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v1.0.0
ICD-10 Guide
ICD-10 CodesO04.84

O04.84

Billable

Damage to pelvic organs following (induced) termination of pregnancy

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

Code Description

ICD-10 O04.84 is a billable code used to indicate a diagnosis of damage to pelvic organs following (induced) termination of pregnancy.

Key Diagnostic Point:

O04.84 refers to damage to pelvic organs that occurs as a result of an induced termination of pregnancy, which can be either medical or surgical. This condition may arise from complications during the procedure, such as perforation of the uterus, damage to surrounding organs, or infection. Medical abortions typically involve the administration of medications to terminate a pregnancy, while therapeutic terminations may be performed for medical reasons, including maternal health risks or fetal anomalies. Post-abortion care is crucial to monitor for complications, manage pain, and provide emotional support. Clinicians must document any pelvic organ damage thoroughly, including the type of termination performed, the specific organs affected, and any subsequent treatments or interventions required. Accurate coding is essential for appropriate reimbursement and to ensure quality care is documented.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of termination (medical vs. surgical)
  • Identifying specific pelvic organs affected
  • Documenting complications accurately
  • Understanding the clinical context of the termination

Audit Risk Factors

  • Inadequate documentation of the procedure type
  • Failure to specify the extent of organ damage
  • Misclassification of the type of termination
  • Lack of follow-up documentation post-procedure

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Complete records of the procedure, including consent forms, indications for termination, and any complications encountered.

Common Clinical Scenarios

Patients presenting with complications post-abortion, such as pelvic pain or infection.

Billing Considerations

Ensure that all relevant clinical findings are documented to support the diagnosis and coding.

Maternal-Fetal Medicine

Documentation Requirements

Detailed documentation of maternal and fetal health risks that necessitate termination.

Common Clinical Scenarios

High-risk pregnancies where termination is indicated due to severe fetal anomalies or maternal health issues.

Billing Considerations

Consider the implications of high-risk factors on coding and documentation.

Coding Guidelines

Inclusion Criteria

Use O04.84 When
  • Follow the official ICD
  • CM guidelines for coding obstetric conditions, ensuring that all relevant details about the termination and any complications are captured accurately

Exclusion Criteria

Do NOT use O04.84 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59840CPT Code

Medical abortion, including counseling

Clinical Scenario

Used when a medical abortion is performed and complications arise.

Documentation Requirements

Document the medical abortion procedure, any complications, and follow-up care.

Specialty Considerations

Obstetricians must ensure that all aspects of care are 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 following termination of pregnancy, 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 termination of pregnancy, 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 termination of pregnancy, improving the ability to track and manage these conditions effectively.

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 O04.84?

Documentation must include details of the termination procedure, any complications encountered, and follow-up care provided. This ensures accurate coding and appropriate reimbursement.