Delayed or excessive hemorrhage following failed attempted termination of pregnancy
ICD-10 O07.1 is a billable code used to indicate a diagnosis of delayed or excessive hemorrhage following failed attempted termination of pregnancy.
O07.1 refers to a clinical condition characterized by significant bleeding that occurs after an unsuccessful attempt to terminate a pregnancy. This can happen due to various reasons, including incomplete evacuation of the uterine contents, retained products of conception, or complications arising from the procedure itself. Patients may present with symptoms such as heavy vaginal bleeding, abdominal pain, or signs of shock. The management of this condition often requires immediate medical intervention, which may include surgical procedures such as dilation and curettage (D&C) to remove retained tissue, blood transfusions if necessary, and close monitoring of the patient's vital signs. The condition can pose serious risks to maternal health, necessitating prompt diagnosis and treatment to prevent further complications.
Detailed documentation of the patient's history, the procedure performed, and any complications encountered is essential. This includes the timing of the hemorrhage, the volume of blood loss, and the interventions undertaken.
Patients presenting with heavy bleeding after a medical or surgical abortion attempt, or those with retained products of conception following a miscarriage.
Coders must be aware of the nuances in documentation that differentiate between elective and medically necessary terminations, as well as the implications of any complications.
Comprehensive documentation of maternal and fetal health status, including any pre-existing conditions that may complicate the termination process.
High-risk pregnancies where termination is considered due to maternal health issues or fetal anomalies, and subsequent complications arise.
High-risk cases may require additional coding for comorbidities and complications, necessitating thorough documentation.
Used when surgical intervention is required to manage excessive hemorrhage following a failed termination.
Documentation must include indications for the procedure, findings during the procedure, and post-operative care.
Obstetricians must ensure that the procedure is justified based on clinical findings and that all relevant details are captured in the medical record.
Documentation should include the patient's clinical presentation, the timing and nature of the hemorrhage, any interventions performed, and the patient's response to treatment. Clear notes on the failed termination attempt and any complications are essential for accurate coding.
