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ICD-10 Guide
ICD-10 CodesO03.30

O03.30

Billable

Unspecified complication following incomplete spontaneous abortion

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

Code Description

ICD-10 O03.30 is a billable code used to indicate a diagnosis of unspecified complication following incomplete spontaneous abortion.

Key Diagnostic Point:

O03.30 refers to complications that arise following an incomplete spontaneous abortion, which is a miscarriage where some but not all of the pregnancy tissue has been expelled from the uterus. This condition can occur at any stage of pregnancy, but is most common in the first trimester. Factors contributing to incomplete spontaneous abortion may include cervical incompetence, maternal health issues, or chromosomal abnormalities in the fetus. Patients may experience symptoms such as bleeding, cramping, and passage of tissue. Emotional support is crucial, as the loss of a pregnancy can lead to significant psychological distress. Healthcare providers should ensure that patients receive appropriate counseling and follow-up care to address both physical and emotional needs. Documentation should include details of the patient's symptoms, any interventions performed, and follow-up plans to monitor recovery and emotional well-being.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for thorough documentation of patient history and interventions
  • Potential for co-existing conditions that complicate coding
  • Emotional and psychological aspects requiring sensitive handling

Audit Risk Factors

  • Inadequate documentation of the patient's clinical status
  • Failure to specify the type of complication
  • Misclassification of the type of abortion
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Documentation should include details of the patient's symptoms, any interventions performed, and follow-up plans.

Common Clinical Scenarios

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

Billing Considerations

Consideration of emotional support and counseling for patients experiencing loss.

Maternal-Fetal Medicine

Documentation Requirements

High-risk pregnancy documentation should include maternal health history and any complications.

Common Clinical Scenarios

Management of patients with known cervical incompetence or previous pregnancy losses.

Billing Considerations

Focus on monitoring and managing both maternal and fetal health in high-risk scenarios.

Coding Guidelines

Inclusion Criteria

Use O03.30 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that the diagnosis is supported by clinical documentation and that any complications are clearly noted

Exclusion Criteria

Do NOT use O03.30 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59820CPT Code

Surgical evacuation of the uterus

Clinical Scenario

Used when a patient with incomplete abortion requires surgical intervention.

Documentation Requirements

Document the indication for the procedure and any complications.

Specialty Considerations

Obstetricians should ensure that the procedure is justified based on clinical 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 facilitating better patient care.

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 facilitating better patient care.

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 O03.30?

Documentation should include the patient's symptoms, any interventions performed, follow-up care plans, and emotional support provided to the patient.