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v1.0.0
ICD-10 Guide
ICD-10 CodesO03.8

O03.8

Billable

Other and unspecified complications following complete or unspecified spontaneous abortion

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

Code Description

ICD-10 O03.8 is a billable code used to indicate a diagnosis of other and unspecified complications following complete or unspecified spontaneous abortion.

Key Diagnostic Point:

O03.8 is used to classify complications that arise following a complete or unspecified spontaneous abortion, commonly referred to as a miscarriage. A spontaneous abortion is defined as the natural loss of a pregnancy before the 20th week of gestation. Complications can include retained products of conception, infection, excessive bleeding, or psychological effects such as depression and anxiety. The emotional impact of a miscarriage can be profound, necessitating emotional support and counseling for the affected individuals. It is crucial for healthcare providers to document the specific complications encountered, as well as any interventions performed, to ensure accurate coding and appropriate care management. The coding of these complications requires careful attention to detail, as the clinical presentation can vary widely among patients, and the implications for follow-up care can be significant.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation of complications
  • Need for precise documentation of the type of spontaneous abortion
  • Differentiation between complete and incomplete abortion
  • Potential for psychological complications requiring additional coding

Audit Risk Factors

  • Inadequate documentation of complications
  • Failure to specify the type of spontaneous abortion
  • Misclassification of emotional support as a complication
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Documentation must include details of the spontaneous abortion, any complications, and emotional support provided.

Common Clinical Scenarios

Patients presenting with bleeding or cramping in early pregnancy, follow-up visits post-miscarriage.

Billing Considerations

Consideration of psychological support and counseling as part of the care plan.

Maternal-Fetal Medicine

Documentation Requirements

High-risk pregnancy documentation must include detailed assessments of maternal and fetal health.

Common Clinical Scenarios

Management of patients with recurrent pregnancy loss or those with underlying health conditions.

Billing Considerations

Focus on comprehensive care plans that address both physical and emotional health.

Coding Guidelines

Inclusion Criteria

Use O03.8 When
  • Coders should adhere to the official ICD
  • CM coding guidelines, ensuring that all relevant documentation is reviewed and that the specific complications following a spontaneous abortion are accurately captured

Exclusion Criteria

Do NOT use O03.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59400CPT Code

Obstetrical care including antepartum care, delivery, and postpartum care

Clinical Scenario

Used for comprehensive care of patients experiencing complications following a spontaneous abortion.

Documentation Requirements

Detailed documentation of all visits and care provided.

Specialty Considerations

Obstetricians should ensure that emotional support is included in care plans.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of complications following spontaneous abortion, improving the ability to track and manage these conditions effectively.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of complications following spontaneous abortion, improving the ability to track and manage these conditions effectively.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of complications following spontaneous abortion, improving the ability to track and manage these conditions effectively.

Resources

Clinical References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Coding & Billing References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Frequently Asked Questions

What should be documented to support the use of code O03.8?

Documentation should include the type of spontaneous abortion, any complications experienced, treatments provided, and emotional support offered to the patient.