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ICD-10 Guide
ICD-10 CodesO04.8

O04.8

Billable

(Induced) termination of pregnancy with other and unspecified complications

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

Code Description

ICD-10 O04.8 is a billable code used to indicate a diagnosis of (induced) termination of pregnancy with other and unspecified complications.

Key Diagnostic Point:

Induced termination of pregnancy (ITOP) with complications can occur due to various medical, psychological, or social reasons. This code encompasses situations where a pregnancy is intentionally ended, and complications arise that are not specifically classified elsewhere. Complications may include hemorrhage, infection, or adverse reactions to medications used in medical abortions. Medical abortions typically involve the use of medications such as mifepristone and misoprostol, while therapeutic terminations may be indicated for maternal health issues or fetal anomalies. Post-abortion care is crucial for monitoring and managing any complications, ensuring the patient's physical and emotional well-being. Documentation must reflect the reason for termination, the method used, and any complications encountered during the procedure. Accurate coding is essential for appropriate reimbursement and quality care tracking.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of complications that can arise post-termination
  • Differentiation between medical and surgical termination methods
  • Need for detailed documentation of patient history and reasons for termination
  • Potential for overlapping codes with other obstetric conditions

Audit Risk Factors

  • Inadequate documentation of complications
  • Failure to specify the method of termination
  • Incorrect coding of associated conditions
  • Lack of clarity on patient consent and counseling

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Documentation must include the reason for termination, method used, and any complications. Follow-up care details are also essential.

Common Clinical Scenarios

Elective termination due to personal choice, therapeutic termination due to maternal health risks, and management of complications post-abortion.

Billing Considerations

Consideration of local laws regarding abortion and the need for thorough patient counseling and consent documentation.

Maternal-Fetal Medicine

Documentation Requirements

Detailed documentation of maternal and fetal health conditions leading to termination, including any high-risk factors.

Common Clinical Scenarios

Termination due to severe fetal anomalies, maternal health conditions such as preeclampsia, or other complications.

Billing Considerations

High-risk pregnancies require careful monitoring and documentation of all clinical decisions and outcomes.

Coding Guidelines

Inclusion Criteria

Use O04.8 When
  • Follow official ICD
  • CM guidelines for coding complications associated with induced termination of pregnancy
  • Ensure that the documentation supports the diagnosis and reflects the complexity of the case

Exclusion Criteria

Do NOT use O04.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59840CPT Code

Medical abortion, including counseling

Clinical Scenario

Used when a patient undergoes a medical abortion with complications requiring follow-up.

Documentation Requirements

Document the medical necessity for the procedure and any complications encountered.

Specialty Considerations

Obstetricians must ensure compliance with local regulations regarding medical abortion.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of complications associated with induced termination of pregnancy, improving data accuracy and enhancing the ability to track outcomes and complications.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of complications associated with induced termination of pregnancy, improving data accuracy and enhancing the ability to track outcomes and complications.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of complications associated with induced termination of pregnancy, improving data accuracy and enhancing the ability to track outcomes and complications.

Resources

Clinical References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Coding & Billing References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Frequently Asked Questions

What are the common complications associated with induced termination of pregnancy?

Common complications can include heavy bleeding, infection, incomplete abortion, and adverse reactions to medications. Proper follow-up care is essential to manage these complications.