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v1.0.0
ICD-10 Guide
ICD-10 CodesO07.2

O07.2

Billable

Embolism following failed attempted termination of pregnancy

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

Code Description

ICD-10 O07.2 is a billable code used to indicate a diagnosis of embolism following failed attempted termination of pregnancy.

Key Diagnostic Point:

O07.2 refers to embolism that occurs as a complication following a failed attempted termination of pregnancy. This condition can arise when a procedure intended to terminate a pregnancy does not succeed, leading to potential complications such as the formation of blood clots that can travel to the lungs (pulmonary embolism) or other organs. The risk of embolism may be heightened due to factors such as retained products of conception, which can lead to increased coagulability and thrombus formation. Clinicians must be vigilant in monitoring patients who have undergone a failed termination, as they may present with symptoms such as chest pain, shortness of breath, or signs of deep vein thrombosis. Management typically involves supportive care, anticoagulation therapy, and possibly surgical intervention to address any retained tissue. Accurate coding of this condition is crucial for appropriate treatment and reimbursement, as well as for tracking complications associated with pregnancy termination attempts.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Differentiating between types of embolism (e.g., pulmonary vs. venous)
  • Understanding the clinical implications of retained products of conception
  • Navigating the legal and ethical considerations surrounding termination of pregnancy
  • Documenting the specifics of the failed termination attempt

Audit Risk Factors

  • Inadequate documentation of the attempted termination procedure
  • Failure to document the patient's clinical status post-procedure
  • Lack of follow-up care notes regarding complications
  • Misclassification of the type of embolism

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed records of the attempted termination procedure, including indications, methods used, and any complications encountered.

Common Clinical Scenarios

Patients presenting with complications after a failed termination, including retained products of conception and subsequent embolism.

Billing Considerations

Ensure that all relevant clinical findings and management steps are documented to support the coding of O07.2.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of maternal and fetal health, especially in high-risk cases where termination is considered.

Common Clinical Scenarios

High-risk pregnancies where termination is attempted but fails, leading to complications.

Billing Considerations

Focus on the maternal-fetal implications of failed termination attempts and the management of associated risks.

Coding Guidelines

Inclusion Criteria

Use O07.2 When
  • According to the ICD
  • CM coding guidelines, O07
  • 2 should be used when there is clear documentation of embolism following a failed termination attempt
  • Coders must ensure that all relevant clinical details are captured, including the type of termination attempted and any complications that arise

Exclusion Criteria

Do NOT use O07.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59840CPT Code

Medical abortion, with or without dilation and curettage

Clinical Scenario

Used when a medical abortion is attempted but fails, leading to complications.

Documentation Requirements

Document the procedure details, patient consent, and any complications encountered.

Specialty Considerations

Obstetricians should ensure that all aspects of the procedure 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 related to pregnancy termination, including embolism following failed attempts. This specificity aids in better tracking of complications and improves the quality of care provided to patients.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of complications related to pregnancy termination, including embolism following failed attempts. This specificity aids in better tracking of complications and improves the quality of care provided to patients.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of complications related to pregnancy termination, including embolism following failed attempts. This specificity aids in better tracking of complications and improves the quality of care provided to patients.

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 O07.2?

Documentation must include details of the attempted termination procedure, any complications that arose, and the patient's clinical status following the procedure. Clear links between the failed termination and the embolism must be established.