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v1.0.0
ICD-10 Guide
ICD-10 CodesO02.89

O02.89

Billable

Other abnormal products of conception

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/08/2025

Code Description

ICD-10 O02.89 is a billable code used to indicate a diagnosis of other abnormal products of conception.

Key Diagnostic Point:

O02.89 refers to other abnormal products of conception, which encompasses conditions such as blighted ovum, missed abortion, and incomplete abortion. A blighted ovum occurs when a fertilized egg implants in the uterus but does not develop into an embryo, leading to early pregnancy loss. Missed abortion is characterized by the cessation of embryonic development without the expulsion of the products of conception, often discovered during routine ultrasound. Incomplete abortion refers to the retention of some products of conception after a miscarriage, which may require medical or surgical intervention for complete evacuation. Management of pregnancy loss may involve monitoring, medication, or procedures like dilation and curettage (D&C) to ensure the uterus is clear of tissue. Accurate coding of these conditions is crucial for appropriate patient management and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of abortion (missed, incomplete, etc.)
  • Understanding the clinical implications of each condition
  • Documentation requirements for various management strategies
  • Variability in clinical presentation and patient history

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify the type of abortion
  • Misclassification of pregnancy loss types
  • Lack of follow-up documentation for management

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed patient history, ultrasound findings, and management plans must be documented.

Common Clinical Scenarios

Patients presenting with abnormal ultrasound findings, spotting, or cramping.

Billing Considerations

Ensure accurate coding based on the type of abortion and management approach.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of maternal and fetal health, including risk factors.

Common Clinical Scenarios

High-risk pregnancies with complications leading to abnormal products of conception.

Billing Considerations

Consideration of maternal health conditions that may complicate pregnancy loss management.

Coding Guidelines

Inclusion Criteria

Use O02.89 When
  • Follow official ICD
  • CM guidelines for obstetric coding, ensuring specificity in documentation and adherence to pregnancy
  • specific criteria

Exclusion Criteria

Do NOT use O02.89 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58120CPT Code

Dilation and curettage (D&C)

Clinical Scenario

Used for management of incomplete abortion or retained products of conception.

Documentation Requirements

Document indication for procedure, findings, and post-operative care.

Specialty Considerations

Ensure compliance with facility protocols for surgical procedures.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, improving the accuracy of diagnosis and treatment tracking for abnormal products of conception.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, improving the accuracy of diagnosis and treatment tracking for abnormal products of conception.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, improving the accuracy of diagnosis and treatment tracking for abnormal products of conception.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between a missed abortion and a blighted ovum?

A missed abortion refers to the cessation of embryonic development without expulsion, while a blighted ovum occurs when a fertilized egg implants but does not develop into an embryo. Both result in pregnancy loss but differ in their clinical presentation and management.