ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesO03.37

O03.37

Billable

Sepsis following incomplete spontaneous abortion

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

Code Description

ICD-10 O03.37 is a billable code used to indicate a diagnosis of sepsis following incomplete spontaneous abortion.

Key Diagnostic Point:

Sepsis following an incomplete spontaneous abortion is a serious obstetric condition that arises when a miscarriage occurs but not all of the pregnancy tissue is expelled from the uterus. This can lead to infection, which may progress to sepsis, a life-threatening systemic response to infection. Incomplete spontaneous abortion typically occurs in the first trimester, but can happen at any stage of pregnancy. Factors contributing to cervical incompetence, such as previous cervical surgery or trauma, can increase the risk of miscarriage. Emotional support is crucial for patients experiencing this condition, as it can be a traumatic event. Healthcare providers should ensure that patients receive appropriate counseling and follow-up care to address both physical and emotional health needs. The management of sepsis in this context often requires hospitalization, intravenous antibiotics, and possibly surgical intervention to remove retained products of conception. Accurate coding of this condition is essential for proper treatment and reimbursement.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Differentiating between types of spontaneous abortion (complete vs. incomplete)
  • Identifying the presence of sepsis and its severity
  • Understanding the implications of cervical incompetence
  • Documenting emotional support and counseling provided

Audit Risk Factors

  • Inadequate documentation of the miscarriage type
  • Failure to document the onset and management of sepsis
  • Lack of emotional support documentation
  • Misclassification of the abortion status

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed documentation of the patient's obstetric history, the nature of the abortion, and any interventions performed.

Common Clinical Scenarios

Patients presenting with bleeding and cramping, followed by signs of infection such as fever and tachycardia.

Billing Considerations

Ensure that all aspects of care, including emotional support and follow-up, are documented to support coding.

Maternal-Fetal Medicine

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

Consideration of additional risk factors and the need for specialized care in high-risk pregnancies.

Coding Guidelines

Inclusion Criteria

Use O03.37 When
  • According to ICD
  • 10 coding guidelines, O03
  • 37 should be used when there is clear documentation of sepsis following an incomplete spontaneous abortion
  • Coders must ensure that the documentation supports the diagnosis and any related procedures

Exclusion Criteria

Do NOT use O03.37 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 abortion with sepsis.

Documentation Requirements

Document indication for D&C, including signs of infection.

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 accuracy of diagnoses like O03.37. This specificity aids in better tracking of maternal health outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, improving the accuracy of diagnoses like O03.37. This specificity aids in better tracking of maternal health outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, improving the accuracy of diagnoses like O03.37. This specificity aids in better tracking of maternal health outcomes and resource allocation.

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 O03.37?

Documentation should include the type of abortion, the presence of sepsis, clinical symptoms, and any treatments provided, including emotional support.