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v1.0.0
ICD-10 Guide
ICD-10 CodesO26.30

O26.30

Billable

Retained intrauterine contraceptive device in pregnancy, unspecified trimester

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

Code Description

ICD-10 O26.30 is a billable code used to indicate a diagnosis of retained intrauterine contraceptive device in pregnancy, unspecified trimester.

Key Diagnostic Point:

The diagnosis code O26.30 refers to the presence of a retained intrauterine contraceptive device (IUD) during pregnancy, without specification of the trimester. This condition can complicate pregnancy due to potential risks such as miscarriage, preterm labor, and infection. The retained IUD may cause uterine irritation or inflammation, leading to maternal discomfort and necessitating careful monitoring. Management typically involves a multidisciplinary approach, including obstetricians and maternal-fetal medicine specialists, to assess the risks and determine the best course of action, which may include removal of the device if deemed safe. The presence of an IUD during pregnancy requires thorough documentation of maternal health, including any pre-existing conditions such as renal, cardiac, or respiratory issues that may complicate the pregnancy further. The clinician must evaluate the potential impact of these conditions on both maternal and fetal health, ensuring that appropriate care plans are established.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for accurate trimester identification for appropriate management.
  • Potential for multiple complications requiring comprehensive documentation.
  • Variability in clinical presentation and management strategies.
  • Involvement of multiple specialties in care and documentation.

Audit Risk Factors

  • Inadequate documentation of the IUD's impact on pregnancy outcomes.
  • Failure to document maternal comorbidities that may complicate care.
  • Misclassification of the trimester of pregnancy.
  • Lack of clear treatment plans or follow-up documentation.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed documentation of the patient's obstetric history, current pregnancy status, and any complications related to the retained IUD.

Common Clinical Scenarios

Management of a pregnant patient presenting with retained IUD, assessment of risks, and planning for delivery.

Billing Considerations

Consideration of maternal health conditions such as hypertension or diabetes that may affect management.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of high-risk factors, including maternal comorbidities and their management.

Common Clinical Scenarios

Monitoring of a high-risk pregnancy with a retained IUD and associated maternal health issues.

Billing Considerations

In-depth evaluation of fetal well-being and potential interventions.

Coding Guidelines

Inclusion Criteria

Use O26.30 When
  • According to official coding guidelines, the diagnosis must be supported by clinical documentation that specifies the presence of the retained IUD and any associated complications
  • Coders should ensure that the documentation reflects the complexity of the case, including any maternal health conditions

Exclusion Criteria

Do NOT use O26.30 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58300CPT Code

Insertion of intrauterine device

Clinical Scenario

Used when a patient presents for IUD insertion prior to pregnancy.

Documentation Requirements

Document the indication for insertion and patient consent.

Specialty Considerations

Obstetricians should ensure that the patient is counseled on the risks of IUD use.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including retained IUDs. This specificity aids in better tracking of complications and outcomes, ultimately improving patient care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including retained IUDs. This specificity aids in better tracking of complications and outcomes, ultimately improving patient care.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including retained IUDs. This specificity aids in better tracking of complications and outcomes, ultimately improving patient care.

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 be documented when coding O26.30?

Documentation should include the presence of the retained IUD, any complications experienced by the patient, the trimester of pregnancy, and any relevant maternal health conditions that may complicate care.