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v1.0.0
ICD-10 Guide
ICD-10 CodesO22.8

O22.8

Billable

Other venous complications in pregnancy

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

Code Description

ICD-10 O22.8 is a billable code used to indicate a diagnosis of other venous complications in pregnancy.

Key Diagnostic Point:

O22.8 encompasses a range of venous complications that can arise during pregnancy, including but not limited to superficial venous thrombosis, varicose veins, and other less common venous disorders. These conditions can lead to significant maternal morbidity and may require careful management to prevent complications such as deep vein thrombosis (DVT) or pulmonary embolism (PE). Pregnant individuals are at increased risk for venous complications due to physiological changes such as increased blood volume, hormonal changes, and the pressure exerted by the growing uterus on pelvic veins. Anticoagulation therapy may be indicated in certain cases, particularly for those with a history of thrombosis or other risk factors. Accurate coding of these conditions is essential for appropriate treatment and reimbursement, as well as for tracking maternal health outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of venous complications that can be coded under O22.8
  • Need for detailed clinical documentation to support the diagnosis
  • Differentiation between superficial and deep venous issues
  • Potential for co-morbid conditions that complicate coding

Audit Risk Factors

  • Inadequate documentation of venous complications
  • Failure to specify the type of venous complication
  • Incorrect linkage of diagnosis to treatment codes
  • Omission of relevant patient history related to thrombosis

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed clinical notes on the patient's venous health, including any history of thrombosis, current symptoms, and treatment plans.

Common Clinical Scenarios

Management of varicose veins during pregnancy, treatment of superficial thrombophlebitis, and monitoring for DVT.

Billing Considerations

Consideration of anticoagulation therapy and its implications for delivery and postpartum care.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of high-risk factors, including previous venous complications and current management strategies.

Common Clinical Scenarios

High-risk pregnancies with a history of venous thromboembolism requiring close monitoring and potential anticoagulation.

Billing Considerations

Coordination of care between obstetricians and hematologists for optimal management of venous complications.

Coding Guidelines

Inclusion Criteria

Use O22.8 When
  • Coders should adhere to official ICD
  • CM guidelines, ensuring that the diagnosis is supported by clinical documentation
  • Specific criteria for venous complications must be met, including the type of complication and any associated risk factors

Exclusion Criteria

Do NOT use O22.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

36415CPT Code

Insertion of a catheter for venous access

Clinical Scenario

Used when a patient requires anticoagulation therapy during pregnancy.

Documentation Requirements

Document the indication for catheter placement and the patient's venous history.

Specialty Considerations

Ensure coordination with maternal-fetal medicine specialists for high-risk patients.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of venous complications, improving the ability to track and manage these conditions in pregnant patients. This specificity aids in research and quality improvement initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of venous complications, improving the ability to track and manage these conditions in pregnant patients. This specificity aids in research and quality improvement initiatives.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of venous complications, improving the ability to track and manage these conditions in pregnant patients. This specificity aids in research and quality improvement initiatives.

Resources

Clinical References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Coding & Billing References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Frequently Asked Questions

What are the common venous complications in pregnancy?

Common venous complications include varicose veins, superficial thrombophlebitis, and deep vein thrombosis. Each condition requires specific management and coding.