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v1.0.0
ICD-10 Guide
ICD-10 CodesO07.37

O07.37

Billable

Sepsis following failed attempted termination of pregnancy

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

Code Description

ICD-10 O07.37 is a billable code used to indicate a diagnosis of sepsis following failed attempted termination of pregnancy.

Key Diagnostic Point:

Sepsis following a failed attempted termination of pregnancy is a serious obstetric condition that arises when an attempt to terminate a pregnancy does not succeed, leading to potential infection and systemic inflammatory response. This condition can occur due to retained products of conception, which may become infected, or as a result of complications during the procedure itself. Symptoms may include fever, chills, tachycardia, and hypotension, indicating a systemic response to infection. Management typically involves prompt identification and treatment of the underlying infection, which may include antibiotics and, in some cases, surgical intervention to remove retained tissue. Close monitoring of the patient's vital signs and laboratory parameters is essential to assess the severity of sepsis and guide treatment decisions. The condition requires a multidisciplinary approach, often involving obstetricians, infectious disease specialists, and, if necessary, surgical teams to ensure comprehensive care.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Differentiating between sepsis and other complications of pregnancy.
  • Understanding the nuances of failed termination procedures.
  • Identifying the specific cause of sepsis (e.g., retained products of conception).
  • Navigating the documentation requirements for both the termination attempt and subsequent complications.

Audit Risk Factors

  • Inadequate documentation of the failed termination attempt.
  • Failure to document the clinical rationale for the diagnosis of sepsis.
  • Lack of detail regarding the management and treatment provided.
  • Misclassification of the type of sepsis (e.g., septic shock vs. systemic infection).

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed documentation of the attempted termination procedure, including indications, method, and any complications encountered.

Common Clinical Scenarios

Patients presenting with fever and abdominal pain following a medical or surgical termination of pregnancy.

Billing Considerations

Ensure that all aspects of the patient's care, including follow-up and any additional procedures, are documented to support the coding.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of maternal and fetal health status, particularly in high-risk cases.

Common Clinical Scenarios

Management of patients with underlying health conditions who experience complications following a termination attempt.

Billing Considerations

Consideration of the patient's overall risk profile and the potential for complications.

Coding Guidelines

Inclusion Criteria

Use O07.37 When
  • According to ICD
  • 10 coding guidelines, O07
  • 37 should be used when sepsis is specifically linked to a failed termination of pregnancy
  • Coders must ensure that the diagnosis is supported by clinical documentation and that all relevant details are captured to justify the use of this code

Exclusion Criteria

Do NOT use O07.37 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59840CPT Code

Medical abortion, by medication

Clinical Scenario

Used when a medical abortion is performed and complications arise.

Documentation Requirements

Document the method of abortion, any complications, and follow-up care.

Specialty Considerations

Obstetricians should 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 obstetric conditions, including complications following termination of pregnancy. This specificity aids in better tracking of outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including complications following termination of pregnancy. This specificity aids in better tracking of outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including complications following termination of pregnancy. This specificity aids in better tracking of outcomes and resource allocation.

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 O07.37?

Documentation must include details of the failed termination attempt, clinical signs of sepsis, treatment provided, and any follow-up care. Clear linkage between the diagnosis and the procedure is essential.