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ICD-10 Guide
ICD-10 CodesO02.8

O02.8

Billable

Other specified abnormal products of conception

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

Code Description

ICD-10 O02.8 is a billable code used to indicate a diagnosis of other specified abnormal products of conception.

Key Diagnostic Point:

O02.8 refers to conditions involving abnormal products of conception that do not fall under more specific categories. This includes conditions such as blighted ovum, missed abortion, and incomplete abortion. A blighted ovum occurs when a fertilized egg implants in the uterus but does not develop into an embryo, leading to early pregnancy loss. Missed abortion is characterized by the cessation of embryonic development without the expulsion of the products of conception, often diagnosed during routine ultrasound. Incomplete abortion refers to the retention of some products of conception after a miscarriage, which may require medical or surgical intervention for complete evacuation. Management of pregnancy loss may involve monitoring, medical management with medications like misoprostol, or surgical procedures such as dilation and curettage (D&C). Accurate coding of these conditions is crucial for proper patient management and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of pregnancy loss (e.g., missed vs. incomplete abortion)
  • Understanding the clinical implications of abnormal products of conception
  • Variability in documentation practices among providers
  • Need for precise clinical details to support coding

Audit Risk Factors

  • Inadequate documentation of the type of abortion or pregnancy loss
  • Failure to specify the gestational age at the time of diagnosis
  • Misuse of codes for elective vs. spontaneous abortion
  • Inconsistent terminology used in clinical notes

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed clinical notes including gestational age, type of loss, and management plan.

Common Clinical Scenarios

Patients presenting with vaginal bleeding, ultrasound findings of blighted ovum, or incomplete abortion.

Billing Considerations

Ensure clear differentiation between spontaneous and elective abortions for accurate coding.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of maternal and fetal health, including risk factors and management strategies.

Common Clinical Scenarios

High-risk pregnancies with complications leading to abnormal products of conception.

Billing Considerations

Focus on high-risk factors that may complicate the diagnosis and management of pregnancy loss.

Coding Guidelines

Inclusion Criteria

Use O02.8 When
  • Coders should refer to the official ICD
  • CM guidelines for obstetric coding, ensuring that the documentation supports the diagnosis and that all relevant clinical details are captured
  • Specific criteria for pregnancy
  • related conditions must be met, including gestational age and type of loss

Exclusion Criteria

Do NOT use O02.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58120CPT Code

Dilation and curettage (D&C)

Clinical Scenario

Used for management of incomplete abortion or retained products of conception.

Documentation Requirements

Document indication for procedure, findings, and post-operative care.

Specialty Considerations

Ensure that the procedure is linked to the diagnosis of incomplete abortion or abnormal products of conception.

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, improving the accuracy of diagnoses like O02.8. This specificity aids in better tracking of pregnancy-related complications and enhances the quality of care provided.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, improving the accuracy of diagnoses like O02.8. This specificity aids in better tracking of pregnancy-related complications and enhances the quality of care provided.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, improving the accuracy of diagnoses like O02.8. This specificity aids in better tracking of pregnancy-related complications and enhances the quality of care provided.

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 is the difference between a missed abortion and a blighted ovum?

A missed abortion refers to a situation where the embryo has stopped developing but has not yet been expelled from the uterus, while a blighted ovum occurs when a fertilized egg implants but does not develop into an embryo. Both conditions result in pregnancy loss but differ in their clinical presentation and management.