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ICD-10 Guide
ICD-10 CodesO03.34

O03.34

Billable

Damage to pelvic organs following incomplete spontaneous abortion

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

Code Description

ICD-10 O03.34 is a billable code used to indicate a diagnosis of damage to pelvic organs following incomplete spontaneous abortion.

Key Diagnostic Point:

O03.34 refers to the complications arising from an incomplete spontaneous abortion, which is a miscarriage that occurs when some but not all of the pregnancy tissue is expelled from the uterus. This condition can lead to damage to pelvic organs due to retained products of conception, which may cause infection, hemorrhage, or other complications. The incomplete nature of the abortion can result in significant emotional distress for the patient, necessitating not only medical intervention but also psychological support. It is crucial for healthcare providers to assess cervical competence, as cervical insufficiency can contribute to the risk of miscarriage. Emotional support and counseling are essential components of care, as patients may experience grief and anxiety following a miscarriage. Proper documentation of the clinical scenario, including the patient's history, the extent of the abortion, and any complications, is vital for accurate coding and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between complete and incomplete spontaneous abortion
  • Identifying associated complications such as infection or hemorrhage
  • Documenting emotional and psychological support provided
  • Understanding the implications of cervical incompetence

Audit Risk Factors

  • Inadequate documentation of the extent of the abortion
  • Failure to document emotional support provided
  • Misclassification of the type of abortion (complete vs. incomplete)
  • Lack of clarity regarding complications arising from the abortion

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed documentation of the patient's obstetric history, the nature of the abortion, and any complications encountered.

Common Clinical Scenarios

Patients presenting with bleeding, cramping, or signs of infection following a miscarriage.

Billing Considerations

Consideration of the patient's emotional state and the provision of counseling services.

Maternal-Fetal Medicine

Documentation Requirements

Thorough documentation of high-risk factors, including cervical incompetence and previous pregnancy losses.

Common Clinical Scenarios

Management of patients with a history of recurrent miscarriages or those presenting with complications.

Billing Considerations

Focus on the implications of maternal-fetal health and the need for specialized care.

Coding Guidelines

Inclusion Criteria

Use O03.34 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that all relevant clinical details are documented, including the type of abortion, complications, and any treatments provided

Exclusion Criteria

Do NOT use O03.34 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58150CPT Code

Dilation and curettage (D&C)

Clinical Scenario

Used when surgical intervention is required for incomplete abortion.

Documentation Requirements

Document the indication for the procedure and any complications encountered.

Specialty Considerations

Obstetricians should ensure that the procedure is justified based on clinical findings.

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 ability to capture complications associated with incomplete spontaneous abortion, which can lead to better patient management and care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, improving the ability to capture complications associated with incomplete spontaneous abortion, which can lead to better patient management and care.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, improving the ability to capture complications associated with incomplete spontaneous abortion, which can lead to better patient management and care.

Resources

Clinical References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Coding & Billing References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Frequently Asked Questions

What is the significance of coding O03.34 accurately?

Accurate coding of O03.34 is crucial for proper reimbursement, tracking complications, and ensuring that patients receive appropriate follow-up care and emotional support after an incomplete spontaneous abortion.