Failed attempted termination of pregnancy without complication
ICD-10 O07.4 is a billable code used to indicate a diagnosis of failed attempted termination of pregnancy without complication.
Failed attempted termination of pregnancy without complication (O07.4) refers to instances where a medical or surgical procedure intended to terminate a pregnancy has not succeeded, resulting in the continuation of the pregnancy without any immediate complications. This code is applicable when the patient has undergone an attempted termination, such as a medical abortion or dilation and curettage (D&C), but the procedure did not achieve the desired outcome. Clinically, this may manifest as retained products of conception or an ongoing pregnancy despite the attempt to terminate. It is crucial for healthcare providers to monitor the patient closely following a failed termination attempt to ensure that no complications arise, such as infection or hemorrhage. Management may involve further medical intervention, counseling regarding options, and follow-up care to assess the status of the pregnancy. Documentation should clearly outline the procedure attempted, the outcome, and any subsequent management provided to ensure accurate coding and billing.
Documentation must include details of the attempted termination, patient consent, and any follow-up care provided.
Patients presenting for medical abortion, surgical abortion, or those experiencing complications post-termination attempt.
Consideration of the patient's emotional state and counseling needs is essential for accurate coding.
High-risk pregnancy documentation must include detailed assessments of maternal and fetal health post-failed termination.
Complex cases involving high-risk factors that may complicate the management of a failed termination.
Special attention to the potential for maternal-fetal complications and the need for multidisciplinary care.
Used when a medical abortion is attempted but fails.
Documentation of the medication used, dosage, and follow-up care.
Obstetricians should ensure that counseling and consent are documented.
Used when a surgical abortion is attempted but fails.
Detailed operative notes and post-operative assessments are required.
Ensure that any complications are documented to avoid misclassification.
Documentation should include the type of procedure attempted, patient consent, any complications or lack thereof, and follow-up care provided. Clear notes on the patient's emotional state and counseling offered are also important.
