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v1.0.0
ICD-10 Guide
ICD-10 CodesO07.34

O07.34

Billable

Damage to pelvic organs following failed attempted termination of pregnancy

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

Code Description

ICD-10 O07.34 is a billable code used to indicate a diagnosis of damage to pelvic organs following failed attempted termination of pregnancy.

Key Diagnostic Point:

O07.34 refers to the damage sustained to pelvic organs as a result of a failed attempted termination of pregnancy. This condition can arise from various complications during the procedure, including incomplete evacuation of the uterus, perforation of the uterus, or injury to surrounding pelvic structures such as the bladder or intestines. Patients may present with symptoms such as pelvic pain, abnormal bleeding, or signs of infection. Management of this condition often requires a multidisciplinary approach, including surgical intervention to repair any damage, medical management of complications, and psychological support for the patient. It is crucial for healthcare providers to document the specifics of the attempted termination, the nature of the damage, and the subsequent treatment provided to ensure accurate coding and billing.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Variability in documentation of attempted termination procedures
  • Potential for multiple complications requiring detailed coding
  • Need for precise differentiation between types of pelvic organ damage
  • Involvement of multiple specialties in management and documentation

Audit Risk Factors

  • Inadequate documentation of the attempted termination procedure
  • Failure to document all complications and their management
  • Misclassification of the type of pelvic organ damage
  • Lack of follow-up documentation on patient outcomes

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed documentation of the procedure, including indications, complications, and follow-up care.

Common Clinical Scenarios

Patients presenting with complications post-termination, such as infection or hemorrhage.

Billing Considerations

Consideration of the patient's mental health and counseling needs post-procedure.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of high-risk factors and complications during the attempted termination.

Common Clinical Scenarios

Management of patients with pre-existing conditions that complicate termination procedures.

Billing Considerations

Coordination with mental health services for patients experiencing trauma from the procedure.

Coding Guidelines

Inclusion Criteria

Use O07.34 When
  • Coders should adhere to official ICD
  • 10 guidelines, ensuring that all documentation supports the diagnosis of pelvic organ damage following a failed termination
  • Specific criteria include the need for detailed descriptions of the procedure and any complications that arise

Exclusion Criteria

Do NOT use O07.34 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58661CPT Code

Laparoscopy, surgical, with or without biopsy

Clinical Scenario

Used when surgical intervention is required to address pelvic organ damage.

Documentation Requirements

Detailed operative report and post-operative care notes.

Specialty Considerations

Obstetricians should document the rationale for surgical intervention clearly.

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 procedures, 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 procedures, 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 necessary to support the use of O07.34?

Comprehensive documentation should include the details of the attempted termination procedure, any complications that arose, the nature of the pelvic organ damage, and the management provided. This ensures accurate coding and supports reimbursement.