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v1.0.0
ICD-10 Guide
ICD-10 CodesO08.82

O08.82

Billable

Sepsis following ectopic and molar pregnancy

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

Code Description

ICD-10 O08.82 is a billable code used to indicate a diagnosis of sepsis following ectopic and molar pregnancy.

Key Diagnostic Point:

Sepsis following ectopic and molar pregnancy is a serious complication that can arise when an ectopic pregnancy or a molar pregnancy leads to infection. Ectopic pregnancies occur when a fertilized egg implants outside the uterus, often in a fallopian tube, while molar pregnancies involve abnormal growth of trophoblastic tissue. Both conditions can result in significant hemorrhage and subsequent infection, which may progress to sepsis, a life-threatening systemic response to infection. Clinical management of sepsis in these cases requires prompt identification and treatment, including the use of broad-spectrum antibiotics, fluid resuscitation, and possibly surgical intervention to remove the ectopic or molar tissue. The risk of sepsis is heightened in cases where there is delayed diagnosis or treatment, making early recognition and intervention critical for maternal health. Coders must ensure accurate documentation of the underlying condition, the presence of sepsis, and any associated complications to ensure appropriate coding and reimbursement.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Differentiating between ectopic and molar pregnancies
  • Identifying the onset and progression of sepsis
  • Documenting associated complications such as hemorrhage
  • Understanding the clinical management and treatment protocols

Audit Risk Factors

  • Inadequate documentation of the clinical condition leading to sepsis
  • Failure to specify the type of pregnancy (ectopic vs. molar)
  • Lack of detail regarding treatment interventions
  • Misclassification of sepsis severity

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed clinical notes on the type of pregnancy, symptoms, and treatment provided.

Common Clinical Scenarios

Management of ectopic pregnancies presenting with abdominal pain and signs of infection.

Billing Considerations

Ensure that all aspects of the patient's clinical history and treatment are documented to support coding.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive records of maternal and fetal health, especially in high-risk cases.

Common Clinical Scenarios

Monitoring and managing high-risk pregnancies with potential complications.

Billing Considerations

Focus on the maternal-fetal implications of sepsis and the need for multidisciplinary care.

Coding Guidelines

Inclusion Criteria

Use O08.82 When
  • Coders should adhere to the official ICD
  • CM guidelines, ensuring that the diagnosis of sepsis is substantiated by clinical documentation
  • It is essential to follow pregnancy
  • specific criteria, including the timeline of the pregnancy and the onset of complications

Exclusion Criteria

Do NOT use O08.82 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58661CPT Code

Laparoscopy, surgical, with salpingectomy

Clinical Scenario

Used when surgical intervention is required for ectopic pregnancy.

Documentation Requirements

Document the indication for surgery and any findings during the procedure.

Specialty Considerations

Ensure that the surgical procedure aligns with the diagnosis of sepsis and the underlying pregnancy condition.

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 sepsis following ectopic and molar pregnancies. This specificity improves data accuracy and enhances the ability to track complications and outcomes in maternal health.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including sepsis following ectopic and molar pregnancies. This specificity improves data accuracy and enhances the ability to track complications and outcomes in maternal health.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including sepsis following ectopic and molar pregnancies. This specificity improves data accuracy and enhances the ability to track complications and outcomes in maternal health.

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 key documentation requirements for coding O08.82?

Key documentation requirements include a clear diagnosis of the ectopic or molar pregnancy, evidence of infection leading to sepsis, treatment details, and any associated complications. All clinical findings should be well-documented to support the coding.