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ICD-10 Guide
ICD-10 CodesO04.82

O04.82

Billable

Renal failure following (induced) termination of pregnancy

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

Code Description

ICD-10 O04.82 is a billable code used to indicate a diagnosis of renal failure following (induced) termination of pregnancy.

Key Diagnostic Point:

Renal failure following an induced termination of pregnancy can occur due to various factors, including pre-existing renal conditions exacerbated by the physiological changes of pregnancy or complications arising from the termination procedure itself. Medical abortions, whether pharmacological or surgical, can lead to complications such as hemorrhage, infection, or fluid imbalance, which may precipitate acute renal failure. Therapeutic terminations, often performed in cases of severe fetal anomalies or maternal health risks, may also result in renal complications due to the stress of the procedure on the maternal body. Post-abortion care is crucial, as it involves monitoring for signs of renal impairment, managing fluid and electrolyte balance, and addressing any underlying health issues that may contribute to renal failure. Proper documentation of the patient's medical history, the circumstances surrounding the termination, and any subsequent complications is essential for accurate coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of termination (medical vs. surgical)
  • Identifying pre-existing renal conditions versus those acquired post-termination
  • Documenting complications accurately and their relation to the termination
  • Understanding the nuances of post-abortion care and follow-up requirements

Audit Risk Factors

  • Inadequate documentation of the reason for termination
  • Failure to document pre-existing renal conditions
  • Lack of follow-up care notes post-termination
  • Misclassification of the type of termination performed

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Documentation must include the patient's medical history, details of the termination procedure, and any complications experienced.

Common Clinical Scenarios

Patients undergoing medical abortion who develop renal complications, or those with pre-existing renal issues requiring termination.

Billing Considerations

Consideration of the patient's emotional state and potential psychological impacts of termination on health outcomes.

Maternal-Fetal Medicine

Documentation Requirements

Detailed documentation of high-risk factors, including maternal comorbidities and fetal anomalies.

Common Clinical Scenarios

High-risk pregnancies where termination is indicated due to severe maternal or fetal health issues.

Billing Considerations

Close monitoring of renal function in patients with pre-existing conditions or those undergoing complex terminations.

Coding Guidelines

Inclusion Criteria

Use O04.82 When
  • According to ICD
  • 10 coding guidelines, O04
  • 82 should be used when renal failure is directly linked to an induced termination of pregnancy
  • Coders must ensure that all relevant clinical details are documented to support the use of this code

Exclusion Criteria

Do NOT use O04.82 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59840CPT Code

Medical abortion, suction curettage

Clinical Scenario

Used in cases of medical abortion where complications arise.

Documentation Requirements

Documentation must include the procedure details and any complications noted.

Specialty Considerations

Obstetricians should document any renal complications that arise during or after the procedure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of complications following termination of pregnancy, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of complications following termination of pregnancy, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 documentation is required for coding O04.82?

Documentation must include the type of termination performed, any complications experienced, and the patient's medical history, particularly regarding renal health.