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ICD-10 Guide
ICD-10 CodesO08.6

O08.6

Billable

Damage to pelvic organs and tissues following an ectopic and molar pregnancy

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

Code Description

ICD-10 O08.6 is a billable code used to indicate a diagnosis of damage to pelvic organs and tissues following an ectopic and molar pregnancy.

Key Diagnostic Point:

Damage to pelvic organs and tissues following an ectopic or molar pregnancy can result from various complications, including surgical interventions, infections, and hemorrhage. Ectopic pregnancies occur when a fertilized egg implants outside the uterus, often in a fallopian tube, leading to potential rupture and significant internal bleeding. Molar pregnancies, characterized by abnormal growth of trophoblastic tissue, can also lead to complications such as hemorrhage and the risk of developing gestational trophoblastic disease. Following these conditions, patients may experience damage to pelvic organs, including the uterus, ovaries, and surrounding tissues, which can manifest as chronic pain, infertility, or other reproductive health issues. Management of these complications often involves surgical procedures, such as salpingectomy or dilation and curettage (D&C), and may require careful monitoring for signs of infection or sepsis. The complexity of coding for these conditions lies in accurately capturing the specific complications and their sequelae, necessitating thorough documentation of the patient's clinical status and treatment course.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Variety of potential complications (infection, hemorrhage, sepsis)
  • Need for precise documentation of surgical interventions
  • Differentiation between ectopic and molar pregnancies
  • Management of chronic sequelae and their impact on future pregnancies

Audit Risk Factors

  • Inadequate documentation of complications
  • Failure to specify the type of ectopic or molar pregnancy
  • Misclassification of the severity of pelvic organ damage
  • Lack of follow-up documentation for chronic conditions

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed documentation of the patient's history, clinical findings, and treatment plan, including any surgical interventions and post-operative care.

Common Clinical Scenarios

Management of ectopic pregnancies, treatment of molar pregnancies, and follow-up care for pelvic organ damage.

Billing Considerations

Ensure accurate coding of complications and sequelae, and maintain clear records of patient consent and surgical outcomes.

Maternal-Fetal Medicine

Documentation Requirements

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

Common Clinical Scenarios

Management of high-risk pregnancies with ectopic or molar components, and monitoring for complications.

Billing Considerations

Focus on the implications of pelvic organ damage on future pregnancies and maternal health.

Coding Guidelines

Inclusion Criteria

Use O08.6 When
  • According to official coding guidelines, O08
  • 6 should be used when there is clear documentation of damage to pelvic organs and tissues following an ectopic or molar pregnancy
  • Coders must ensure that all relevant complications are documented and coded appropriately, following the guidelines for obstetric coding

Exclusion Criteria

Do NOT use O08.6 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58661CPT Code

Laparoscopy, surgical, with salpingectomy

Clinical Scenario

Used in cases of ectopic pregnancy requiring surgical intervention.

Documentation Requirements

Document the indication for surgery, findings, and any complications encountered.

Specialty Considerations

Ensure that the surgical procedure is linked to the diagnosis of pelvic organ damage.

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 patient records and facilitating better management of these conditions.

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 patient records and facilitating better management of these conditions.

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 patient records and facilitating better management of these conditions.

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 damage to pelvic organs, which may require surgical intervention and careful monitoring for long-term effects.