Renal failure following ectopic and molar pregnancy
ICD-10 O08.4 is a billable code used to indicate a diagnosis of renal failure following ectopic and molar pregnancy.
Renal failure following ectopic and molar pregnancy is a serious complication that can arise when a pregnancy occurs outside the uterus (ectopic) or when there is an abnormal growth of placental tissue (molar pregnancy). These conditions can lead to significant maternal morbidity, including renal failure, due to factors such as hemorrhage, infection, or sepsis. In cases of ectopic pregnancy, the rupture of the fallopian tube can cause internal bleeding, leading to hypovolemic shock and subsequent renal impairment. Molar pregnancies can result in severe hyperemesis gravidarum, leading to dehydration and renal failure. Management of these complications often requires prompt surgical intervention, fluid resuscitation, and monitoring of renal function. The clinical presentation may include oliguria, elevated creatinine levels, and electrolyte imbalances, necessitating a multidisciplinary approach to care. Accurate coding of renal failure in the context of these obstetric conditions is crucial for appropriate reimbursement and quality of care assessment.
Detailed documentation of maternal history, clinical findings, and treatment plans is essential. This includes lab results, imaging studies, and surgical notes.
Management of ectopic pregnancy with subsequent renal failure, molar pregnancy leading to severe hyperemesis and renal impairment.
Coders must be aware of the potential for rapid deterioration in maternal health and the need for immediate intervention.
Comprehensive documentation of high-risk factors, including previous obstetric history and current complications.
Monitoring and managing high-risk pregnancies complicated by renal failure.
High-risk scenarios require careful tracking of maternal and fetal outcomes, necessitating precise coding.
Used in cases of ruptured ectopic pregnancy leading to renal failure.
Operative reports detailing the procedure and indications for surgery.
Obstetricians must document the urgency of the procedure due to complications.
Key indicators include elevated serum creatinine levels, decreased urine output, and clinical documentation linking renal failure to ectopic or molar pregnancy complications.
