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ICD-10 Guide
ICD-10 CodesO04.83

O04.83

Billable

Metabolic disorder following (induced) termination of pregnancy

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

Code Description

ICD-10 O04.83 is a billable code used to indicate a diagnosis of metabolic disorder following (induced) termination of pregnancy.

Key Diagnostic Point:

Metabolic disorders following an induced termination of pregnancy can arise due to various physiological changes that occur during and after the procedure. These disorders may include alterations in glucose metabolism, electrolyte imbalances, and other metabolic derangements that can affect the patient's recovery. Medical abortions, whether pharmacological or surgical, can lead to transient or persistent metabolic changes due to hormonal fluctuations and the body's response to the termination process. Therapeutic terminations, often performed for medical reasons, may also complicate the metabolic state of the patient, especially in those with pre-existing conditions such as diabetes or thyroid disorders. Post-abortion care is crucial in monitoring and managing these metabolic disorders, ensuring that patients receive appropriate follow-up care to address any complications that may arise. Clinicians must be vigilant in assessing metabolic parameters and providing necessary interventions to restore homeostasis and support the patient's overall health following the termination of pregnancy.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in metabolic responses among patients
  • Need for comprehensive documentation of pre-existing conditions
  • Differentiation between spontaneous and induced termination
  • Potential for co-morbidities affecting metabolic status

Audit Risk Factors

  • Inadequate documentation of metabolic disorders
  • Failure to link metabolic disorders to the termination procedure
  • Misclassification of the type of termination (induced vs. spontaneous)
  • Lack of follow-up documentation post-procedure

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Documentation must include details of the termination procedure, any metabolic disorders present, and follow-up care plans.

Common Clinical Scenarios

Patients presenting with metabolic disorders post-abortion, requiring monitoring and management.

Billing Considerations

Consideration of the patient's overall health, including pre-existing conditions and the impact of the termination on metabolic status.

Maternal-Fetal Medicine

Documentation Requirements

Detailed documentation of high-risk factors and metabolic assessments pre- and post-termination.

Common Clinical Scenarios

High-risk patients undergoing therapeutic termination with pre-existing metabolic disorders.

Billing Considerations

In-depth evaluation of maternal-fetal implications and metabolic management strategies.

Coding Guidelines

Inclusion Criteria

Use O04.83 When
  • Coders should adhere to official ICD
  • 10 guidelines, ensuring accurate coding based on the patient's clinical presentation and the nature of the termination
  • Specific criteria for metabolic disorders must be met, and documentation should reflect the patient's condition before and after the procedure

Exclusion Criteria

Do NOT use O04.83 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58661CPT Code

Endometrial aspiration

Clinical Scenario

Used in cases of incomplete abortion or to manage complications post-termination.

Documentation Requirements

Documentation must include indications for the procedure and any metabolic assessments.

Specialty Considerations

Obstetricians should document the patient's metabolic status pre- and post-procedure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of metabolic disorders following termination, improving the accuracy of patient records and facilitating better care management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of metabolic disorders following termination, improving the accuracy of patient records and facilitating better care management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of metabolic disorders following termination, improving the accuracy of patient records and facilitating better care management.

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 documentation is required for coding O04.83?

Documentation must include details of the termination procedure, any metabolic disorders present, and follow-up care plans. It should also reflect the patient's medical history and any pre-existing conditions that may affect metabolic health.