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v1.0.0
ICD-10 Guide
ICD-10 CodesO08.1

O08.1

Billable

Delayed or excessive hemorrhage following ectopic and molar pregnancy

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

Code Description

ICD-10 O08.1 is a billable code used to indicate a diagnosis of delayed or excessive hemorrhage following ectopic and molar pregnancy.

Key Diagnostic Point:

Delayed or excessive hemorrhage following ectopic and molar pregnancy refers to significant bleeding that occurs after the resolution of an ectopic pregnancy or a molar pregnancy. This condition can arise due to retained products of conception, incomplete abortion, or complications such as infection. The hemorrhage may be delayed, manifesting days to weeks after the initial event, or it may be excessive, leading to hemodynamic instability. Clinicians must monitor patients closely for signs of shock, anemia, and infection, as these complications can escalate quickly. Management typically involves stabilization of the patient, possible surgical intervention, and addressing any underlying causes such as infection or retained tissue. Accurate coding is essential for appropriate treatment reimbursement and tracking of maternal health outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of hemorrhage (delayed vs. excessive)
  • Understanding the clinical context of ectopic and molar pregnancies
  • Identifying associated complications such as infection or retained products
  • Navigating documentation requirements for surgical interventions

Audit Risk Factors

  • Inadequate documentation of the type and severity of hemorrhage
  • Failure to document associated complications such as infection
  • Misclassification of hemorrhage timing (delayed vs. immediate)
  • Lack of clarity in surgical intervention documentation

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed records of patient history, clinical findings, and treatment plans are essential. Documentation should include the timing and nature of hemorrhage, any surgical procedures performed, and follow-up care.

Common Clinical Scenarios

Patients presenting with heavy bleeding post-ectopic or molar pregnancy, requiring surgical intervention or medical management.

Billing Considerations

Coders must ensure that all relevant complications are documented to support the use of O08.1.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of high-risk factors, including maternal health status and fetal monitoring, is crucial.

Common Clinical Scenarios

Management of patients with a history of ectopic or molar pregnancies who present with complications.

Billing Considerations

High-risk scenarios may require additional codes to capture the complexity of care provided.

Coding Guidelines

Inclusion Criteria

Use O08.1 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used in conjunction with appropriate documentation of the clinical scenario and any related complications

Exclusion Criteria

Do NOT use O08.1 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58120CPT Code

Dilation and curettage (D&C)

Clinical Scenario

Used when a patient presents with retained products of conception and excessive hemorrhage.

Documentation Requirements

Document the indication for the procedure, including the patient's clinical status and any imaging results.

Specialty Considerations

Obstetricians should ensure that the procedure is linked to the appropriate diagnosis code.

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 ectopic and molar pregnancies, improving the accuracy of patient records and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of complications related to ectopic and molar pregnancies, improving the accuracy of patient records and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 O08.1?

Documentation should include the patient's clinical history, details of the hemorrhage (timing, severity), any surgical procedures performed, and follow-up care. Clear notes on complications such as infection or retained products are essential.