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ICD-10 Guide
ICD-10 CodesO07.36

O07.36

Billable

Cardiac arrest following failed attempted termination of pregnancy

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

Code Description

ICD-10 O07.36 is a billable code used to indicate a diagnosis of cardiac arrest following failed attempted termination of pregnancy.

Key Diagnostic Point:

Cardiac arrest following a failed attempted termination of pregnancy is a critical obstetric condition that arises when a woman experiences a cessation of cardiac function after an unsuccessful attempt to terminate a pregnancy. This situation can occur due to various complications, including excessive hemorrhage, infection, or an adverse reaction to anesthesia or medications used during the procedure. The risk factors may include pre-existing cardiovascular conditions, advanced maternal age, or complications during the termination process. Clinicians must be vigilant in monitoring vital signs and managing potential complications during and after the procedure. Immediate resuscitation efforts are crucial, and the management may involve advanced cardiac life support (ACLS) protocols, fluid resuscitation, and addressing the underlying cause of the cardiac arrest. This condition underscores the importance of thorough pre-procedure assessments and post-procedure monitoring to ensure maternal safety.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Involvement of multiple systems (cardiovascular and obstetric)
  • Need for detailed documentation of the termination attempt and complications
  • Potential for legal implications and scrutiny
  • Variability in clinical presentation and management protocols

Audit Risk Factors

  • Inadequate documentation of the circumstances leading to cardiac arrest
  • Failure to capture all relevant complications during the termination attempt
  • Misclassification of the type of termination attempted
  • Inconsistent coding of associated conditions or complications

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed documentation of the procedure, patient history, and any complications encountered during the termination attempt.

Common Clinical Scenarios

Patients presenting for elective termination, those with medical complications, and cases requiring emergency intervention.

Billing Considerations

Ensure that all aspects of the procedure and patient response are documented to support coding accuracy.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of maternal and fetal health, including any high-risk factors that may complicate the termination process.

Common Clinical Scenarios

Management of high-risk pregnancies where termination is considered due to severe fetal anomalies or maternal health risks.

Billing Considerations

Focus on the maternal-fetal dynamics and the implications of the termination attempt on both mother and fetus.

Coding Guidelines

Inclusion Criteria

Use O07.36 When
  • According to ICD
  • 10 coding guidelines, accurate coding of O07
  • 36 requires documentation of the failed termination attempt, the circumstances leading to cardiac arrest, and any subsequent interventions performed
  • Coders must ensure that all relevant details are captured to support the diagnosis

Exclusion Criteria

Do NOT use O07.36 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59840CPT Code

Medication abortion

Clinical Scenario

Used when a medical termination is performed and complications arise.

Documentation Requirements

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

Specialty Considerations

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

59841CPT Code

Surgical abortion

Clinical Scenario

Used when a surgical termination is performed and complications arise.

Documentation Requirements

Detailed documentation of the surgical procedure and any complications.

Specialty Considerations

Ensure that the surgical notes are comprehensive to support the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of complications related to pregnancy and 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 related to pregnancy and 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 required for coding O07.36?

Documentation must include details of the termination attempt, any complications that occurred, the patient's medical history, and the interventions performed during the cardiac arrest.

How can I avoid common coding errors with O07.36?

Ensure that all relevant details are documented clearly, including the type of termination, complications, and the patient's response. Double-check the coding against the clinical documentation.