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v1.0.0
ICD-10 Guide
ICD-10 CodesO08.89

O08.89

Billable

Other complications following an ectopic and molar pregnancy

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

Code Description

ICD-10 O08.89 is a billable code used to indicate a diagnosis of other complications following an ectopic and molar pregnancy.

Key Diagnostic Point:

O08.89 is used to classify other complications that arise following ectopic and molar pregnancies. These complications can include a range of issues such as infection, hemorrhage, and sepsis, which may occur post-abortion or after the management of ectopic or molar pregnancies. Infection can arise from retained products of conception or surgical interventions, leading to conditions such as endometritis or pelvic inflammatory disease. Hemorrhage may occur due to incomplete abortion or complications during surgical procedures, necessitating careful monitoring and management. Sepsis, a severe systemic response to infection, can develop if infections are not promptly identified and treated, posing significant risks to maternal health. The management of these complications often requires a multidisciplinary approach, including obstetricians, gynecologists, and infectious disease specialists, to ensure comprehensive care and optimal outcomes for the patient.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential complications that can arise post-ectopic or molar pregnancy.
  • Need for precise documentation of the type and severity of complications.
  • Differentiation between complications related to ectopic/molar pregnancies and those from other obstetric conditions.
  • Potential for overlapping diagnoses that may complicate coding.

Audit Risk Factors

  • Inadequate documentation of complications leading to coding errors.
  • Failure to specify the type of complication (e.g., infection vs. hemorrhage).
  • Misclassification of complications as unrelated conditions.
  • Inconsistent use of codes for similar complications across different encounters.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed documentation of the patient's history, the nature of the ectopic or molar pregnancy, and any complications encountered during treatment.

Common Clinical Scenarios

Management of a patient with an ectopic pregnancy who develops an infection post-surgery or a molar pregnancy with subsequent hemorrhage.

Billing Considerations

Coders must ensure that all complications are documented clearly and linked to the appropriate diagnosis to avoid miscoding.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of maternal and fetal health, especially in high-risk scenarios involving ectopic or molar pregnancies.

Common Clinical Scenarios

Monitoring and managing a high-risk patient with a history of ectopic pregnancy who presents with signs of sepsis.

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use O08.89 When
  • According to the official ICD
  • CM coding guidelines, O08
  • 89 should be used when documenting complications that are not specifically classified elsewhere
  • Coders must ensure that the complications are directly related to the ectopic or molar pregnancy and that all relevant clinical information is documented

Exclusion Criteria

Do NOT use O08.89 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58661CPT Code

Laparoscopy, surgical, with or without salpingectomy

Clinical Scenario

Used in the management of ectopic pregnancies, often leading to complications requiring O08.89.

Documentation Requirements

Document the indication for surgery and any complications encountered.

Specialty Considerations

Obstetricians must ensure that all surgical interventions are well-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 complications following ectopic and molar pregnancies, improving the accuracy of data collection and reimbursement processes. O08.89 provides a means to capture a broader range of complications that may not have been adequately represented in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of complications following ectopic and molar pregnancies, improving the accuracy of data collection and reimbursement processes. O08.89 provides a means to capture a broader range of complications that may not have been adequately represented in ICD-9.

Reimbursement & Billing Impact

reimbursement processes. O08.89 provides a means to capture a broader range of complications that may not have been adequately represented in ICD-9.

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

When should O08.89 be used?

O08.89 should be used when documenting complications that arise following ectopic or molar pregnancies, such as infection, hemorrhage, or sepsis, that are not classified under more specific codes.