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ICD-10 Guide
ICD-10 CodesO08.5

O08.5

Billable

Metabolic disorders following an ectopic and molar pregnancy

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

Code Description

ICD-10 O08.5 is a billable code used to indicate a diagnosis of metabolic disorders following an ectopic and molar pregnancy.

Key Diagnostic Point:

Metabolic disorders following an ectopic or molar pregnancy can arise due to various complications such as abortion, infection, hemorrhage, and sepsis. These conditions may lead to significant physiological changes in the mother, including alterations in glucose metabolism, electrolyte imbalances, and other metabolic derangements. Ectopic pregnancies, where the embryo implants outside the uterus, can result in life-threatening hemorrhage and require immediate medical intervention. Molar pregnancies, characterized by abnormal placental tissue growth, can lead to complications such as hyperemesis gravidarum and gestational trophoblastic disease. The management of these conditions often involves surgical intervention, such as dilation and curettage (D&C), and close monitoring for signs of infection or sepsis. The metabolic consequences can be profound, necessitating careful management of the mother's nutritional status and metabolic needs during recovery. Understanding the interplay between these complications and their metabolic effects is crucial for effective treatment and coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between ectopic and molar pregnancies
  • Identifying associated metabolic disorders
  • Documenting complications such as infection and hemorrhage
  • Understanding the implications of surgical interventions

Audit Risk Factors

  • Inadequate documentation of complications
  • Failure to specify the type of ectopic or molar pregnancy
  • Misclassification of metabolic disorders
  • Lack of clarity in surgical intervention details

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed documentation of the patient's obstetric history, current pregnancy status, and any complications encountered during care.

Common Clinical Scenarios

Management of ectopic pregnancies, treatment of molar pregnancies, and addressing complications such as hemorrhage or infection.

Billing Considerations

Ensure accurate coding of all complications and their management to reflect the complexity of care provided.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of high-risk factors, maternal health status, and fetal monitoring.

Common Clinical Scenarios

Management of high-risk pregnancies involving ectopic or molar pregnancies and associated metabolic disorders.

Billing Considerations

Focus on the implications of maternal health on fetal outcomes and the need for multidisciplinary care.

Coding Guidelines

Inclusion Criteria

Use O08.5 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that all relevant complications are documented and coded accurately
  • Specific criteria for coding metabolic disorders following ectopic and molar pregnancies must be adhered to, including the need for clear documentation of the type of pregnancy and any associated complications

Exclusion Criteria

Do NOT use O08.5 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58120CPT Code

Dilation and curettage (D&C)

Clinical Scenario

Used for the management of molar pregnancies or incomplete abortions.

Documentation Requirements

Document the indication for the procedure and any complications encountered.

Specialty Considerations

Ensure that the procedure is linked to the appropriate diagnosis for accurate billing.

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 ectopic and molar pregnancies, improving the accuracy of claims and enhancing patient care through better data collection.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of complications related to ectopic and molar pregnancies, improving the accuracy of claims and enhancing patient care through better data collection.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of complications related to ectopic and molar pregnancies, improving the accuracy of claims and enhancing patient care through better data collection.

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 complications associated with ectopic and molar pregnancies?

Common complications include hemorrhage, infection, and metabolic disorders. These complications require careful monitoring and management to ensure the health and safety of the patient.