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v1.0.0
ICD-10 Guide
ICD-10 CodesO07.38

O07.38

Billable

Urinary tract infection following failed attempted termination of pregnancy

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

Code Description

ICD-10 O07.38 is a billable code used to indicate a diagnosis of urinary tract infection following failed attempted termination of pregnancy.

Key Diagnostic Point:

This code is used to classify urinary tract infections (UTIs) that occur after a failed attempted termination of pregnancy. A failed termination may occur due to incomplete procedures, such as a missed abortion or retained products of conception, leading to complications like UTIs. The physiological changes during pregnancy, including hormonal shifts and anatomical changes, can predispose women to UTIs. The management of this condition typically involves antibiotic therapy tailored to the specific bacteria identified, along with monitoring for any further complications related to the failed termination. It is crucial for healthcare providers to document the circumstances surrounding the termination attempt, the presence of UTI symptoms, and the treatment provided to ensure accurate coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of termination attempts (medical vs. surgical)
  • Documenting the timeline of events leading to the UTI
  • Identifying the causative organism of the UTI
  • Understanding the implications of failed termination on future pregnancies

Audit Risk Factors

  • Inadequate documentation of the termination attempt
  • Failure to specify the type of UTI (e.g., acute vs. recurrent)
  • Lack of clarity on the timeline of events
  • Insufficient detail on treatment provided

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed documentation of the patient's history, the procedure performed, and any complications encountered.

Common Clinical Scenarios

Patients presenting with UTI symptoms post-termination, follow-up visits for monitoring, and management of retained products.

Billing Considerations

Consideration of the patient's emotional state and counseling needs post-termination.

Maternal-Fetal Medicine

Documentation Requirements

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

Common Clinical Scenarios

Management of complex cases involving failed terminations and subsequent infections.

Billing Considerations

Focus on the implications for future pregnancies and the need for multidisciplinary care.

Coding Guidelines

Inclusion Criteria

Use O07.38 When
  • Coders should refer to the official ICD
  • CM guidelines for obstetric coding, ensuring that all relevant details are captured, including the nature of the termination attempt and the specifics of the UTI

Exclusion Criteria

Do NOT use O07.38 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits after a failed termination and UTI diagnosis.

Documentation Requirements

Document the patient's symptoms, history of termination, and treatment plan.

Specialty Considerations

Obstetricians should ensure comprehensive care and follow-up.

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, improving data accuracy and patient care tracking.

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, improving data accuracy and patient care tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of complications related to pregnancy, including those following failed terminations, improving data accuracy and patient care tracking.

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 O07.38?

Coders must ensure that the medical record includes details of the termination attempt, the onset of UTI symptoms, diagnostic tests performed, and the treatment plan. Clear linkage between the failed termination and the UTI is essential.