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ICD-10 Guide
ICD-10 CodesO03.88

O03.88

Billable

Urinary tract infection following complete or unspecified spontaneous abortion

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

Code Description

ICD-10 O03.88 is a billable code used to indicate a diagnosis of urinary tract infection following complete or unspecified spontaneous abortion.

Key Diagnostic Point:

This code is used to classify urinary tract infections (UTIs) that occur after a spontaneous abortion, which is the loss of a pregnancy before the 20th week. Spontaneous abortions can be classified into complete, where all pregnancy tissue is expelled, and incomplete, where some tissue remains. The risk of urinary tract infections can increase following a spontaneous abortion due to changes in the urinary tract and potential complications such as retained products of conception. Emotional support is crucial for patients experiencing spontaneous abortion, as they may face psychological distress. Healthcare providers should ensure that patients receive appropriate counseling and follow-up care to address both physical and emotional health needs. Proper documentation of the spontaneous abortion's type, the patient's symptoms, and the management of the urinary tract infection is essential for accurate coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between complete and incomplete spontaneous abortion.
  • Identifying the timing of the urinary tract infection in relation to the abortion.
  • Documenting emotional support and counseling provided to the patient.
  • Understanding the implications of retained products of conception on urinary tract health.

Audit Risk Factors

  • Inadequate documentation of the type of spontaneous abortion.
  • Failure to document the patient's emotional support needs.
  • Misclassification of urinary tract infections as unrelated to the abortion.
  • Lack of follow-up care documentation post-abortion.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Documentation must include details of the spontaneous abortion, any complications, and emotional support provided.

Common Clinical Scenarios

Patients presenting with symptoms of UTI following a spontaneous abortion, requiring follow-up care.

Billing Considerations

Consideration of the patient's emotional well-being and the need for counseling services.

Maternal-Fetal Medicine

Documentation Requirements

Detailed documentation of high-risk factors and management plans for patients with complications.

Common Clinical Scenarios

Management of patients with recurrent spontaneous abortions and associated infections.

Billing Considerations

Focus on the implications of maternal health on fetal outcomes and the need for comprehensive care.

Coding Guidelines

Inclusion Criteria

Use O03.88 When
  • Follow the official ICD
  • CM coding guidelines for obstetric conditions, ensuring accurate documentation of the spontaneous abortion type and any complications such as urinary tract infections

Exclusion Criteria

Do NOT use O03.88 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits after spontaneous abortion with UTI symptoms.

Documentation Requirements

Document the patient's history, examination findings, and management plan.

Specialty Considerations

Ensure that emotional support and counseling are documented.

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 ability to track complications such as urinary tract infections following spontaneous abortions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, improving the ability to track complications such as urinary tract infections following spontaneous abortions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, improving the ability to track complications such as urinary tract infections following spontaneous abortions.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What should be documented to support the use of code O03.88?

Documentation should include the type of spontaneous abortion, any complications such as urinary tract infections, and details of emotional support provided to the patient.