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ICD-10 Guide
ICD-10 CodesO03.84

O03.84

Billable

Damage to pelvic organs following complete or unspecified spontaneous abortion

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

Code Description

ICD-10 O03.84 is a billable code used to indicate a diagnosis of damage to pelvic organs following complete or unspecified spontaneous abortion.

Key Diagnostic Point:

O03.84 refers to damage to pelvic organs that occurs following a complete or unspecified spontaneous abortion, commonly known as a miscarriage. A spontaneous abortion is defined as the natural loss of a pregnancy before the 20th week of gestation. This condition can lead to various complications, including damage to pelvic organs such as the uterus, cervix, and surrounding structures. The risk of pelvic organ damage may increase with the presence of retained products of conception, infection, or surgical intervention following the abortion. Emotional support is crucial for patients experiencing spontaneous abortion, as it can lead to significant psychological distress. Healthcare providers should ensure that patients receive appropriate counseling and follow-up care to address both physical and emotional health needs. Understanding the stages of miscarriage, including early pregnancy loss and the implications of cervical incompetence, is essential for accurate diagnosis and management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between complete and incomplete spontaneous abortion
  • Identifying associated pelvic organ damage
  • Documenting emotional and psychological support needs
  • Understanding the implications of retained products of conception

Audit Risk Factors

  • Inadequate documentation of pelvic organ damage
  • Failure to document emotional support provided
  • Misclassification of the type of spontaneous abortion
  • Lack of follow-up care documentation

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with vaginal bleeding and cramping, followed by ultrasound confirmation of miscarriage.

Billing Considerations

Consideration of the patient's emotional state and the need for psychological support is critical.

Maternal-Fetal Medicine

Documentation Requirements

High-risk pregnancy documentation must include details of any complications and management strategies.

Common Clinical Scenarios

Patients with a history of recurrent pregnancy loss or those presenting with cervical incompetence.

Billing Considerations

High-risk factors must be documented to ensure appropriate coding and care.

Coding Guidelines

Inclusion Criteria

Use O03.84 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the type of abortion, any complications, and the management provided

Exclusion Criteria

Do NOT use O03.84 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59820CPT Code

Surgical evacuation of the uterus

Clinical Scenario

Used when a patient requires surgical intervention following a spontaneous abortion.

Documentation Requirements

Document the indication for surgery and any complications encountered.

Specialty Considerations

Obstetricians should ensure that all surgical interventions are well-documented to support coding.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of complications related to spontaneous abortion, improving the accuracy of patient records and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of complications related to spontaneous abortion, improving the accuracy of patient records 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 documentation is required for coding O03.84?

Documentation must include details of the spontaneous abortion, any pelvic organ damage, emotional support provided, and follow-up care.