Shock following failed attempted termination of pregnancy
ICD-10 O07.31 is a billable code used to indicate a diagnosis of shock following failed attempted termination of pregnancy.
Shock following a failed attempted termination of pregnancy is a serious obstetric condition that arises when a woman experiences a significant drop in blood pressure and other vital signs due to complications associated with an unsuccessful abortion procedure. This condition can occur due to retained products of conception, hemorrhage, or infection following the attempted termination. Clinically, patients may present with symptoms such as tachycardia, hypotension, pallor, and altered mental status. Management typically involves stabilization of the patient, which may include intravenous fluid resuscitation, blood transfusions, and surgical intervention to remove retained tissue or address any complications. The psychological impact of a failed termination can also be significant, necessitating a multidisciplinary approach to care that includes mental health support. Accurate coding of this condition is crucial for appropriate treatment and reimbursement, as it reflects the complexity and severity of the patient's clinical situation.
Detailed documentation of the procedure attempted, patient history, and any complications encountered during the termination attempt.
Patients presenting with complications post-abortion, including hemorrhage or infection.
Consideration of the patient's emotional state and the need for mental health referrals.
Comprehensive documentation of maternal and fetal health, especially in high-risk cases.
Management of patients with pre-existing conditions complicating termination attempts.
Focus on high-risk factors that may influence the outcome of the termination and subsequent care.
Used when a patient undergoes a medical abortion that fails, leading to complications.
Documentation of the procedure, patient consent, and follow-up care.
Obstetricians must ensure that all aspects of the procedure and complications are well-documented.
To support the use of O07.31, documentation must include details of the attempted termination procedure, the patient's clinical presentation, any complications encountered, and the management provided. Clear linkage between the shock and the failed termination is essential.
