Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester
ICD-10 O31.11 is a billable code used to indicate a diagnosis of continuing pregnancy after spontaneous abortion of one fetus or more, first trimester.
O31.11 refers to a clinical scenario where a pregnancy continues after a spontaneous abortion has occurred involving one or more fetuses during the first trimester. This condition is particularly relevant in cases of multiple gestations, where the loss of one or more fetuses can lead to various complications. In such cases, the remaining fetus or fetuses may be at risk for conditions such as twin-to-twin transfusion syndrome (TTTS), a serious condition that can occur in monochorionic twins, where blood flow is imbalanced between the twins. This imbalance can lead to significant health issues for both the donor and recipient twins. The management of pregnancies under this code requires careful monitoring and may involve specialized interventions to ensure the health of the remaining fetus or fetuses. Documentation must reflect the complexity of the situation, including any interventions or monitoring strategies employed to manage the ongoing pregnancy effectively.
Detailed documentation of the spontaneous abortion event, ongoing pregnancy status, and any complications.
Management of a patient with a history of spontaneous abortion in a multiple gestation pregnancy.
Consideration of the psychological impact of loss on the patient and the need for supportive care.
Comprehensive documentation of high-risk factors, including monitoring for TTTS and other complications.
Management of a monochorionic twin pregnancy following the loss of one twin.
Involvement of multidisciplinary teams for optimal management of complex cases.
Used for monitoring fetal growth and well-being in pregnancies with complications.
Documentation of indications for ultrasound and findings.
Obstetricians should ensure that the ultrasound report includes details relevant to the ongoing pregnancy status.
Documentation must include details of the spontaneous abortion event, the current status of the pregnancy, any complications such as TTTS, and the gestational age of the remaining fetus or fetuses.
