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v1.0.0
ICD-10 Guide
ICD-10 CodesO03.3

O03.3

Billable

Other and unspecified complications following incomplete spontaneous abortion

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

Code Description

ICD-10 O03.3 is a billable code used to indicate a diagnosis of other and unspecified complications following incomplete spontaneous abortion.

Key Diagnostic Point:

O03.3 refers to complications that arise after an incomplete spontaneous abortion, which is a miscarriage where some but not all of the pregnancy tissue is expelled from the uterus. This condition can lead to various complications, including infection, excessive bleeding, or retained products of conception. The emotional impact on the patient can be significant, as spontaneous abortion is often associated with feelings of grief and loss. It is crucial for healthcare providers to offer emotional support and counseling to patients experiencing this condition. The management of incomplete spontaneous abortion may involve medical or surgical interventions to ensure complete evacuation of the uterine contents, and careful monitoring for any complications is essential. Documentation should include details about the patient's clinical presentation, any interventions performed, and follow-up care to ensure comprehensive coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between complete and incomplete spontaneous abortion
  • Identifying associated complications such as infection or hemorrhage
  • Documenting emotional support and counseling provided
  • Understanding the stages of miscarriage and their implications for care

Audit Risk Factors

  • Inadequate documentation of complications
  • Failure to specify the type of spontaneous abortion
  • Lack of follow-up notes on emotional support provided
  • Misclassification of the abortion type

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Documentation must include details of the patient's history, clinical findings, interventions, and emotional support provided.

Common Clinical Scenarios

Patients presenting with bleeding and cramping in early pregnancy, requiring evaluation for possible incomplete abortion.

Billing Considerations

Consideration of the patient's emotional state and the need for supportive care is essential for comprehensive management.

Maternal-Fetal Medicine

Documentation Requirements

High-risk pregnancy documentation must include detailed assessments of maternal and fetal health, especially in cases of recurrent pregnancy loss.

Common Clinical Scenarios

Complex cases involving patients with a history of multiple miscarriages or underlying health conditions affecting pregnancy.

Billing Considerations

High-risk factors must be documented to ensure appropriate coding and billing for specialized care.

Coding Guidelines

Inclusion Criteria

Use O03.3 When
  • Follow the official ICD
  • CM guidelines for obstetric coding, ensuring that the diagnosis reflects the clinical scenario accurately and that all complications are documented

Exclusion Criteria

Do NOT use O03.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58120CPT Code

Dilation and curettage (D&C)

Clinical Scenario

Used when surgical intervention is required for incomplete spontaneous abortion.

Documentation Requirements

Document the indication for the procedure, including the diagnosis of incomplete spontaneous abortion.

Specialty Considerations

Ensure that the procedure is linked to the diagnosis for accurate billing.

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 complications following spontaneous abortion, improving the accuracy of data collection and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including complications following spontaneous abortion, improving the accuracy of data collection and reimbursement.

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 O03.3 coding?

Documentation should include the patient's clinical symptoms, any interventions performed, follow-up care, and emotional support provided to ensure accurate coding and billing.