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ICD-10 Guide
ICD-10 CodesO04.85

O04.85

Billable

Other venous complications following (induced) termination of pregnancy

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

Code Description

ICD-10 O04.85 is a billable code used to indicate a diagnosis of other venous complications following (induced) termination of pregnancy.

Key Diagnostic Point:

O04.85 refers to various venous complications that may arise following an induced termination of pregnancy, including medical abortions and therapeutic terminations. These complications can manifest as deep vein thrombosis (DVT), superficial venous thrombosis, or other venous disorders that may occur due to changes in blood flow, hormonal fluctuations, or surgical interventions associated with the termination process. Clinicians must monitor patients for signs of venous complications, particularly in those with pre-existing risk factors such as obesity, history of venous thromboembolism, or prolonged immobility post-procedure. Proper management and follow-up care are essential to mitigate risks and ensure patient safety during the recovery phase.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of venous complications
  • Understanding the clinical context of induced termination
  • Identifying pre-existing risk factors in patients
  • Navigating documentation requirements for various procedures

Audit Risk Factors

  • Inadequate documentation of venous complications
  • Failure to capture pre-existing conditions
  • Misclassification of the type of termination performed
  • Lack of follow-up documentation post-procedure

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed documentation of the procedure performed, patient history, and any complications encountered during or after the termination.

Common Clinical Scenarios

Patients presenting with complications such as DVT or superficial thrombophlebitis following a medical abortion.

Billing Considerations

Ensure accurate coding of the type of termination and any associated complications to avoid misrepresentation of the patient's condition.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of high-risk factors, including maternal age, pre-existing conditions, and any complications during the termination process.

Common Clinical Scenarios

Management of patients with a history of thromboembolic events undergoing termination.

Billing Considerations

Consideration of the patient's overall health status and potential for complications is crucial for accurate coding.

Coding Guidelines

Inclusion Criteria

Use O04.85 When
  • According to ICD
  • 10 coding guidelines, O04
  • 85 should be used when there are documented venous complications following an induced termination of pregnancy
  • Coders must ensure that the diagnosis is supported by clinical documentation and that any related conditions are also coded appropriately

Exclusion Criteria

Do NOT use O04.85 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58661CPT Code

Therapeutic abortion, aspiration curettage

Clinical Scenario

Used when a patient undergoes a surgical termination and experiences complications.

Documentation Requirements

Documentation must include details of the procedure, any complications, and follow-up care.

Specialty Considerations

Obstetricians must ensure that all aspects of care are documented to support coding.

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 patient records and facilitating better patient care management.

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 patient records and facilitating better patient care management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of complications following termination of pregnancy, improving the accuracy of patient records and facilitating better patient care management.

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 are the common venous complications following an induced termination of pregnancy?

Common venous complications include deep vein thrombosis (DVT) and superficial venous thrombosis, which can occur due to changes in blood flow and hormonal factors post-procedure.