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v1.0.0
ICD-10 Guide
ICD-10 CodesO08.0

O08.0

Billable

Genital tract and pelvic infection following ectopic and molar pregnancy

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

Code Description

ICD-10 O08.0 is a billable code used to indicate a diagnosis of genital tract and pelvic infection following ectopic and molar pregnancy.

Key Diagnostic Point:

Genital tract and pelvic infections can occur as complications following ectopic and molar pregnancies. These infections may arise due to retained products of conception, surgical interventions, or the body's response to abnormal pregnancy conditions. Symptoms may include fever, abdominal pain, and abnormal vaginal discharge. Management typically involves antibiotic therapy, and in severe cases, surgical intervention may be necessary to remove infected tissue or resolve complications such as abscess formation. The risk of infection is heightened in cases of ectopic pregnancy due to the potential for rupture and subsequent hemorrhage, which can lead to sepsis if not promptly addressed. Coders must ensure accurate documentation of the infection's onset, severity, and any associated procedures to ensure appropriate coding and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of infections (e.g., pelvic inflammatory disease vs. post-abortion infection)
  • Understanding the clinical implications of ectopic vs. molar pregnancies
  • Documenting the severity and treatment of infections accurately
  • Identifying associated complications such as hemorrhage or sepsis

Audit Risk Factors

  • Inadequate documentation of infection severity
  • Failure to document associated procedures (e.g., surgical interventions)
  • Misclassification of infection type
  • Lack of clarity on the timeline of infection onset

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed clinical notes on the patient's history, examination findings, and treatment plans are essential for accurate coding.

Common Clinical Scenarios

Management of a patient presenting with fever and abdominal pain post-ectopic pregnancy surgery.

Billing Considerations

Coders should be aware of the potential for multiple diagnoses and the need for specificity in coding.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of maternal and fetal health, including any high-risk factors.

Common Clinical Scenarios

Monitoring and managing a high-risk pregnancy complicated by infection.

Billing Considerations

High-risk scenarios may require additional codes for comorbidities and complications.

Coding Guidelines

Inclusion Criteria

Use O08.0 When
  • Coders should refer to the official ICD
  • CM guidelines for obstetric coding, which emphasize the importance of specificity and the need to document the clinical context of infections following ectopic and molar pregnancies

Exclusion Criteria

Do NOT use O08.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58661CPT Code

Laparoscopy, surgical, with removal of ectopic pregnancy

Clinical Scenario

Used when a patient undergoes surgery for ectopic pregnancy and subsequently develops an infection.

Documentation Requirements

Document the surgical procedure, postoperative complications, and any follow-up care.

Specialty Considerations

Obstetricians should ensure that all surgical notes are clear and detailed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding obstetric conditions, including infections following ectopic and molar pregnancies, which can lead to improved patient care and more accurate reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding obstetric conditions, including infections following ectopic and molar pregnancies, which can lead to improved patient care and more accurate reimbursement.

Reimbursement & Billing Impact

reimbursement.

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 are the common signs of infection following an ectopic pregnancy?

Common signs include fever, abdominal pain, and abnormal vaginal discharge. Prompt evaluation is crucial to prevent complications.