O90.0 Disruption of cesarean delivery wound

ICD10CM code

#### Name of the Condition
- Disruption of Cesarean Delivery Wound
- Also known as Cesarean section wound dehiscence

#### Summary
Disruption of the cesarean delivery wound refers to the reopening of a previously closed surgical site following a cesarean section. This can lead to complications such as infection and requires prompt medical attention to manage properly.

#### Causes
- Incomplete or improper wound healing post-surgery.
- Infections at the surgical site.
- Increased intra-abdominal pressure due to coughing, vomiting, or heavy lifting.

#### Risk Factors
- Obesity.
- Diabetes or other conditions that impair wound healing.
- Poor nutritional status.
- History of previous cesarean deliveries.
- Use of certain medications like steroids.

#### Symptoms
- Pain or tenderness around the surgical site.
- Redness, swelling, or drainage from the wound.
- Fever or malaise indicating a possible infection.

#### Diagnosis
- Physical examination of the wound.
- Ultrasound or MRI to assess the extent of wound disruption.
- Laboratory tests to detect any infection or inflammation.

#### Treatment Options
- Surgical intervention to reclose the wound.
- Antibiotics if there is an infection.
- Wound care and dressing changes to promote healing.
- Use of supportive therapies such as wound vacuums to aid healing.

#### Prognosis and Follow-Up
- With proper management, most cesarean wound disruptions can be effectively treated.
- Regular follow-up appointments to ensure proper wound healing and to monitor for signs of complications.

#### Complications
- Infection spreading to surrounding tissues.
- Persistent wound dehiscence requiring additional surgical interventions.
- Scarring or chronic pain at the site of the wound.

#### Lifestyle & Prevention
- Maintain proper hygiene and follow post-operative care instructions.
- Avoid strenuous activities, heavy lifting, and ensure adequate rest.
- Maintain a balanced diet to support healing and boost the immune system.

#### When to Seek Professional Help
- Severe pain, redness, swelling, or discharge from the surgical site.
- Fever, chills, or other signs of systemic infection.
- Any noticeable reopening of the cesarean wound.

#### Additional Resources
- [American College of Obstetricians and Gynecologists (ACOG)](https://www.acog.org/)
- [Cesarean Awareness Network](http://www.ican-online.org/)

#### Tips for Medical Coders
- Ensure accurate documentation of the condition by distinguishing between wound infection and wound disruption.
- Avoid misclassification of other postpartum complications when coding for O90.0.

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