Continuing pregnancy after spontaneous abortion of one fetus or more, third trimester
ICD-10 O31.13 is a billable code used to indicate a diagnosis of continuing pregnancy after spontaneous abortion of one fetus or more, third trimester.
O31.13 refers to a clinical scenario where a pregnancy continues after the spontaneous abortion of one or more fetuses during the third trimester. This situation is particularly complex in cases of multiple gestations, where the loss of one or more fetuses can lead to various complications for the remaining fetus(es). The risk of complications such as twin-to-twin transfusion syndrome (TTTS) is heightened, especially in monochorionic twin pregnancies. TTTS occurs when blood flow between twins is imbalanced, leading to one twin receiving too much blood (recipient) and the other too little (donor). This condition can result in significant morbidity for both fetuses, including heart failure, growth restriction, and even fetal demise. Management of such pregnancies requires careful monitoring and may involve interventions such as laser therapy to correct the vascular connections between the twins. The psychological impact on the mother and the need for specialized care further complicate the clinical picture, necessitating thorough documentation and coding to reflect the complexity of care provided.
Detailed records of fetal assessments, maternal health, and any interventions performed.
Management of pregnancies with one or more fetal losses, monitoring for complications in remaining fetuses.
Accurate coding requires clear documentation of the number of fetuses, their health status, and any complications.
Comprehensive documentation of high-risk factors, interventions, and outcomes.
Complex cases involving TTTS, intrauterine interventions, and close monitoring of fetal well-being.
High-risk pregnancies necessitate detailed coding to reflect the complexity of care and interventions.
Used during the management of pregnancies with complications such as TTTS.
Detailed records of fetal heart rate monitoring and assessments.
Obstetricians should document the rationale for monitoring frequency based on fetal health.
Documentation should include details on the number of fetuses, gestational age, any complications such as TTTS, and the interventions performed. Psychological support provided to the mother should also be documented.
