O45.93 is a billable ICD code used to specify a diagnosis of premature separation of placenta, unspecified, third trimester. A 'billable code' is detailed enough to be used to specify a medical diagnosis.
Clinical Information Premature separation of the normally implanted placenta from the uterus. Signs of varying degree of severity include uterine bleeding, uterine muscle hypertonia, and fetal distress or fetal death. The separation of the placenta from the maternal uterine attachment when it occurs after the twentieth week of the pregnancy.
supervision of normal pregnancy ( Z34.-) mental and behavioral disorders associated with the puerperium ( F53.-) code from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known. Premature separation of the normally implanted placenta from the uterus.
The ICD code O458 is used to code Couvelaire uterus. Couvelaire uterus (also known as uteroplacental apoplexy) is a life-threatening condition in which loosening of the placenta (abruptio placentae) causes bleeding that penetrates into the uterine myometrium forcing its way into the peritoneal cavity.
Abruptio placentae is defined as the premature separation of the placenta from the uterus. Patients with abruptio placentae, also called placental abruption, typically present with bleeding, uterine contractions, and fetal distress.
Marginal placental abruption is the most common type of placental abruption wherein a hematoma is located, as the name suggests, in the margin of the placenta and the blood collects below the chorionic membrane.
Signs of placental separation The most reliable sign is the lengthening of the umbilical cord as the placenta separates and is pushed into the lower uterine segment by progressive uterine retraction.
Q: What's the difference between placenta abruptio and placenta previa? A: With placenta abruptio, the placenta partially or completely detaches itself from the uterine wall before delivery. With placenta previa, the placenta is located over or near the cervix, in the lower part of the uterus.
What are the signs and symptoms of placental abruption?Abdominal pain.Uterine contractions that are longer and more intense than average labor contractions.Uterine tenderness.Backache or back pain.Decreased fetal movement.
Placenta PreviaComplete placenta previa. The placenta completely covers the cervix.Partial placenta previa. The placenta is partly over the cervix.Marginal placenta previa. The placenta is near the edge of the cervix.
Placental abruption is the premature separation of a placenta from its implantation in the uterus.
Signs that the placenta is beginning to separate include: A sudden gush of blood. Lengthening of the visible portion of the umbilical cord. The uterus, which is usually soft and flat immediately after delivery, becomes round and firm.
These are sometimes referred to as “Dirty Duncan” and “Shiny Schultz.” Dirty Duncan is the side attached to the uterus, and it's so-named because it's rough-looking. Shiny Schultz, the side facing the baby, is smooth. Typically the placenta is low in the uterus at the start of pregnancy.
If the placenta partially or totally covers your cervix (placenta previa) or sits in the lower portion of your uterus, you're at increased risk of placenta accreta. Maternal age. Placenta accreta is more common in women older than 35.
If your health care provider suspects placental abruption, he or she will do a physical exam to check for uterine tenderness or rigidity. To help identify possible sources of vaginal bleeding, your provider will likely recommend blood and urine tests and ultrasound.
Your placenta can form two lobes, which is called a bilobed placenta. Rarely, it can form more than two lobes, which is called multilobed. Sometimes a smaller lobe, called a succenturiate lobe, forms. Vasa previa happens if the blood vessels that run between these lobes end up lying against the cervix.
The majority of people with marginal cord insertions have healthy newborns. If the fetus is receiving the nutrients it needs to develop, a marginal cord insertion may not impact your pregnancy at all.
Pregnancies complicated by marginal cord insertion are at higher risk to develop low birth weight (AOR = 2.89, 95% CI: 1.23–6.80), preterm birth (AOR = 4.00, 95% CI: 1.44–11.14), and emergency cesarean delivery (AOR = 3.68, 95% CI: 1.03–13.81).
Complications from Marginal Cord Insertion Marginal cord insertion can restrict or reduce the blood flow and circulation to the fetus during pregnancy. Reduced fetal blood flow can cause intrauterine growth restriction (IUGR) and other developmental abnormalities in the fetus.
Treatment of placenta previa involves bed rest and limitation of activity. Tocolytic medications, intravenous fluids, and blood transfusions may be required depending upon the severity of the condition. Cesarean delivery is required for complete placenta previa.
Trimesters are counted from the first day of the last menstrual period. They are defined as follows: 1st trimester- less than 14 weeks 0 days. 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days. 3rd trimester- 28 weeks 0 days until delivery. Type 1 Excludes. supervision of normal pregnancy ( Z34.-)
O45.011 is applicable to maternity patients aged 12 - 55 years inclusive. O45.011 is applicable to mothers in the first trimester of pregnancy, which is defined as less than 14 weeks since the first day of the last menstrual period. Trimesters are counted from the first day of the last menstrual period.
A placental disease is any disease, disorder, or pathology of the placenta. The article also covers placentation abnormalities, which is often used synonymously for placental disease.
This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code O45.93 and a single ICD9 code, 641.23 is an approximate match for comparison and conversion purposes.
Couvelaire uterus (also known as uteroplacental apoplexy) is a life-threatening condition in which loosening of the placenta (abruptio placentae) causes bleeding that penetrates into the uterine myometrium forcing its way into the peritoneal cavity.
This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code O45.8X9 and a single ICD9 code, 641.20 is an approximate match for comparison and conversion purposes.