ICD-10 | Spotting complicating pregnancy, first trimester (O26. 851)
A subchorionic hematoma or hemorrhage is bleeding under one of the membranes (chorion) that surrounds the embryo inside the uterus. It is a common cause of bleeding in early pregnancy. The main symptom is vaginal bleeding. But some women don't have symptoms.
Code Z33. 1 This code is a secondary code only for use when the pregnancy is in no way complicating the reason for visit. Otherwise, a code from the obstetric chapter is required.
If you have a subchorionic hematoma found before you're 20 weeks along in your pregnancy, your doctor is likely to recommend that you reduce your activity levels. They might also suggest that you limit any travel. Your doctor will likely recommend hospitalization if any bleeding, cramping, or contractions occur.
Other hemorrhage in early pregnancy O20. 8 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 O20. 8 became effective on October 1, 2021.
Subchorionic hemorrhage is bleeding beneath the chorion membranes that enclose the embryo in the uterus. It is thought to occur due to partial detachment of the chorion membranes from the wall of the uterus.
ICD-10-CM: general coding and documentation If the pregnancy is incidental to an encounter for a different reason, code Z33. 1 (pregnant state, incidental) is assigned in place of any Chapter 15 codes.
The dysfunction may be primary, as in diseases, injuries, and insults that affect the brain directly and selectively; or secondary, as in systemic diseases and disorders that attack the brain only as one of the multiple organs or systems of the body that are involved.
The code Z71. 3 describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.
All patients were advised bed-rest at home; 200 adhered to this recommendation for the duration of vaginal bleeding (group 1) and 30 continued their usual lifestyle (group 2). All were followed with repeated sonograms at 7 day intervals until bleeding ceased, the subchorionic hematoma disappeared, or abortion occurred.
Anxiety during pregnancy This can disrupt the blood vessels there and some women may experience a little implantation bleeding or spotting as a result. However, if the implantation doesn't quite happen perfectly, it's thought that this could lead to further bleeding and the build up of a subchorionic hematoma.
Most SCH will self-resolve in the second trimester but some can remain symptomatic until the delivery. This persistent SCH is rare and was only present in 0.46% of the general obstetric population [11].
Hemorrhage in early pregnancy 1 O00-O9A#N#2021 ICD-10-CM Range O00-O9A#N#Pregnancy, childbirth and the puerperium#N#Note#N#CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS#N#Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)#N#Trimesters are counted from the first day of the last menstrual period. They are defined as follows:#N#1st trimester- less than 14 weeks 0 days#N#2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days#N#3rd trimester- 28 weeks 0 days until delivery#N#Type 1 Excludes#N#supervision of normal pregnancy ( Z34.-)#N#Type 2 Excludes#N#mental and behavioral disorders associated with the puerperium ( F53.-)#N#obstetrical tetanus ( A34)#N#postpartum necrosis of pituitary gland ( E23.0)#N#puerperal osteomalacia ( M83.0)#N#Use Additional#N#code from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.#N#Pregnancy, childbirth and the puerperium 2 O20-O29#N#2021 ICD-10-CM Range O20-O29#N#Other maternal disorders predominantly related to pregnancy#N#Type 2 Excludes#N#maternal care related to the fetus and amniotic cavity and possible delivery problems ( O30-O48)#N#maternal diseases classifiable elsewhere but complicating pregnancy, labor and delivery, and the puerperium ( O98 - O99)#N#Other maternal disorders predominantly related to pregnancy
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.-)
It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as O20. A type 1 excludes note is for used for when two conditions cannot occur together , such as a congenital form versus an acquired form of the same condition.
Other antepartum hemorrhage, second trimester 1 O46.8X2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2021 edition of ICD-10-CM O46.8X2 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of O46.8X2 - other international versions of ICD-10 O46.8X2 may differ.
O46.8X2 is applicable to mothers in the second trimester of pregnancy, which is defined as between equal to or greater than 14 weeks to less than 28 weeks since the first day of the last menstrual period. Trimesters are counted from the first day of the last menstrual period. They are defined as follows:
Subchorionic hemorrhage ICD 10 code is O45 (15). Since this condition occurs due to the placental abruption, it is put under the category O45 that stands for ‘Premature separation of placenta’.
The risks of subchorionic hematoma are: Subchorionic hematoma increases the risk of miscarriage in the first 20 weeks of pregnancy.
Subchorionic hematoma (SCH), also termed as subchorionic hemorrhage, is a condition wherein the blood collects/clots between the uterine wall and the chorionic membrane (1). The chorion is the outer membrane between the uterus and placenta, and surrounds the amniotic sac (2). Image: Shutterstock.
The chorion is the outer membrane between the uterus and placenta, and surrounds the amniotic sac (2) . Image: Shutterstock. The hematoma leads to placental detachment from the chorion membrane, causing subchorionic bleeding. Around 25% of pregnant women experience subchorionic bleeding during the first trimester (3).