ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesO03.1

O03.1

Billable

Delayed or excessive hemorrhage following incomplete spontaneous abortion

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

Code Description

ICD-10 O03.1 is a billable code used to indicate a diagnosis of delayed or excessive hemorrhage following incomplete spontaneous abortion.

Key Diagnostic Point:

Delayed or excessive hemorrhage following an incomplete spontaneous abortion is a significant obstetric condition that occurs when a pregnancy ends before the 20th week and not all products of conception are expelled from the uterus. This can lead to complications such as retained tissue, which may cause prolonged bleeding or hemorrhage. The condition is classified as 'incomplete' when some but not all of the fetal tissue is expelled, leading to potential risks for the mother, including infection and severe blood loss. Emotional support is crucial for patients experiencing this condition, as it often follows a traumatic event like a miscarriage. Healthcare providers must assess the patient's physical and emotional well-being, ensuring they receive appropriate counseling and follow-up care. The management of this condition may involve medical or surgical interventions to ensure complete evacuation of the uterus and to prevent further complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between complete and incomplete abortion
  • Assessing the severity of hemorrhage
  • Understanding the patient's obstetric history
  • Documenting emotional and psychological support needs

Audit Risk Factors

  • Inadequate documentation of the type of abortion
  • Failure to document the extent of hemorrhage
  • Lack of follow-up care notes
  • Insufficient emotional support documentation

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed documentation of the patient's obstetric history, current symptoms, and any interventions performed.

Common Clinical Scenarios

Patients presenting with heavy bleeding after a known miscarriage, requiring evaluation and possible intervention.

Billing Considerations

Consideration of the patient's emotional state and the need for counseling services.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of high-risk factors, including previous pregnancy losses and current complications.

Common Clinical Scenarios

Management of patients with a history of recurrent pregnancy loss presenting with incomplete abortion.

Billing Considerations

In-depth assessment of maternal-fetal well-being and potential interventions.

Coding Guidelines

Inclusion Criteria

Use O03.1 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the type of abortion and any complications
  • Specific criteria for coding should include the gestational age and the presence of hemorrhage

Exclusion Criteria

Do NOT use O03.1 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59820CPT Code

Surgical evacuation of the uterus

Clinical Scenario

Used when surgical intervention is required for incomplete abortion.

Documentation Requirements

Document the indication for the procedure and any complications.

Specialty Considerations

Ensure that the surgical notes detail the procedure and any findings.

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 and treatment plans for patients experiencing complications from spontaneous abortions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, improving the accuracy of diagnoses and treatment plans for patients experiencing complications from spontaneous abortions.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Coding & Billing References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Frequently Asked Questions

What should be documented for O03.1?

Documentation should include the type of abortion, extent of hemorrhage, any interventions performed, and emotional support provided to the patient.