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v1.0.0
ICD-10 Guide
ICD-10 CodesO07.35

O07.35

Billable

Other venous complications following failed attempted termination of pregnancy

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

Code Description

ICD-10 O07.35 is a billable code used to indicate a diagnosis of other venous complications following failed attempted termination of pregnancy.

Key Diagnostic Point:

This code is used to classify other venous complications that arise following a failed attempted termination of pregnancy. Such complications may include thrombosis, varicosities, or other venous disorders that can occur due to the physiological changes in the body during pregnancy and the stress of the termination attempt. The failed termination can lead to complications such as venous stasis or increased venous pressure, which may result in conditions like deep vein thrombosis (DVT) or superficial venous thrombosis. These complications require careful monitoring and management, including anticoagulation therapy, compression therapy, and possibly surgical intervention in severe cases. It is crucial for healthcare providers to document the patient's history, the circumstances surrounding the termination attempt, and any subsequent complications to ensure accurate coding and appropriate management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between various venous complications.
  • Understanding the clinical implications of failed termination.
  • Documenting the patient's history accurately.
  • Identifying the appropriate management strategies.

Audit Risk Factors

  • Inadequate documentation of the failed termination attempt.
  • Failure to document the specific venous complications.
  • Misclassification of the type of venous complication.
  • Lack of follow-up documentation on management and outcomes.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed documentation of the patient's obstetric history, the circumstances of the termination attempt, and any complications that arise.

Common Clinical Scenarios

Patients presenting with complications after a failed termination, including pain, swelling, or signs of thrombosis.

Billing Considerations

Consideration of the psychological impact of the failed termination on the patient and the need for supportive care.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of high-risk factors, including maternal comorbidities and the specifics of the termination attempt.

Common Clinical Scenarios

Management of high-risk patients who experience venous complications following a failed termination.

Billing Considerations

Focus on the implications of venous complications for both maternal and fetal health.

Coding Guidelines

Inclusion Criteria

Use O07.35 When
  • According to official coding guidelines, O07
  • 35 should be used when there is clear documentation of venous complications following a failed termination
  • Coders should ensure that all relevant clinical details are captured to support the use of this code

Exclusion Criteria

Do NOT use O07.35 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99214CPT Code

Established patient office visit, level 4

Clinical Scenario

Used for follow-up visits to manage complications after a failed termination.

Documentation Requirements

Documentation of the patient's symptoms, examination findings, and management plan.

Specialty Considerations

Obstetricians should ensure that the visit is clearly linked to the complications arising from the failed termination.

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, including those following failed terminations. This specificity aids in better tracking of outcomes and complications, ultimately improving patient care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of complications related to pregnancy, including those following failed terminations. This specificity aids in better tracking of outcomes and complications, ultimately improving patient care.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of complications related to pregnancy, including those following failed terminations. This specificity aids in better tracking of outcomes and complications, ultimately improving patient care.

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 to support the use of O07.35?

To support the use of O07.35, documentation must include details of the failed termination attempt, any venous complications that arose, and the management plan for those complications. This includes clinical notes, imaging studies, and treatment records.