Delayed or excessive hemorrhage following (induced) termination of pregnancy
ICD-10 O04.6 is a billable code used to indicate a diagnosis of delayed or excessive hemorrhage following (induced) termination of pregnancy.
Delayed or excessive hemorrhage following an induced termination of pregnancy can occur due to various factors, including retained products of conception, uterine atony, or coagulopathy. This condition is characterized by significant blood loss that may occur days or weeks after the procedure, necessitating careful monitoring and management. Medical abortions, which can be performed using medications such as mifepristone and misoprostol, may lead to complications if not properly managed. Therapeutic terminations, often performed for medical reasons, also carry risks of delayed hemorrhage. Post-abortion care is crucial, involving follow-up visits to assess for complications, including excessive bleeding. Clinicians must be vigilant in recognizing signs of hemorrhage, such as increased bleeding, dizziness, or signs of shock, and provide appropriate interventions, which may include medication, surgical intervention, or transfusion. Accurate coding of this condition is essential for proper reimbursement and quality care tracking.
Detailed records of the procedure, including indications for termination, method used, and post-procedure assessments.
Patients presenting with heavy bleeding after a medical abortion or surgical termination.
Ensure that all relevant clinical findings and patient history are documented to support the diagnosis.
Comprehensive documentation of any high-risk factors that may contribute to complications.
Management of patients with underlying conditions such as clotting disorders or previous pregnancy complications.
Consideration of maternal-fetal implications and the need for multidisciplinary care.
Used when a medical abortion is performed and complications arise.
Document the procedure details and any complications encountered.
Obstetricians must ensure that all aspects of care are documented for accurate coding.
Excessive hemorrhage is typically defined as blood loss greater than 500 mL following a surgical termination or significant bleeding that requires medical intervention after a medical abortion. Clinicians should assess the patient's symptoms and vital signs to determine the severity.
