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v1.0.0
ICD-10 Guide
ICD-10 CodesO07.39

O07.39

Billable

Failed attempted termination of pregnancy with other complications

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

Code Description

ICD-10 O07.39 is a billable code used to indicate a diagnosis of failed attempted termination of pregnancy with other complications.

Key Diagnostic Point:

The code O07.39 is used to classify cases where an attempted termination of pregnancy has failed, leading to complications that may require further medical intervention. This situation can arise from various methods of termination, including medical or surgical procedures, where the intended outcome is not achieved. Complications may include retained products of conception, infection, hemorrhage, or other adverse effects that necessitate additional treatment. Clinicians must carefully assess the patient's condition, document the complications, and provide appropriate management, which may involve surgical intervention, medical therapy, or close monitoring. Accurate coding is essential to reflect the complexity of care provided and to ensure appropriate reimbursement for the services rendered.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Variety of potential complications that can arise post-termination
  • Need for detailed documentation of the failed procedure and subsequent complications
  • Differentiation between types of termination methods and their specific complications
  • Potential for overlapping diagnoses that may complicate coding

Audit Risk Factors

  • Inadequate documentation of the failed termination attempt
  • Failure to specify the nature of complications
  • Incorrect coding of related conditions or procedures
  • Lack of clarity in clinical notes regarding the management plan

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Documentation must include details of the attempted termination, method used, complications encountered, and management provided.

Common Clinical Scenarios

Patients presenting with retained products of conception after a medical abortion, or those experiencing complications following a surgical termination.

Billing Considerations

Coders must ensure that all relevant complications are documented and coded accurately to reflect the complexity of care.

Maternal-Fetal Medicine

Documentation Requirements

High-risk pregnancies require thorough documentation of maternal and fetal conditions, including any complications from attempted terminations.

Common Clinical Scenarios

Management of high-risk patients who experience complications after a failed termination attempt.

Billing Considerations

Special attention should be given to the maternal-fetal implications of complications arising from failed terminations.

Coding Guidelines

Inclusion Criteria

Use O07.39 When
  • Official coding guidelines for obstetrics emphasize the importance of specificity in coding complications and the need for clear documentation of the clinical scenario
  • Coders should refer to the ICD
  • CM guidelines for obstetric conditions and ensure compliance with payer
  • specific requirements

Exclusion Criteria

Do NOT use O07.39 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59840CPT Code

Medical abortion, complete

Clinical Scenario

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

Documentation Requirements

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

Specialty Considerations

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

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 with complications. This specificity aids in better tracking of outcomes and resource utilization.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including failed terminations with complications. This specificity aids in better tracking of outcomes and resource utilization.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including failed terminations with complications. This specificity aids in better tracking of outcomes and resource utilization.

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 O07.39?

Documentation must include details of the attempted termination, any complications that arose, and the management provided. This includes clinical notes, procedure reports, and follow-up care details.