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ICD-10 Guide
ICD-10 CodesO03.82

O03.82

Billable

Renal failure following complete or unspecified spontaneous abortion

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

Code Description

ICD-10 O03.82 is a billable code used to indicate a diagnosis of renal failure following complete or unspecified spontaneous abortion.

Key Diagnostic Point:

Renal failure following a spontaneous abortion, whether complete or unspecified, is a serious condition that can arise due to various complications during or after the miscarriage process. Spontaneous abortion, commonly referred to as miscarriage, occurs when a pregnancy ends on its own within the first 20 weeks. The stages of miscarriage can vary, with early miscarriages often presenting with symptoms such as vaginal bleeding and cramping. In some cases, cervical incompetence may lead to a miscarriage, where the cervix opens prematurely, resulting in the loss of the pregnancy. Emotional support is crucial for patients experiencing spontaneous abortion, as it can lead to significant psychological distress. Renal failure in this context may occur due to complications such as severe blood loss, dehydration, or infection, which can strain kidney function. It is essential for healthcare providers to monitor renal function in patients who have experienced a spontaneous abortion, particularly if they present with symptoms of renal impairment. Proper documentation of the patient's clinical status, including any renal complications, is vital for accurate coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between complete and incomplete spontaneous abortion
  • Identifying renal failure as a complication of spontaneous abortion
  • Understanding the emotional and psychological aspects of miscarriage
  • Documenting the clinical course and management of renal failure

Audit Risk Factors

  • Inadequate documentation of the spontaneous abortion details
  • Failure to document renal function tests and results
  • Lack of emotional support documentation
  • Misclassification of the type of abortion (complete vs. incomplete)

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Documentation must include details of the spontaneous abortion, any interventions performed, and the patient's renal status post-abortion.

Common Clinical Scenarios

Patients presenting with vaginal bleeding and cramping, followed by renal complications.

Billing Considerations

Consider the emotional impact on the patient and ensure appropriate support is documented.

Maternal-Fetal Medicine

Documentation Requirements

High-risk pregnancies require thorough documentation of maternal and fetal health, including any complications arising from spontaneous abortion.

Common Clinical Scenarios

Complex cases involving patients with pre-existing renal conditions who experience spontaneous abortion.

Billing Considerations

Focus on the interplay between maternal health and fetal outcomes, especially in cases of renal failure.

Coding Guidelines

Inclusion Criteria

Use O03.82 When
  • Follow the official ICD
  • CM coding guidelines for obstetric conditions, ensuring that all relevant details of the spontaneous abortion and any complications are documented
  • Use additional codes as necessary to capture the full clinical picture

Exclusion Criteria

Do NOT use O03.82 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59400CPT Code

Obstetric care including antepartum care, delivery, and postpartum care

Clinical Scenario

Used when managing a patient who has experienced a spontaneous abortion and requires comprehensive care.

Documentation Requirements

Document all aspects of care, including emotional support and follow-up.

Specialty Considerations

Obstetricians should ensure that emotional and psychological support is included in the care plan.

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 like renal failure following spontaneous abortion. This specificity aids in better tracking of outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including complications like renal failure following spontaneous abortion. This specificity aids in better tracking of outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including complications like renal failure following spontaneous abortion. This specificity aids in better tracking of outcomes and resource allocation.

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 code O03.82?

Documentation should include details of the spontaneous abortion, any renal complications, results of renal function tests, and evidence of emotional support provided to the patient.