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ICD-10 Guide
ICD-10 CodesO03.83

O03.83

Billable

Metabolic disorder following complete or unspecified spontaneous abortion

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

Code Description

ICD-10 O03.83 is a billable code used to indicate a diagnosis of metabolic disorder following complete or unspecified spontaneous abortion.

Key Diagnostic Point:

O03.83 refers to metabolic disorders that may arise following a complete or unspecified spontaneous abortion, commonly known as miscarriage. A spontaneous abortion is defined as the natural termination of a pregnancy before the fetus can live independently outside the womb, typically occurring before the 20th week of gestation. The metabolic disorders associated with this condition can include imbalances in electrolytes, glucose levels, and other metabolic parameters that may be affected by the abrupt hormonal changes and physical stress following the loss of pregnancy. Emotional and psychological impacts are also significant, as women may experience grief, anxiety, and depression following a miscarriage. It is crucial for healthcare providers to offer emotional support and counseling to help patients cope with the loss and to monitor for any physical complications that may arise post-abortion. Proper documentation of the spontaneous abortion and any subsequent metabolic disorders is essential for accurate coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between complete and incomplete spontaneous abortion.
  • Identifying associated metabolic disorders and their clinical implications.
  • Understanding the emotional and psychological aspects of miscarriage.
  • Documenting the timeline and clinical details of the spontaneous abortion.

Audit Risk Factors

  • Inadequate documentation of the spontaneous abortion's details.
  • Failure to document associated metabolic disorders.
  • Lack of emotional support documentation.
  • Misclassification of the type of abortion (complete vs. incomplete).

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Documentation should include details of the spontaneous abortion, any metabolic disorders, and emotional support provided.

Common Clinical Scenarios

Patients presenting with signs of miscarriage, follow-up visits post-abortion, and management of metabolic disorders.

Billing Considerations

Consider the emotional impact on the patient and ensure appropriate referrals for psychological support.

Maternal-Fetal Medicine

Documentation Requirements

Detailed documentation of high-risk factors, metabolic monitoring, and follow-up care.

Common Clinical Scenarios

Management of patients with recurrent miscarriages or those with pre-existing metabolic disorders.

Billing Considerations

Focus on the interplay between maternal health and fetal outcomes, especially in high-risk cases.

Coding Guidelines

Inclusion Criteria

Use O03.83 When
  • According to the official ICD
  • 10 coding guidelines, O03
  • 83 should be used when documenting metabolic disorders following a complete or unspecified spontaneous abortion
  • Coders must ensure that all relevant clinical details are captured to support the diagnosis and any associated conditions

Exclusion Criteria

Do NOT use O03.83 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits after a spontaneous abortion to discuss recovery and emotional support.

Documentation Requirements

Document the patient's history, current symptoms, and emotional state.

Specialty Considerations

Obstetricians should focus on both physical and emotional recovery during these visits.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of spontaneous abortions and associated conditions, improving the accuracy of clinical data and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of spontaneous abortions and associated conditions, improving the accuracy of clinical data and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 for O03.83?

Documentation should include details of the spontaneous abortion, any metabolic disorders observed, and the emotional support provided to the patient. This ensures accurate coding and appropriate care management.