Coding Clinic-related question about obstetric wound infection and postpartum sepsis coding.
- disclosure_check":{"contains_code_descriptions":false,"contains_modifier_descriptions":false,"contains_actionable_coding_instructions":false,"contains_article_conclusions":false,"contains_detailed_examples":false}}}
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation integrity specialists
- Health information management professionals
Codes Discussed
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