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ICD-10 Guide
ICD-10 CodesO03.36

O03.36

Billable

Cardiac arrest following incomplete spontaneous abortion

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

Code Description

ICD-10 O03.36 is a billable code used to indicate a diagnosis of cardiac arrest following incomplete spontaneous abortion.

Key Diagnostic Point:

Cardiac arrest following an incomplete spontaneous abortion is a critical obstetric condition that arises when a pregnancy ends prematurely, typically before the 20th week of gestation, and is characterized by the retention of some fetal tissue. This condition can lead to severe complications, including hemorrhage and infection, which may precipitate cardiac arrest. Incomplete spontaneous abortion can occur due to various factors, including chromosomal abnormalities, maternal health issues, or uterine anomalies. The emotional impact on the patient can be profound, necessitating comprehensive emotional support and counseling. Clinicians must monitor vital signs closely and provide immediate medical intervention to manage complications effectively. The management of incomplete spontaneous abortion may involve surgical procedures such as dilation and curettage (D&C) to remove retained products of conception, and it is crucial to ensure that the patient receives appropriate follow-up care to prevent further complications.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Differentiating between complete and incomplete spontaneous abortion.
  • Identifying the cause of cardiac arrest in the context of obstetric care.
  • Documenting the emotional and psychological aspects of care.
  • Managing potential complications and their coding implications.

Audit Risk Factors

  • Inadequate documentation of the patient's clinical status.
  • Failure to document the cause of cardiac arrest.
  • Misclassification of the type of abortion (complete vs. incomplete).
  • Lack of follow-up documentation post-procedure.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

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

Common Clinical Scenarios

Management of incomplete spontaneous abortion, counseling for emotional support, and surgical interventions.

Billing Considerations

Ensure accurate coding of complications and emotional support services provided.

Maternal-Fetal Medicine

Documentation Requirements

Thorough documentation of high-risk factors, maternal health conditions, and fetal monitoring.

Common Clinical Scenarios

Management of high-risk pregnancies with potential for miscarriage and associated complications.

Billing Considerations

Focus on the complexities of maternal-fetal interactions and the need for specialized care.

Coding Guidelines

Inclusion Criteria

Use O03.36 When
  • According to the official ICD
  • 10 coding guidelines, accurate coding for spontaneous abortion requires documentation of the type of abortion, any complications, and the clinical management provided
  • It is essential to follow pregnancy
  • specific criteria to ensure proper coding

Exclusion Criteria

Do NOT use O03.36 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58120CPT Code

Dilation and curettage (D&C)

Clinical Scenario

Used for surgical management of incomplete spontaneous abortion.

Documentation Requirements

Document the indication for the procedure and any complications encountered.

Specialty Considerations

Ensure that the procedure is linked to the appropriate diagnosis.

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 the ability to differentiate between types of spontaneous abortion and associated complications, improving the accuracy of billing and clinical data.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including the ability to differentiate between types of spontaneous abortion and associated complications, improving the accuracy of billing and clinical data.

Reimbursement & Billing Impact

billing and clinical data.

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 documentation is required for coding O03.36?

Documentation must include the patient's obstetric history, details of the incomplete abortion, any interventions performed, and the circumstances surrounding the cardiac arrest. Emotional support provided should also be documented.