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ICD-10 Guide
ICD-10 CodesChapter 15: Pregnancy, childbirth and the puerperiumO73

O73

Non-billable

Retained placenta and membranes, without hemorrhage

Chapter 15:Pregnancy, childbirth and the puerperium

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 O73 is a used to indicate a diagnosis of retained placenta and membranes, without hemorrhage.

Key Diagnostic Point:

The ICD-10 code O73 refers to retained placenta and membranes without hemorrhage, a condition that occurs when the placenta or placental fragments remain in the uterus after childbirth. This can lead to complications such as infection, delayed postpartum recovery, and potential future fertility issues. Clinically, it is important to monitor and manage this condition to prevent further complications, especially in patients who may have experienced a traumatic delivery or other risk factors that could contribute to retained products of conception.

  • In practice, the diagnosis of retained placenta and membranes is often made based on clinical findings such as prolonged uterine bleeding, abdominal pain, or abnormal uterine size. Treatment typically involves manual removal or surgical intervention, depending on the severity of the case. Accurate coding of O73 is crucial for proper reimbursement and tracking of maternal health outcomes, as it helps healthcare providers identify and manage the risks associated with retained placenta effectively.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Clinical presentation variability
  • Need for differential diagnosis
  • Potential for surgical intervention

Audit Risk Factors

  • Incomplete documentation of delivery details
  • Failure to document clinical signs and symptoms
  • Inadequate follow-up care records

Specialty Focus

Medical Specialties

Obstetrics

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Gynecology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical impact of accurately coding O73 is significant, as it helps in tracking maternal health outcomes and identifying trends in postpartum complications. By coding retained placenta and membranes appropriately, healthcare providers can improve the quality of care delivered to patients, ensuring timely interventions are made to prevent complications such as infection or future fertility issues. Furthermore, accurate coding contributes to population health data, allowing for better resource allocation and healthcare planning.
On an administrative level, the implications of this code category extend to reimbursement processes and healthcare analytics. Proper coding of O73 can influence hospital performance metrics and quality measures, which are increasingly tied to reimbursement rates. As healthcare systems move towards value-based care, understanding the impact of retained placenta and membranes on maternal health will be crucial for improving patient outcomes and optimizing care delivery.

ICD-9 vs ICD-10

The clinical impact of accurately coding O73 is significant, as it helps in tracking maternal health outcomes and identifying trends in postpartum complications. By coding retained placenta and membranes appropriately, healthcare providers can improve the quality of care delivered to patients, ensuring timely interventions are made to prevent complications such as infection or future fertility issues. Furthermore, accurate coding contributes to population health data, allowing for better resource allocation and healthcare planning. On an administrative level, the implications of this code category extend to reimbursement processes and healthcare analytics. Proper coding of O73 can influence hospital performance metrics and quality measures, which are increasingly tied to reimbursement rates. As healthcare systems move towards value-based care, understanding the impact of retained placenta and membranes on maternal health will be crucial for improving patient outcomes and optimizing care delivery.

Reimbursement & Billing Impact

reimbursement processes and healthcare analytics. Proper coding of O73 can influence hospital performance metrics and quality measures, which are increasingly tied to reimbursement rates. As healthcare systems move towards value-based care, understanding the impact of retained placenta and membranes on maternal health will be crucial for improving patient outcomes and optimizing care delivery.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for O73

Coding & Billing References

  • •
    Official ICD-10 Guidelines for O73

Frequently Asked Questions

What conditions are included in O73?

O73 encompasses cases of retained placenta and membranes following delivery, specifically when there is no associated hemorrhage. This includes retained placental fragments that may not cause immediate symptoms but require monitoring and potential intervention.

When should I use O73 codes?

O73 should be used when a patient presents with retained placenta or membranes post-delivery without any signs of hemorrhage. It is important to document the clinical findings and any interventions performed to support the use of this code.

What documentation is required for O73?

Documentation for O73 should include details of the delivery, any clinical signs of retained placenta, the patient's symptoms, and any treatments administered. Clear notes on the absence of hemorrhage and the management plan are also essential.