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ICD-10 Guide
ICD-10 CodesO03.35

O03.35

Billable

Other venous complications following incomplete spontaneous abortion

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

Code Description

ICD-10 O03.35 is a billable code used to indicate a diagnosis of other venous complications following incomplete spontaneous abortion.

Key Diagnostic Point:

O03.35 refers to complications arising from an incomplete spontaneous abortion, specifically focusing on venous issues such as thrombosis or varicosities that may develop as a result of the incomplete expulsion of pregnancy tissue. Spontaneous abortion, commonly known as miscarriage, can occur at various stages of pregnancy, typically before the 20th week. Incomplete spontaneous abortion occurs when some but not all of the pregnancy tissue is expelled from the uterus, which can lead to complications including infection, heavy bleeding, and venous complications. The condition may be influenced by factors such as cervical incompetence, where the cervix opens prematurely, leading to miscarriage. Emotional support is crucial for patients experiencing spontaneous abortion, as it can be a traumatic event. Healthcare providers should offer counseling and resources to help patients cope with the emotional aftermath of miscarriage, in addition to addressing any physical complications that arise.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between complete and incomplete spontaneous abortion
  • Identifying specific venous complications related to the condition
  • Understanding the implications of cervical incompetence
  • Documenting emotional support and counseling provided

Audit Risk Factors

  • Inadequate documentation of the type of spontaneous abortion
  • Failure to document venous complications clearly
  • Lack of emotional support documentation
  • Misclassification of the abortion stage

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed documentation of the patient's obstetric history, current pregnancy status, and any complications experienced during the miscarriage.

Common Clinical Scenarios

Patients presenting with heavy bleeding or pain following a spontaneous abortion, requiring evaluation for incomplete abortion and potential venous complications.

Billing Considerations

Coders must ensure that all aspects of the patient's care, including emotional support and counseling, are documented to support the coding of O03.35.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of high-risk factors, including previous miscarriages, cervical incompetence, and any interventions performed.

Common Clinical Scenarios

Management of patients with a history of recurrent miscarriages or those presenting with complications following an incomplete abortion.

Billing Considerations

High-risk pregnancies may require additional coding for associated conditions, necessitating careful review of the patient's medical history.

Coding Guidelines

Inclusion Criteria

Use O03.35 When
  • Coders should adhere to the official ICD
  • CM coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • Specific criteria for coding spontaneous abortion and associated complications must be met, including the need for clear documentation of venous complications

Exclusion Criteria

Do NOT use O03.35 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59820CPT Code

Suction curettage

Clinical Scenario

Used for the management of incomplete spontaneous abortion to remove retained tissue.

Documentation Requirements

Documentation must include indications for the procedure and any complications encountered.

Specialty Considerations

Obstetricians should ensure that the procedure is well-documented to support the coding of O03.35.

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. O03.35 provides a clearer picture of the patient's condition and associated complications, improving data accuracy and patient care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including complications following spontaneous abortion. O03.35 provides a clearer picture of the patient's condition and associated complications, improving data accuracy and patient care.

Reimbursement & Billing Impact

reimbursement and quality care.

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 to support the use of O03.35?

Documentation should include the type of spontaneous abortion, any complications such as venous issues, and details of emotional support provided to the patient. Clear clinical notes and history are essential for accurate coding.