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ICD-10 Guide
ICD-10 CodesO22.93

O22.93

Billable

Venous complication in pregnancy, unspecified, third trimester

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

Code Description

ICD-10 O22.93 is a billable code used to indicate a diagnosis of venous complication in pregnancy, unspecified, third trimester.

Key Diagnostic Point:

Venous complications during pregnancy, particularly in the third trimester, can manifest as a range of conditions including deep vein thrombosis (DVT) and superficial venous thrombosis. These complications arise due to physiological changes in the body, such as increased blood volume and hormonal changes that lead to venous dilation and stasis. The risk of thromboembolic events is heightened during pregnancy, especially in the third trimester when the growing uterus exerts pressure on pelvic veins, potentially leading to impaired venous return. Symptoms may include swelling, pain, and tenderness in the affected limb, and in severe cases, can lead to pulmonary embolism. Management often involves careful monitoring and may include anticoagulation therapy to prevent thrombus formation. The unspecified nature of this code indicates that the specific type of venous complication has not been documented, necessitating thorough clinical evaluation and documentation to ensure appropriate coding and treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of venous complications that can occur during pregnancy.
  • Need for precise documentation to differentiate between types of thrombosis.
  • Potential for overlapping symptoms with other pregnancy-related conditions.
  • Variability in treatment protocols based on individual patient risk factors.

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings.
  • Failure to specify the type of venous complication.
  • Misuse of unspecified codes when more specific codes are available.
  • Lack of follow-up documentation regarding treatment and outcomes.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed clinical notes including patient history, physical examination findings, and treatment plans.

Common Clinical Scenarios

Pregnant patients presenting with leg swelling, pain, or tenderness; patients with a history of venous thromboembolism.

Billing Considerations

Consideration of anticoagulation therapy and its implications for both maternal and fetal health.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of high-risk factors, including previous thromboembolic events and current anticoagulation management.

Common Clinical Scenarios

Management of high-risk pregnancies with a history of venous complications or genetic predispositions.

Billing Considerations

Close monitoring of anticoagulation therapy and potential complications for both mother and fetus.

Coding Guidelines

Inclusion Criteria

Use O22.93 When
  • According to ICD
  • 10 coding guidelines, O22
  • 93 should be used when a specific venous complication is not documented
  • Coders should ensure that all relevant clinical information is captured to avoid the use of unspecified codes when more specific codes are available

Exclusion Criteria

Do NOT use O22.93 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 for pregnant patients with venous complications.

Documentation Requirements

Documentation of symptoms, treatment plan, and follow-up care.

Specialty Considerations

Obstetricians should ensure that all relevant clinical details are included.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of venous complications, improving the accuracy of patient records and facilitating better management of care. However, it has also introduced complexity in coding practices, requiring coders to be more diligent in documentation and code selection.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of venous complications, improving the accuracy of patient records and facilitating better management of care. However, it has also introduced complexity in coding practices, requiring coders to be more diligent in documentation and code selection.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of venous complications, improving the accuracy of patient records and facilitating better management of care. However, it has also introduced complexity in coding practices, requiring coders to be more diligent in documentation and code selection.

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 should I document to support the use of O22.93?

To support the use of O22.93, document the patient's symptoms, any diagnostic tests performed, the clinical assessment, and the treatment plan. Ensure that the specific type of venous complication is noted if known.