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v1.0.0
ICD-10 Guide
ICD-10 CodesO07.30

O07.30

Billable

Failed attempted termination of pregnancy with unspecified complications

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

Code Description

ICD-10 O07.30 is a billable code used to indicate a diagnosis of failed attempted termination of pregnancy with unspecified complications.

Key Diagnostic Point:

O07.30 refers to a failed attempted termination of pregnancy where the procedure did not successfully end the pregnancy, leading to potential complications. This code is used when the specific complications are not detailed in the medical record. Failed terminations can occur due to various reasons, including incomplete procedures, patient non-compliance, or medical contraindications. Complications may include retained products of conception, infection, or hemorrhage. Management of these cases often involves further medical evaluation, potential surgical intervention, and close monitoring of the patient's condition. It is crucial for healthcare providers to document the circumstances surrounding the failed termination, including the methods attempted, any complications that arose, and the subsequent management plan to ensure accurate coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of complications
  • Need for detailed clinical history
  • Differentiation from other obstetric codes
  • Potential for multiple follow-up procedures

Audit Risk Factors

  • Inadequate documentation of complications
  • Failure to specify the method of attempted termination
  • Lack of follow-up notes on patient management
  • Inconsistent coding practices among providers

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Providers must document the method of termination attempted, any complications encountered, and the patient's clinical status post-procedure.

Common Clinical Scenarios

Patients presenting with retained products of conception after a failed medical abortion or surgical termination.

Billing Considerations

Accurate coding requires clear documentation of the patient's consent and understanding of the procedure, as well as any complications that arise.

Maternal-Fetal Medicine

Documentation Requirements

Detailed documentation of maternal and fetal health, especially in high-risk cases where complications may be more prevalent.

Common Clinical Scenarios

Management of patients with underlying health conditions that complicate termination attempts.

Billing Considerations

High-risk pregnancies may require additional coding for comorbid conditions that could affect the outcome of the termination attempt.

Coding Guidelines

Inclusion Criteria

Use O07.30 When
  • Coders should follow official ICD
  • 10 guidelines, ensuring that the documentation supports the use of O07
  • This includes confirming that the termination was attempted and that complications are either documented or noted as unspecified

Exclusion Criteria

Do NOT use O07.30 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59840CPT Code

Medical abortion, by medication

Clinical Scenario

Used when a medical abortion is attempted but fails, leading to complications.

Documentation Requirements

Documentation of the procedure performed, patient consent, and any complications encountered.

Specialty Considerations

Obstetricians must ensure that all aspects of care are documented, especially in cases of complications.

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, including failed terminations. This specificity aids in better tracking of complications and outcomes, which can improve patient care and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including failed terminations. This specificity aids in better tracking of complications and outcomes, which can improve patient care and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including failed terminations. This specificity aids in better tracking of complications and outcomes, which can improve patient care and resource allocation.

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 for a failed termination of pregnancy?

Documentation should include the method of termination attempted, any complications that arose, the patient's clinical status, and the management plan following the failed attempt.