Full Answer
In ICD-10-CM, there is a distinction between an encounter for elective termination of pregnancy without complications (Z33.2) and conditions/complications following induced (O04.-) or failed attempted termination (O07.-) of pregnancy. Inducing abortion can either be accomplished by procedural or medical means.
Encounter for elective termination of pregnancy. Z33.2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM Z33.2 became effective on October 1, 2019. This is the American ICD-10-CM version of Z33.2 - other international versions of ICD-10 Z33.2 may differ.
Complete and incomplete spontaneous abortions and their complications, such as pelvic infection, hemorrhage, sepsis, and shock, are coded in O03.-. These spontaneous pregnancy losses are distinct from elective termination of pregnancy.
2018/2019 ICD-10-CM Diagnosis Code Q00.0. Anencephaly. Q00.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM Q00.0 became effective on October 1, 2018.
Z33.2ICD-10 Code for Encounter for elective termination of pregnancy- Z33. 2- Codify by AAPC.
ICD-10 Code for Complete or unspecified spontaneous abortion without complication- O03. 9- Codify by AAPC.
ICD-10-CM Code for Missed abortion O02. 1.
O03.4ICD-10 Code for Incomplete spontaneous abortion without complication- O03. 4- Codify by AAPC.
This legal definition may determine which CPT codes are selected: abortion (59812-59857) or delivery (59400-59515)....Medical Abortion.Possible CodeDescription59855-59857By suppositories before 20 weeksE/M CodeSpontaneous/Other Medical Abortion before 20 weeks3 more rows
What ICD-10-CM code is reported for an uncomplicated incomplete abortion? Rationale: Look in the ICD-10-CM Alphabetic Index for Abortion/incomplete (spontaneous) which directs you to code O03. 4.
When an induced abortion is performed by dilating the cervix and performing sharp and/or suction curettage, use CPT code 59840 for reported such procedures. If the cervix is dilated and the uterus mechanically evacuated, code 59841 is reported.
ICD-10 code O36. 4 for Maternal care for intrauterine death is a medical classification as listed by WHO under the range - Pregnancy, childbirth and the puerperium .
Commonly reported CPT codes for miscarriages include: 59812, treatment of incomplete abortion, any trimester. 59820, treatment of missed abortion, completed surgically; first trimester. 59821, treatment of missed abortion, completed surgically; second trimester.
Complete or unspecified spontaneous abortion without complication. O03. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM O03.
A If this labor was induced with misoprostol or another cervical dilator, the correct code is 59855 (induced abortion, by one or more vaginal suppositories [eg, prostaglandin] with or without cervical dilation [eg, laminaria], including hospital admission and visits, delivery of fetus and secundines).
According to ACOG fetal demise prior to 20 weeks 0 days is coded with E/M code + 59414 (delivery of placenta) if done. Or if a non-surgical abortion is induced by injection you would use 59850, 59851 or 59852.
Affected infants are only capable of primitive (brain stem) reflexes and usually do not survive for more than two weeks. (from menkes, textbook of child neurology, 5th ed, p247) A rare neural tube defect during pregnancy, resulting in the absence of a large portion of the brain and skull in the fetus.
Congenital brain aplasia. Clinical Information. A malformation of the nervous system caused by failure of the anterior neuropore to close. Infants are born with intact spinal cords, cerebellums, and brainstems, but lack formation of neural structures above this level.
The Pregnancy ICD 10 code belong to the Chapter 15 – Pregnancy, Childbirth, and the Puerperium of the ICD-10-CM and these codes take sequencing priority over all the other chapter codes.
Ectopic pregnancy (Code range- O00.00 – O00.91) – This is a potentially life-threatening condition in which the fertilize egg is implanted outside the uterus, usually in one of the fallopian tubes or occasionally in the abdomen or ovaries.
The chapter 15- Pregnancy, Childbirth, and the Puerperium codes can be used only to code the maternal records and never the newborn records. Any complications or conditions arising due to pregnancy, childbirth or puerperium should be coded using the codes from this chapter.
Galactorrhea. Other obstetric conditions, not elsewhere classified (Code range O94-O9A) Sequelae (Late effects) of complication of pregnancy, childbirth, and the puerperium (O94)- Includes conditions or late effects that may occur any time after the puerperium.
Morbidly adherent placenta (Placenta accrete, Placenta increta, Placenta percreta) Placental infarction. Placenta previa (Code range O44.00- O44.53)- Condition in which the placenta is implanted in the lower parts of the uterus.
HELLP (hemolysis, elevated liver enzymes, low platelet count) syndrome – (Code range O14.20- O14.25) – A very rare condition seen in pregnant patients mostly with pre-eclampsia usually before the 37 th week of pregnancy.
Missed abortion (O02.1)- The retention of a non-viable fetus along with the placenta and embryonic tissues inside the uterus without the body recognizing the loss of pregnancy and therefore failing to naturally expel the non-viable contents like in spontaneous abortion.