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v1.0.0
ICD-10 Guide
ICD-10 CodesO03.32

O03.32

Billable

Renal failure following incomplete spontaneous abortion

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

Code Description

ICD-10 O03.32 is a billable code used to indicate a diagnosis of renal failure following incomplete spontaneous abortion.

Key Diagnostic Point:

Renal failure following an incomplete spontaneous abortion is a serious obstetric condition that arises when a miscarriage occurs but not all products of conception are expelled from the uterus. This can lead to complications such as infection, hemorrhage, and renal failure due to the body's response to retained tissue. The incomplete nature of the abortion can cause significant physiological stress, leading to acute kidney injury as the body struggles to manage fluid balance and waste elimination. Clinicians must monitor renal function closely in these cases, as the risk of renal failure can escalate quickly. Emotional support is also crucial, as patients may experience grief and anxiety related to the loss of pregnancy, compounded by the physical complications of the incomplete abortion. Proper management includes thorough evaluation, potential surgical intervention to remove retained products, and supportive care to address both physical and emotional needs.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Differentiating between complete and incomplete abortion
  • Identifying renal failure as a complication
  • Understanding the emotional impact on patients
  • Navigating documentation requirements for complications

Audit Risk Factors

  • Inadequate documentation of the spontaneous abortion
  • Failure to document renal function tests
  • Lack of clarity on the management plan for the abortion
  • Misclassification of the type of abortion

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed records of the patient's obstetric history, current pregnancy status, and any interventions performed.

Common Clinical Scenarios

Patients presenting with bleeding and cramping, requiring evaluation for possible miscarriage.

Billing Considerations

Ensure emotional support and counseling are documented, as they are critical in managing the patient's overall health.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of high-risk factors, including previous pregnancy losses and current complications.

Common Clinical Scenarios

Management of patients with a history of recurrent pregnancy loss presenting with incomplete abortion.

Billing Considerations

Focus on the implications of renal failure in the context of maternal-fetal health.

Coding Guidelines

Inclusion Criteria

Use O03.32 When
  • Follow the official ICD
  • CM guidelines for coding obstetric conditions, ensuring that all relevant details about the abortion and any complications are documented
  • Use additional codes to capture renal failure and any other associated conditions

Exclusion Criteria

Do NOT use O03.32 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58120CPT Code

Dilation and curettage (D&C)

Clinical Scenario

Used when surgical intervention is required for incomplete abortion.

Documentation Requirements

Document indications for D&C, including the patient's clinical status and any complications.

Specialty Considerations

Obstetricians must ensure that the procedure is justified based on the patient's condition.

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, including complications like renal failure following incomplete abortion, which enhances data accuracy and improves patient care tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including complications like renal failure following incomplete abortion, which enhances data accuracy and improves patient care tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including complications like renal failure following incomplete abortion, which enhances data accuracy and improves patient care tracking.

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 should be documented to support the use of code O03.32?

Documentation should include the details of the incomplete abortion, any interventions performed, renal function tests, and emotional support provided to the patient.