ICD-10: O98.311

The ICD-10 code O98.311 refers to "Other infections with a predominantly sexual mode of transmission complicating pregnancy, first trimester." This code is part of the broader category of maternal infectious and parasitic diseases, specifically addressing infections that are primarily transmitted through sexual contact and that occur during the first trimester of pregnancy.

Clinical Description

Definition

O98.311 is used to classify infections that are predominantly sexually transmitted and complicate a pregnancy during its first trimester. This includes a range of infections that may not be specifically categorized under other codes but are significant enough to impact maternal and fetal health.

Common Infections Included

Infections that may fall under this code include, but are not limited to:
- Chlamydia: A common sexually transmitted infection (STI) that can lead to complications such as pelvic inflammatory disease and can affect pregnancy outcomes.
- Gonorrhea: Another STI that can cause serious complications if left untreated, including preterm birth and low birth weight.
- Syphilis: A bacterial infection that can have severe consequences for both the mother and the fetus, including congenital syphilis.
- Human Immunodeficiency Virus (HIV): While not exclusively classified under this code, HIV can complicate pregnancy and requires careful management to reduce transmission risk to the infant.

Clinical Implications

The presence of these infections during the first trimester can lead to various complications, including:
- Increased risk of miscarriage.
- Preterm labor.
- Low birth weight.
- Congenital infections in the newborn.

Diagnosis and Management

Diagnosis typically involves:
- Clinical Evaluation: Assessing symptoms and medical history.
- Laboratory Testing: Blood tests, swabs, or cultures to identify the specific infection.

Management strategies may include:
- Antibiotic Therapy: For bacterial infections like chlamydia and gonorrhea.
- Antiviral Treatment: For viral infections such as HIV.
- Monitoring: Close observation of both maternal and fetal health throughout the pregnancy.

Coding Guidelines

When using the O98.311 code, it is essential to document:
- The specific infection diagnosed.
- The impact of the infection on the pregnancy.
- Any treatments administered and their outcomes.

This code is crucial for ensuring appropriate care and management of pregnant individuals with sexually transmitted infections, allowing healthcare providers to track and address potential complications effectively.

Conclusion

ICD-10 code O98.311 serves as an important classification for healthcare providers dealing with infections that complicate pregnancies during the first trimester. Understanding the implications of these infections and their management is vital for optimizing maternal and fetal health outcomes. Proper coding and documentation are essential for effective treatment and monitoring throughout the pregnancy.